Design and Validation of a Novel Robotic Neck Brace for Cervical Traction

Cervical traction is a common and effective treatment for degenerative disk diseases and pain in the cervical spine. However, the manual and mechanical methods of applying traction to the head-neck are limited due to variability in the applied forces and the orientation of the head-neck relative to the shoulders during the procedure. Current robotic neck braces are not designed to provide independent rotation angles and independent vertical translation, or traction, to the brace end-effector connected to the head, making them unsuitable for traction application. This work proposes a novel architecture of a robotic neck brace that can provide vertical traction to the head while keeping the head in a prescribed orientation, with flexion and lateral bending angles. In this article, the kinematics of the end-effector attached to the head relative to a coordinate frame on the shoulders are described as well as the velocity kinematics and force control. This article also describes benchtop experiments designed to validate the position control and the ability of the brace to provide a vertical traction force. It was shown that the maximum achievable end-effector orientations are 16 degrees in flexion, 13.9 degrees in extension, and +/- 6.5 degrees in lateral bending. The kinematic model of the active brace was validated using an independent motion capture system with a maximum root mean square error of 2.41 degrees. In three different orientations of the end-effector, neutral, flexed, and laterally bent, the brace was able to provide a consistent upward traction force during intermittent force application. In these configurations, the force error has standard deviations of 0.55, 0.29, and 0.07 N, respectively. This work validates the mechanism's ability to achieve a range of head orientations and provide consistent upward traction force in these orientations, making it a promising intervention tool in cases of cervical disk degeneration.