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Tremor Device
Tremor Device
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Design, fabrication and analysis of tremor test rig to emulate human hand tremor
AIP Conference Proceedings (October 2022)
Abstract. Current therapies for hand disease tremors are medication and surgery, which have demonstrated different
degrees of efficacy with the risk of serious side effects. Wearable tremor suppression devices have proven that the usage
of mechanical and electronic devices has produced positive outcomes. There are a variety of tremor suppression devices
Keywords. Hand Tremor, Hand Brace, Microcontroller, Motor, Wearable Tremor Arm.
INTRODUCTION
Simple activities like drinking from a glass or tying shoelaces are typically the most difficult for people with
hand tremor illnesses. Essential tremor, or ET for abbreviation, can affect anybody at any age, although it is more
frequent in people over the age of 40 years old and above (Ferenčík, Jaščur, Bundzel, & Zolotová, 2018). In
addition, Parkinson's disease (PD) was a complicated neurodegenerative condition characterized by bradykinesia,
postural instability, muscle stiffness, and resting tremor, among other motor symptoms. Although tremors were the
most well-known symptom, they were not the most common. About 75% of people with Parkinson's disease
interfere with their everyday activities and lowers their quality of life significantly(Oliveira et al., 2019).
Furthermore, the current status and future direction of action mechanisms, safety, clinical applications and
effectiveness profiles for various types of health instruments that have been used for the purpose of tremor
reduction. Similar data have been examined for potential future advancements in the medical devices to control
tremor for both clinical and biomechanical ways(Mo & Priefer, 2021). An overview of the telehealth and automatic
systems created to deal with pathological boundary, so that professionals may enhance the quality of life (QoL) with
advantages for patients who live with Parkinson's disease (LeMoyne, Mastroianni, Whiting, & Tomycz, 2020). Also,
an overview of the techniques that have been identified much further to lessen the impact of tremors. Tremor
reduction and device implementation are evaluated based on their metric system and mechanisms, which could be
additionally refined by overcoming restrictions and reducing tremor impacts(Somisetti, Jain, Chugh, & Charaya,
2020).
The Fourth Scientific Conference for Electrical Engineering Techniques Research (EETR2022)
AIP Conf. Proc. 2804, 040009-1–040009-11; https://doi.org/10.1063/5.0155773
Published by AIP Publishing. 978-0-7354-4637-3/$30.00
040009-1
To objectively analyze tremors, an inertial measurement unit (IMU) and sensors have been utilized as part of
motion capture approach. A prototype of a wearable tremor-suppression glove (WTSG) has been created, which
included a sensor glove, actuating unit, and a power transmission system cable set. This might be utilized to
mechanically inhibit Parkinsonism tremor in the index finger metacarpophalangeal (MCP) joint, thumb MCP joint,
and wrist in the flexion-extension direction without compromising voluntary movement. Offline data processing and
analysis were carried out utilizing the MATLAB program. The experimental validation was carried out using a
tremor simulator using 7 recorded data sets from Parkinson's disease patients. However, further work was required
to improve the suggested device's performance prior to human testing.(Zhou, Jenkins, Naish, & Trejos, 2018). In
addition, a new method was presented for wearable and wireless accelerometers. However, the system needs
development due to the availability of wearable and local wireless systems, wearable as well as wireless systems
(LeMoyne, Mastroianni, Whiting, & Tomycz, 2019). A soft jamming layer for hand tremor reduction was added to
the glove, coupled with a control system and sensors, to form a closed-loop feedback system. A validation of the
soft glove was provided, as well as an assessment of the influence of the installation of a jamming actuator layer.
The performance of the soft gaze was evaluated by measuring the suppression of a simulated tremor for the dorsal
and perineal nerve forms. However, the glove's performance in the actual environment, as well as its impact on
human factors during practical usage, should be taken into account(Awantha, Wanasinghe, Kavindya, Kulasekera, &
Chathuranga, 2020). Wearable technology was designed to prevent hand tremors in Parkinson's disease patients as a
mechanical therapy. The biodynamic design of the human hand was completed by viewing the hand as the main
mass-spring-damper system. Dual passive vibration absorbers were created to match tremor frequencies. The
device's performance evaluation was carried out with a temporary reaction from hand tremors. However, the active
vibration control (AVC) method can be included to prevent further residual tremors in the hands(Faizan &
Muzammil, 2020).
