Twin: Robotic Exoskeleton for Lower Limbs

Author: Istituto Italiano di Tecnologia - IIT
Published: 2024/02/23 - Updated: 2024/02/24
Publication Type: Announcement / Notification
Contents: Summary - Introduction - Main - Related

Synopsis: TWIN is a wearable robot for individuals with reduced or absent motor abilities, enabling them to stand up, maintain an upright position, walk, and sit. The motorized exoskeleton TWIN is an external structure capable of enhancing the physical abilities of the wearer. TWIN has been designed to allow individuals with reduced or even absent motor abilities in the lower limbs, such as in cases of complete spinal cord injuries, to maintain an upright position, walk with the assistance of crutches or walkers (as the exoskeleton is not self-balancing), and to stand up and sit down.

Introduction

TWIN is the name of the new robotic exoskeleton for lower limbs, designed and developed by Rehab Technologies IIT - INAIL, the joint laboratory between the Istituto Italiano di Tecnologia (IIT-Italian Institute of Technology) and the Prosthetic Center of INAIL (the prosthetic unit of the National Institute for Insurance against Accidents at Work), which will allow patients to wear it more easily. Presented in Milan during a press conference held at the Museum of Science and Technology, TWIN was demonstrated by two patients who were involved in testing the system during its development. TWIN is currently a prototype, but researchers hope to bring it to industrialization soon.

Main Digest

The exoskeleton TWIN originates from the IIT's Rehab Technologies Lab, which is the joint laboratory between the IIT in Genoa and the Prosthetic Center of INAIL in Budrio (Bologna), coordinated by Matteo Laffranchi. The collaboration began at the end of 2013 with the goal of developing innovative, high-tech, cost-effective solutions for patients with physical impairments.

One of the patients who wore TWIN today is Alex Santucci, who accompanied technicians and researchers throughout the entire design period of the device, participating in clinical experimentations as a tester. The clinical experiments took place not only at the Prosthetic Center of INAIL in Vigorso di Budrio but also at the Montecatone Rehabilitation Institute in Imola and at Villa Beretta in Costa Masnaga (LC).

Continued below image.
Image of TWIN as worn by Alex Santucci participating in outdoor clinical experimentations as a tester.
TWIN has been designed to allow individuals with reduced or even absent motor abilities in the lower limbs, such as in cases of complete spinal cord injuries, to maintain an upright position, walk with the assistance of crutches or walkers (as the exoskeleton is not self-balancing), and to stand up and sit down. In the picture TWIN wore by Alex Santucci, one of the patients who accompanied technicians and researchers throughout the entire design period of the device, participating in clinical experimentations as a tester - Image Credit: IIT-Istituto Italiano di Tecnologia.
Continued...

The motorized exoskeleton TWIN is an external structure capable of enhancing the physical abilities of the wearer. It has been designed to allow individuals with reduced or even absent motor abilities in the lower limbs, such as in cases of complete spinal cord injuries, to maintain an upright position, walk with the assistance of crutches or walkers (as the exoskeleton is not self-balancing), and to stand up and sit down.

Two features make TWIN unique in the world: it is made of lightweight materials, such as aluminum alloy, and it is composed of modular components, facilitating usability and transportation. Furthermore, the structure is adjustable based on the patient's physical characteristics through telescopic links placed at the level of the femur and tibia. Ankles and foot support are available in various sizes to adapt to the ergonomics of the user, whether female or male, young or adult. TWIN's operating modes are also adaptable to the patient, evaluating the degree of motor deficit of the person wearing it, particularly their ability to perform autonomous walking.

Continued below image.
Three images of a woman in various stages of trying on the TWIN robotic exoskeleton.
Two features make TWIN unique in the world: it is made of lightweight materials, such as aluminum alloy, and it is composed of modular components, facilitating usability and transportation - Image Credit: IIT-Istituto Italiano di Tecnologia.
Continued...

TWIN can be controlled by an operator, such as a physiotherapist, using a specific Android application installed on the provided tablet. The graphical interface allows for controlling the exoskeleton in the execution of various programmed activities, setting the kinematic parameters of movement, and choosing between different step execution modes.

The exoskeleton works in three operating modes:

The TWIN motors activate the knee and hip joints, imposing a completely configurable movement pattern on the patient's limbs, in terms of step length and type, and walking speed. The battery has a lifespan of approximately four hours and requires an hour to recharge.

In addition to rehabilitation clinics during physiotherapy sessions, TWIN can be worn daily, even for just a few hours, as assuming the upright position brings significant benefits in terms of musculoskeletal, circulatory, psychological, and digestive system functionality for wheelchair users.

TWIN's next goal is CE marking, which will occur in partnership with an industrial partner, followed by the industrialization process. Once TWIN is on the market, it can be used by patients in need, reintegrating severely injured workers into social and work environments.

Attribution/Source(s):

This quality-reviewed publication titled Twin: Robotic Exoskeleton for Lower Limbs was chosen for publishing by Disabled World's editors due to its relevance to the disability community. While the content may have been edited for style, clarity, or brevity, it was originally authored by Istituto Italiano di Tecnologia - IIT and published 2024/02/23 (Edit Update: 2024/02/24). For further details or clarifications, you can contact Istituto Italiano di Tecnologia - IIT directly at iit.it/en-US/home Disabled World does not provide any warranties or endorsements related to this article.

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