Shoulder Range of Motion Rehabilitation Robot Incorporating Scapulohumeral Rhythm for Frozen Shoulder

This paper presents a novel rehabilitation robot designed to address the challenges of passive range of motion (PROM) exercises for frozen shoulder patients by integrating advanced scapulohumeral rhythm stabilization. Frozen shoulder is characterized by limited glenohumeral motion and disrupted scapulohumeral rhythm, with therapist-assisted interventions being highly effective for restoring normal shoulder function. While existing robotic solutions replicate natural shoulder biomechanics, they lack the ability to stabilize compensatory movements, such as shoulder shrugging, which are critical for effective rehabilitation. Our proposed device features a 6 degrees of freedom (DoF) mechanism, including 5 DoF for shoulder motion and an innovative 1 DoF Joint press for scapular stabilization. The robot employs a personalized two-phase operation: recording normal shoulder movement patterns from the unaffected side and applying them to guide the affected side. Experimental results demonstrated the robot's ability to replicate recorded motion patterns with high precision, with root mean square error (RMSE) values consistently below 1 degree. In simulated frozen shoulder conditions, the robot effectively suppressed scapular elevation, delaying the onset of compensatory movements and guiding the affected shoulder to move more closely in alignment with normal shoulder motion, particularly during arm elevation movements such as abduction and flexion. These findings confirm the robot's potential as a rehabilitation tool capable of automating PROM exercises while correcting compensatory movements. The system provides a foundation for advanced, personalized rehabilitation for patients with frozen shoulders.