There are established surgical and pharmaceutical therapeutic approaches; therefore, a semi-active actuator
wearing elbow exoskeleton for tremor suppression (WEETS) was developed as an alternative support technology.
WEETS technology uses a novel magnetorheological fluid-based design and a controlled rotating semi-active
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propose a design for a wearable haptic measurement glove (HMG) and demonstrate how it may be used to collect
force and inertial data on handshakes. In order to develop intelligent shared control algorithms for nature in each
area tested, the results revealed variances in handshakes. The HMGs were able to record all of the desired data
(firmness, vigor, duration, completeness of grip, and the number of pulses) as well as define five stages of
handshakes with accuracy and consistency(Capelle, Benson, Anderson, Weinberg, & Gorlewicz, 2020). For persons
who suffer spontaneous tremors in their daily lives, a wearable technology for controlling axial vibration has been
developed. To generate interactive torques in the working environment, an investigation to the dynamic model of the
gyroscopic system has been performed. The feedback linearization approach has been applied to quantify the control
input for balancing the kinetic energy and the system state. The proposed method has been verified by means of
mechanical analysis and prototype designing. MATLAB simulations have been used to validate the effectiveness of
the mathematical dynamics of this method(Phan Van & Ngo, 2021).
This work describes the Vib-bracelet, a passive absorber device for attenuating pronation and supination tremors.
It is tailored to the frequency of the tremor and is based on the principles of dynamic vibration absorption.
Prototypes were created and tested on a human forearm mechanical model. Simulations and studies show that the
device is effective at attenuating vibrations in the 4–6 Hz frequency range, which is the frequency range of reported
tremors, with an amplitude attenuation of 85 %(Buki, Katz, Zacksenhouse, & Schlesinger, 2018).
In addition, a wearable tremor suppression (WTS) glove has been proposed to reduce tremor effect while
enabling free movement in the wrist, index and thumb joints. The WTSG is outfitted with three motors and five
IMUs that concurrently and independently measure and direct the motion of the three joints. To transfer force from
the motors to the user's joints, a transmission system with distributed cables was developed. By connecting the
WTSG to the user's forearm, this design decreases the WTSG's size and weight while increasing compliance. To
evaluate the suppression function, the sensor was connected to the position above the third metacarpal of the hand to
capture the motion data from the gyroscope and accelerometer. In addition, electric motors were employed as
actuators in the exoskeleton to suppress tremor motions (Zhou et al., 2021).
This research has classified several related studies based on model type, software as well as hardware, evaluation
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TABLE 1. Continued.
Research Model software Evaluation Disadvantage
type and Method
hardware
"A wearable elbow exoskeleton for
Stereo
tremor suppression equipped with Currently, it has been used in
Hand joint lithography HP
rotational semi-active actuator " healthy people only.
appearance
(Zahedi, Wang, et al., 2021)
"A Novel Exoskeleton System Based
Stereo
on Magnetorheological Fluid for Currently, it has been used in
Wrist lithography HP
Tremor Suppression of Wrist Joints " healthy people only.
appearance
(Yi et al., 2019)
" A Soft Exoskeleton for Tremor Currently, it has been used in
Stereo
Suppression Equipped with Flexible healthy people only.
wrist lithography HP
Semiactive Actuator " (Zahedi,
appearance
Zhang, et al., 2021)
a friction Currently, it has been used in
" Design and validation of a novel
drive healthy people only.
mechatronic transmission system for a
hand mechanism TD
wearable tremor suppression device "
&
(Zhou et al., 2017)
MATLAB
" Design and fabrication of a novel
Currently, it has been used in
passive hand tremor attenuator " Wrist N.A. HP
healthy people only.
(Masoumi et al., 2021)
" Design and Implementation of a
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SYSTEM DESIGN
The proposed tremor treatment system enhances the quality of life for people with Parkinson's condition and
gives them the power required for their daily life. This section shows the methodology steps to the control strategy
of the proposed tremor treatment system which is consisted of servo motor, hand brace, LCD, and a microcontroller
as shown in Fig. 1. Figure 2 illustrate the actual components of the system and Fig 3 clarify three snap shot of the
hand tremor. The system is made up of a centrifugal clutch motor that works according to centrifugal force, a hand
brace that holds and covers the hand, and an LCD that displays the appropriate speed to suppress tremors.. The
subjects use the device in every day because this disease is chronic, so when the condition of the hand tremor
begins, the device will work to dampen the condition to the maximum possible degree. In this case, the device is
considered somewhat good as a prototype and upgradable.
