Clinical Trial of the Soft Extra Muscle Glove to Assess Orthotic and Long-Term Functional Gain Following Chronic Incomplete Tetraplegia: Preliminary Functional Results

Osuagwu, B.A.; Timms, Sarah; Peachment, Ruth; Dowie, Sarah; Thrussell, Helen; Cross, Susan; Heywood, Tony; Shirley, Rebecca; Taylor, Julian

doi:10.1007/978-3-030-01845-0_77

Cited by 4 publications

(10 citation statements)

References 3 publications

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“…Poor performance in the motor task was also reported by Palmcrantz et al [103]. Osuagwu et al [104,105] showed that self-managed rehabilitation at home with the soft extra muscle (SEM) glove [106] is effective for improving and maintaining gross and fine motor skills in the hands of people with chronic spinal cord injuries or chronic tetraplegia. Thus, home-based rehabilitation may be possible and effective with soft robotic gloves.…”

Section: Interactive Experience Featuresmentioning

confidence: 66%

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Soft, Rigid, and Hybrid Robotic Exoskeletons for Hand Rehabilitation: Roadmap with Impairment-Oriented Rationale for Devices Design and Selection

Achilli,

Amici,

Dragusanu

et al. 2023

Applied Sciences

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In recent decades, extensive attention has been paid to the study and development of robotic devices specifically designed for hand rehabilitation. Accordingly, a many concepts concerning rigid, soft, and hybrid types have emerged in the literature, with significant ongoing activity being directed towards the development of new solutions. In this context, the paper focuses on the technical features of devices conceived for the robotic rehabilitation of the hand with reference to the three kinds of exoskeleton architecture and the clinical requirements demanded by the target impairment of the end-user. The work proposes a roadmap (i) for both the design and selection of exoskeletons for hand rehabilitation, (ii) to discriminate among the peculiarities of soft, rigid, and hybrid devices, and (iii) with an impairment-oriented rationale. The clinical requirements expected for an exoskeleton are identified by applying a PICO-inspired approach focused on the impairment analysis; the technical features are extracted from a proposed design process for exoskeletons combined with a narrative literature review. A cross-analysis between device families and features is presented to provide a supporting tool for both the design and selection of exoskeletons according to an impairment-oriented rationale.

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Section: Interactive Experience Featuresmentioning

confidence: 66%

“…• Wearability. Articles providing information on the portability and wearability are mainly papers describing clinical trials and results [99][100][101][102][103][104][105].…”

Section: Interactive Experience Featuresmentioning

confidence: 99%

Soft, Rigid, and Hybrid Robotic Exoskeletons for Hand Rehabilitation: Roadmap with Impairment-Oriented Rationale for Devices Design and Selection

Achilli,

Amici,

Dragusanu

et al. 2023

Applied Sciences

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show abstract

“…A pilot study in [70] involved 15 participants (18-65 years old) with chronic SCI and impaired hand function. They were given instructions on how to use the device at home for 12 weeks for at least 4 h a day during regular ADLs, while executing task-specific activities, such as squeezing and releasing a softball, simulated drinking, eating a meal, and writing.…”

Section: Carbonhand ®mentioning

confidence: 99%

“…The collected data can be used to assess the wearer's risk of developing injuries. Several clinical trials were conducted on SEM technology over a period of months [54,55,70,71]. The first preliminary study on the effects of Ironhand in working tasks (automotive assembly) was published in [72].…”

Section: Ironhand ®mentioning

confidence: 99%

State of the Art in Wearable Wrist Exoskeletons Part II: A Review of Commercial and Research Devices

