Development and feasibility of a soft pneumatic-robotic glove to assist impaired hand function in quadriplegia patients: A pilot study

Jiryaei, Zahra; Alvar, Amin Asgharzadeh; Bani, Monireh Ahmadi; Vahedi, Mohsen; Jafarpisheh, Amir Salar; Razfar, Najmeh

doi:10.1016/j.jbmt.2021.03.012

Cited by 13 publications

(17 citation statements)

References 15 publications

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“…Several documents were excluded due to the lack of evidence on functional outcomes. In some cases, the article reported outcomes in terms of the user's range of motion (ROM) or muscle strength [42][43][44][45]. These types of measurements represented assessments of impairment, instead of assessment of functional outcomes, thus the documents were excluded from the final selection.…”

Section: Summary Overviewmentioning

confidence: 99%

Soft robotics and functional electrical stimulation advances for restoring hand function in people with SCI: a narrative review, clinical guidelines and future directions

Cardoso

Bochkezanian

Forner-Cordero

et al. 2022

J NeuroEngineering Rehabil

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Background Recovery of hand function is crucial for the independence of people with spinal cord injury (SCI). Wearable devices based on soft robotics (SR) or functional electrical stimulation (FES) have been employed to assist the recovery of hand function both during activities of daily living (ADLs) and during therapy. However, the implementation of these wearable devices has not been compiled in a review focusing on the functional outcomes they can activate/elicit/stimulate/potentiate. This narrative review aims at providing a guide both for engineers to help in the development of new technologies and for clinicians to serve as clinical guidelines based on the available technology in order to assist and/or recover hand function in people with SCI. Methods A literature search was performed in Scopus, Pubmed and IEEE Xplore for articles involving SR devices or FES systems designed for hand therapy or assistance, published since 2010. Only studies that reported functional outcomes from individuals with SCI were selected. The final collections of both groups (SR and FES) were analysed based on the technical aspects and reported functional outcomes. Results A total of 37 out of 1101 articles were selected, 12 regarding SR and 25 involving FES devices. Most studies were limited to research prototypes, designed either for assistance or therapy. From an engineering perspective, technological improvements for home-based use such as portability, donning/doffing and the time spent with calibration were identified. From the clinician point of view, the most suitable technical features (e.g., user intent detection) and assessment tools should be determined according to the particular patient condition. A wide range of functional assessment tests were adopted, moreover, most studies used non-standardized tests. Conclusion SR and FES wearable devices are promising technologies to support hand function recovery in subjects with SCI. Technical improvements in aspects such as the user intent detection, portability or calibration as well as consistent assessment of functional outcomes were the main identified limitations. These limitations seem to be be preventing the translation into clinical practice of these technological devices created in the laboratory.

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Section: Summary Overviewmentioning

confidence: 99%

Soft robotics and functional electrical stimulation advances for restoring hand function in people with SCI: a narrative review, clinical guidelines and future directions

Cardoso

Bochkezanian

Forner-Cordero

et al. 2022

J NeuroEngineering Rehabil

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“…In the current study, one of the most critical steps was usability testing to collect empirical data by users and learn about the usage, efficiency, tool durability, and safety (22), helpful in identifying problems with existing tools, even with a small number of participants. According to Nielsen, a usability testing of five users should identify up to 80% of potential problems with a particular tool (23,24). Williams et al stated that the level of patients' satisfaction could show the quality of a tool (ie, higher quality leading to higher patient satisfaction) (25).…”

Section: User-centered Usability Testingmentioning

confidence: 99%

“…Further, a 6-point Likert Scale was used (36), where each item scored from 0 (the tool is undesirable for the addressed aspect) to 5 (the tool is excellent for the addressed aspect). A score of 2.5 was selected as the competence threshold (24,35).…”

Section: Secondary Outcome Measurementioning

confidence: 99%

Usability Testing of a New Tool for Tracking Therapeutic Exercise Patterns in Patients with Knee Osteoarthritis