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FIGURE 3. Clarify three snap shot of the hand tremor
NUM servo motor offer an excellent volume as well as performance ratio and great dynamics, and are
suited to almost all applications(https://www.num.com/products/motors). Which is worked on the principle of
centripetal force used to reduce the hand tremor. Figure 4 a and b shows the motor.
(a) (b)
Hand brace
Design a hand brace with strong specification to hold hand in the desired way and stabilizing the other
components of the system.
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LCD
Used to show the speed of motor and select the desired speed for each case of hand tremor because each person
has a special case of illness. Figure 5 indicate the LCD with speed 4.
Microcontroller
The system used a PIC 16f767 to program the speed of the motor and connected with the LCD to show the
selected speed according the illness case. Figure 6 shows the microcontroller.
SYSTEM ALGORITHM
Figure 7 demonstrated the code of the system and how the code works using flow code program
(https://flowcode.software.informer.com/4.0/) when the circuit is ON. The motor is set at four speeds to manage the
severity of the disease. When the program starts and point A is reached, show how to connect the microcontroller
and create a formula to control the motor. In addition, port A represents the motor driver's connection. In addition, in
the called component macro, the equation for controlling the motor's speed was written, and the output was utilized
to receive the response. Figure 8 represent the flow chart of the system. Finally, the delay is employed to regulate
the motor's spinning. Also, Fig. 9 clarifies a snapshot of the speed of the motor. The speed depends on the RPM of
the motor. Furthermore, it can calculate the speed of the motor by knowing the number of RPM by the number of
rotations will be as follows (Jameel, Mohammed, & Gharghan, 2020; Verma, Gokulakrishnan, & Sathishkumar,
2019; Zhang, Zhu, Wang, & Zhu, 2020):
𝑅𝑜𝑢𝑛𝑑𝑠
𝑅𝑃𝑀 = (1)
𝑀𝑖𝑛𝑢𝑡𝑒𝑠
The cycle time can be found by
1
𝑇= (2)
𝑅𝑃𝑀
where T = time.
To convert the time in seconds:
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60
𝑇= (3)
𝑅𝑃𝑀
The speed motion Equation is as follows (Jameel et al., 2020; Verma et al., 2019):
𝐶𝑓
𝑉= (4)
𝑇
where CF = motor circumference.
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Start
Motor ON and
suppression of the
YES hand tremor as well
If hand shaking
as select the speed
according to the
case
NO
END
EXPERIMENTAL RESULTS
In the proposed device, there are four speeds. The system is designed in such a way that it can accommodate
various wrist motions. Table 2 shows the initial results for the range of motion of different people. The tests are
carried out to ensure that the system uses the patient's arm measurement. The stepper motors are controlled by the
microprocessor, which calculates the required movement of the arm stabilizers.
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From the experimental tests it is noticed that the relationship between the speed motion and the age of the
person, as age increases, hand tremor increases, and therefore we need to increase the speed of the motor in order to
reduce hand tremor.
CONCLUSION
Medication and brain surgery are two important therapies for hand tremors, both of which have different degrees
of efficacy and hold the risk of serious adverse impact. Using Electromechanical technology in WTS devices have
demonstrated good results. Patients with hand tremor problems were investigated and validated for a wearable
tremor arm prototype in this study. The system is composed of a motor, a hand brace, a microprocessor, and an
LCD. The suggested device's efficiency in suppressing tremor motion and tracking voluntary movements was tested
in preliminary studies. Users control their hand tremors using a microcontroller and a four-speed motor, according to
the study's findings. This research included participants ranging in age from 38 to 60 years old. In both tests, the
validation of the proposed device was found to be satisfactory. Yet, deep investigation is required to further enhance
this technology and the development trials and use a vibration sensors before and after wearing the device to
estimate the enhancement in the subject condtion.
ACKNOWLEDGMENTS
"The authors would like to express their gratitude to the employees of the Department of Medical
Instrumentation Techniques Engineering, Electrical Engineering Technical College, Middle Technical University
for their assistance during this work".
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