increasing the active area of the pneumatic actuator 
on which the atmospheric pressure acts. However, the 
increased area leads to a change in other mechanical 
parameters. 
5  CONCLUSION 
In the present work, an exoskeleton of the upper limb 
intended for rehabilitation and training is studied. The 
aim of the work is to find and evaluate an appropriate 
exoskeleton  solution  that  provides  performance  on 
the one hand and transparency and natural safety on 
the other. Therefore, a pneumatic drive is proposed in 
the  work,  which  is  evaluated  by  comparing  the 
positive  pressure  drive  with  the  vacuum  pressure 
drive.  To  assess  transparency,  the  interaction  force 
between  the  patient  and  the  exoskeleton  in  passive 
mode is examined.  
Simulations  were  performed  with  harmonic 
movement imposed by the patient in one joint of the 
exoskeleton.  The  interaction  force  between  the 
patient and the exoskeleton was assessed as a result 
of the gravity of the exoskeleton and the pneumatic 
force. In this case, the torque generated by the elastic 
forces  in  the  closed  chamber  of  the  pneumatic 
actuators is used to compensate for the torque due to 
gravity.  The  interaction  force  at  the  end  effector  is 
estimated  for  cases  of  pneumatic  propulsion  with 
pressure  higher  than  atmospheric  and  with  vacuum 
pressure.  
Assessments  show  that  an  increase  in  positive 
pressure leads to increased stiffness and higher values 
of the interaction forces. This allows for better 
efficiency  when  performing  operations  in  "robot  in 
charge" mode. Vacuum pressure reduces stiffness and 
leads to small deviations in the interaction force and 
from there to higher transparency and patient safety.  
However, low stiffness is associated with a weak 
force response and low efficiency.  
The  combination  of  safety  requirements  on  the 
one hand and the efficiency requirements on the other 
can  be  achieved  through  pneumatic  actuators  that 
allow a wide range of control pressures. The subject 
of the future work of the authors is the development 
and  experimentation  of  pneumatic  drive,  which 
allows adjusting the stiffness in a wide range. 
ACKNOWLEDGEMENTS 
This work has been accomplished with the financial 
support  by  the  Grant  No  BG05M2OP001-1.002-
0011-C02 financed by the Science and Education for 
Smart Growth Operational Program (2014-2020) and 
co-financed  by  the  European  Union  through  the 
European structural and Investment funds. 
REFERENCES 
Manna S. K., Dubey V. N., (2018). Comparative study of 
actuation systems for portable upper limb exoskeletons, 
Medical Engineering and Physics, 60, 1–13. 
Jarrasse,  N.,  T.  Proietti,  et  al.,  (2014).  Robotic 
Exoskeletons:  A  Perspective  for  the  Rehabilitation of 
Arm  Coordination  in  Stroke  Patients,  Frontiers in 
Human Neuroscience, Vol.8, Art.947, 1-13. 
Veneman,  J.F.,  R.  Ekkelenkamp,  et  al.,  (2006).  A  series 
elastic-  and  bowden-cable-based  actuation  for  use  as 
torque  actuator  in  exoskeleton-type  robots,  The Int. 
Journ. of Rob. Research, vol. 25(3), 261-281.  
Courtois G., Chevrie J., Dequidt A., Bonnet X. and Pudlo 
P. (2021). Design of a Rehabilitation Exoskeleton with 
Impedance  Control:  First  Experiments.    Proc.of the 
18th Int. Conf. on Informatics in Control, Automation 
and Robotics – ICINCO 2021,  469-476.  DOI: 
10.5220/0010580004690476.  
Morales  R.,  et  al.,  (2011).  Pneumatic  robotic systems for 
upper limb rehabilitation, Med. Biol. Eng. Comput. 49, 
1145–1156.  
Daerden Fr. and Lefeber  D.,  (2002).  Pneumatic Artificial 
Muscles: actuators for robotics and automation. Europ. 
J. of Mech. and Environmental Engineering; 47,1:1–11.   
Nikolov S., V. Kotev, K. Kostadinov, F. Wang, C. Liang, 
and Y. Tian, (2016). Model-based design optimization 
of  soft  fiber-reinforced  bending  actuators,"  in  Proc. 
IEEE Int. Conf. Manipulation, Manuf. Meas. 
Nanoscale, pp. 136-140.  
Yang  D.,  M.  S.  Verma,  E.  Lossner,  D.  Stothers,  G.  M. 
Whitesides,  (2017).  Negative-pressure  soft  linear 
actuator  with  a  mechanical  advantage.  Adv. Mater. 
Technol., vol.2, issue 1, pp.1600164 1-6.  
Matthew A., Robertson and Jamie Paik, (2017).  New soft 
robots really suck: Vacuum-powered systems empower 
diverse capabilities. Science Robotics, vol. 2, no.9, 30. 
August 2017, doi: 10.1126/scirobotics.aan6357. 
Mendoza Mijaíl Jaén, Samuel Dutra Gollob, Diego Lavado, 
Bon Ho Brandon Koo, Segundo Cruz, Ellen T. Roche 
and  Emir  A.  Vela,  (2021).    A  Vacuum-Powered 
Artificial  Muscle  Designed  for  Infant  Rehabilitation. 
Micromachines, 12 (8), 971. doi: 10.3390/mi12080971. 
 Tawk, C.,  Spinks, G. M., in het Panhuis,  M. &  Alici, G. 
(2019).  3D  Printable  Linear  Soft  Vacuum  Actuators: 
Their  Modeling,  Performance  Quantification  and 
Application  in  Soft  Robotic  Systems.  IEEE/ASME 
Transactions on Mechatronics, 24 (5), 2118-2129. 
Chakarov D., Veneva I., Tsveov M., Mitrouchev P., Venev 
P. (2019), Design of a Two Arms Exoskeleton as Haptic 
Device for Virtual Reality Applications, Lecture Notes 
in Mech. Eng., Springer Nature, Chapter 25, 252-262.