Pitzalis,

Park,

Caldwell

et al. 2023

Machines

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Manual handling tasks, both in daily activities and at work, require high dexterity and the ability to move objects of different shapes and sizes. However, musculoskeletal disorders that can arise due to aging, disabilities, overloading, or strenuous work can impact the natural capabilities of the hand with serious repercussions both in working and daily activities. To address this, researchers have been developing and proving the benefits of wrist exoskeletons. This paper, which is Part II of a study on wrist exoskeletons, presents and summarizes wearable wrist exoskeleton devices intended for use in rehabilitation, assistance, and occupational fields. Exoskeletons considered within the study are those available either in a prototyping phase or on the market. These devices can support the human wrist by relieving pain or mitigating fatigue while allowing for at least one movement. Most of them have been designed to be active (80%) for higher force/torque transmission, and soft for better kinematic compliance, ergonomics, and safety (13 devices out of 24, more than 50%). Electric motors and cable transmission (respectively 11 and 9 devices, out of 24, i.e., almost 50% and 40%) are the most common due to their simplicity, controllability, safety, power-to-weight ratio, and the possibility of remote actuation. As sensing technologies, position and force sensors are widely used in all devices (almost 90%). The control strategy depends mainly on the application domain: for rehabilitation, CPM (control passive motion) is preferred (35% of devices), while for assistance and occupational purposes, AAN (assistance-as-needed) is more suitable (38% of the devices). What emerges from this analysis is that, while rehabilitation and training are fields in which exoskeletons have grown more easily and gained some user acceptance (almost 18 devices, of which 4 are available on the market), relatively few devices have been designed for occupational purposes (5, with only 2 available on the market) due to difficulties in meeting the acceptance and needs of users. In this perspective, as a result of the state-of-the-art analysis, the authors propose a conceptual idea for a portable soft wrist exoskeleton for occupational assistance.

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“…However, it still remains unclear what types of subjects benefit the most from FES-based systems as some studies report some subjects having limited benefit from the use of such systems. There has also been an increase in the development of hand exoskeletons [36][37][38][39][40][41][42][43], but few have translated to home testing. Further, In the chronic phase rehabilitation strategies often focus on compensation.…”

Section: Comparison Of Musicglove Usership With Previous Studies: Cha...mentioning

confidence: 99%

Feasibility of home hand rehabilitation using musicglove after chronic spinal cord injury

Sanders

Chan

Augsburger

et al. 2022

Spinal Cord Ser Cases

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Study design Randomized, controlled single-blind cross over study. This study was registered on ClinicalTrials.gov (NCT02473614). Objectives Examine usership patterns and feasibility of MusicGlove for at home hand rehabilitation therapy following chronic spinal cord injury. Setting Homes of participants. Methods Ten participants with chronic spinal cord injury completed two baseline assessments of hand function. After a stable baseline was determined all participants were randomized into two groups: Experimental and Control. Each group was given a recommended therapy dosage. Following this participants switched interventions. Results On average participants had higher levels of compliance (6.1 ± 3.5 h.), and completed more grips (15,760 ± 9,590 grips) compared to participants in previous stroke studies using the same device. Participants modulated game parameters in a manner consistent with optimal challenge principles from motor learning theory. Participants in the experimental group increased their prehension ability (1 ± 1.4 MusicGlove, 0.2 ± 0.5 Control) and performance (1.4 ± 2.2 MusicGlove, 0.4 ± 0.55 Control) on the Graded and Redefined Assessment of Strength, Sensibility, and Prehension subtests. Increases in performance on the Box and Blocks Test also favored the experimental group compared to the conventional group at the end of therapy (4.2 ± 5.9, −1.0 ± 3.4 respectively). Conclusions MusicGlove is a feasible option for hand therapy in the home-setting for individuals with chronic SCI. Participants completed nearly twice as many gripping movements compared to individuals from the sub-acute and chronic stroke populations, and a number far greater than the number of movements typically achieved during traditional rehabilitation.

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Clinical Trial of the Soft Extra Muscle Glove to Assess Orthotic and Long-Term Functional Gain Following Chronic Incomplete Tetraplegia: Preliminary Functional Results

Cited by 4 publications

References 3 publications

Soft, Rigid, and Hybrid Robotic Exoskeletons for Hand Rehabilitation: Roadmap with Impairment-Oriented Rationale for Devices Design and Selection

Soft, Rigid, and Hybrid Robotic Exoskeletons for Hand Rehabilitation: Roadmap with Impairment-Oriented Rationale for Devices Design and Selection

State of the Art in Wearable Wrist Exoskeletons Part II: A Review of Commercial and Research Devices

Feasibility of home hand rehabilitation using musicglove after chronic spinal cord injury

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