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This paper presents the development of a polymer-based tendon-driven wearable robotic hand, Exo-Glove Poly. Unlike the previously developed Exo-Glove, a fabric-based tendon-driven wearable robotic hand, Exo-Glove Poly was developed using silicone to allow for sanitization between users in multiple-user environments such as hospitals. Exo-Glove Poly was developed to use two motors, one for the thumb and the other for the index/middle finger, and an under-actuation mechanism to grasp various objects. In order to realize Exo-Glove Poly, design features and fabrication processes were developed to permit adjustment to different hand sizes, to protect users from injury, to enable ventilation, and to embed Teflon tubes for the wire paths. The mechanical properties of Exo-Glove Poly were verified with a healthy subject through a wrap grasp experiment using a mat-type pressure sensor and an under-actuation performance experiment with a specialized test set-up. Finally, performance of the Exo-Glove Poly for grasping various shapes of object was verified, including objects needing under-actuation.

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Background: Although various hand assist devices have been commercialized for people with paralysis, they are somewhat limited in terms of tool fixation and device attachment method. Hand exoskeleton robots allow users to grasp a wider range of tools but are heavy, complicated, and bulky owing to the presence of numerous actuators and controllers. The GRIPIT hand assist device overcomes the limitations of both conventional devices and exoskeleton robots by providing improved tool fixation and device attachment in a lightweight and compact device. GRIPIT has been designed to assist tripod grasp for people with spinal cord injury because this grasp posture is frequently used in school and offices for such activities as writing and grasping small objects. Methods: The main development objective of GRIPIT is to assist users to grasp tools with their own hand using a lightweight, compact assistive device that is manually operated via a single wire. GRIPIT consists of only a glove, a wire, and a small structure that maintains tendon tension to permit a stable grasp. The tendon routing points are designed to apply force to the thumb, index finger, and middle finger to form a tripod grasp. A tension-maintenance structure sustains the grasp posture with appropriate tension. Following device development, four people with spinal cord injury were recruited to verify the writing performance of GRIPIT compared to the performance of a conventional penholder and handwriting. Writing was chosen as the assessment task because it requires a tripod grasp, which is one of the main performance objectives of GRIPIT. Results: New assessment, which includes six different writing tasks, was devised to measure writing ability from various viewpoints including both qualitative and quantitative methods, while most conventional assessments include only qualitative methods or simple time measuring assessments. Appearance, portability, difficulty of wearing, difficulty of grasping the subject, writing sensation, fatigability, and legibility were measured to assess qualitative performance while writing various words and sentences. Results showed that GRIPIT is relatively complicated to wear and use compared to a conventional assist device but has advantages for writing sensation, fatigability, and legibility because it affords sufficient grasp force during writing. Two quantitative performance factors were assessed, accuracy of writing and solidity of writing. To assess accuracy of writing, we asked subjects to draw various figures under given conditions. To assess solidity of writing, pen tip force and the angle variation of the pen were measured. Quantitative evaluation results showed that GRIPIT helps users to write accurately without pen shakes even high force is applied on the pen.