Jiryaei

Rezaei

Jiryaei

et al. 2022

Middle East J Rehabil Health Stud

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Background: Therapists are faced with some challenges of convincing individuals with knee osteoarthritis (OA) to do therapeutic exercises. Objectives: This study aimed to design and evaluate the effectiveness of a tool in tracking therapeutic exercise patterns. Methods: In this pilot study, the designed tool was an invention (registration no.: A61B 5/00) consisting of four movement patterns designed on a map for tracking movement patterns by users through laser light. A total of 16 subjects with knee OA participated in this pilot study, including a control group (n = 8) and an intervention (n = 8) group. The exercises for both groups were static stretching and straight-leg-raise exercises. The control and the intervention groups did therapeutic exercises in traditional methods with the designed tool for 4 weeks, respectively. Pain intensity, range of motion (ROM), and satisfaction are measured before and after the intervention. Results: After the intervention, median ROM and pain intensity during rest and activities significantly decreased in both groups. Intergroup comparison showed that median knee flexion in the intervention group was more significantly increased, compared to that of the control group. Furthermore, pain intensity during rest and activities in the intervention group was more significantly decreased than in the control group. No significant difference was observed between the two groups in knee extension. Additionally, the participants in the intervention group expressed significantly higher treatment satisfaction than the control group. Conclusions: For tracking therapeutic exercise patterns, a tracking therapeutic exercise pattern tool could result in increasing the flexion range of the knee joint and reducing more pain in patients with OA, compared to conventional exercises. Participants are more interested in using the pattern tracking method for doing exercises than the usual method.

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“…This robotic assistance is important to enable humans to perform physical and social activities of daily living (ADLs) independently, contributing to both dignity and improved quality of life [3,4]. Wearable robots can be found as exoskeletons, orthotics and prosthetics, capable of extending the strength of human limbs, restoring lost or weak limb functions and substituting lost limbs, respectively (Figure 1) [5][6][7][8][9][10][11][12]. These assistive devices are designed to be worn by humans and closely interact with the human body.…”

Section: Introduction 1importance Of Wearable Assistive Roboticsmentioning

confidence: 99%

“…(A) (B) (C) Figure 1. Wearable assistive robots such as (A) prosthetics [5] (Licensed under (CC BY 4.0)), (B) orthotics [6]) (Reproduced with permission from Elsevier) and (C) exoskeletons [8] (Licensed under (CC BY 4.0)), can help users to restore weak limb functions and substitute lost limbs.…”

Section: Introduction 1importance Of Wearable Assistive Roboticsmentioning

confidence: 99%

Wearable Assistive Robotics: A Perspective on Current Challenges and Future Trends

Martinez-Hernandez

Metcalfe

Assaf

et al. 2021

Sensors

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Wearable assistive robotics is an emerging technology with the potential to assist humans with sensorimotor impairments to perform daily activities. This assistance enables individuals to be physically and socially active, perform activities independently, and recover quality of life. These benefits to society have motivated the study of several robotic approaches, developing systems ranging from rigid to soft robots with single and multimodal sensing, heuristics and machine learning methods, and from manual to autonomous control for assistance of the upper and lower limbs. This type of wearable robotic technology, being in direct contact and interaction with the body, needs to comply with a variety of requirements to make the system and assistance efficient, safe and usable on a daily basis by the individual. This paper presents a brief review of the progress achieved in recent years, the current challenges and trends for the design and deployment of wearable assistive robotics including the clinical and user need, material and sensing technology, machine learning methods for perception and control, adaptability and acceptability, datasets and standards, and translation from lab to the real world.

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Development and feasibility of a soft pneumatic-robotic glove to assist impaired hand function in quadriplegia patients: A pilot study

Cited by 13 publications

References 15 publications

Soft robotics and functional electrical stimulation advances for restoring hand function in people with SCI: a narrative review, clinical guidelines and future directions

Soft robotics and functional electrical stimulation advances for restoring hand function in people with SCI: a narrative review, clinical guidelines and future directions

Usability Testing of a New Tool for Tracking Therapeutic Exercise Patterns in Patients with Knee Osteoarthritis

Wearable Assistive Robotics: A Perspective on Current Challenges and Future Trends

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