Robot-assisted rehabilitation of hand function

Balasubramanian, Sivakumar; Klein, Julius; Burdet, Etienne

doi:10.1097/wco.0b013e32833e99a4

Cited by 256 publications

(167 citation statements)

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“…Many of these actively actuated devices utilize internal grasp structures [3]- [5], but this diminishes the possibility of use with real world objects, and can limit range of motion (ROM). Most of the current actively powered external grasp devices are exceedingly bulky and limit the type of grasp and hand orientation that can be used for task practice (see [6] for a complete review).…”

mentioning

confidence: 99%

Hand Spring Operated Movement Enhancer (HandSOME): A Portable, Passive Hand Exoskeleton for Stroke Rehabilitation

Brokaw

Black

Holley

et al. 2011

IEEE Trans. Neural Syst. Rehabil. Eng.

170

103

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Abstract-Stroke patients often have flexor hypertonia and finger extensor weakness, which makes it difficult to open their affected hand for functional grasp. Because of this impairment, hand rehabilitation after stroke is essential for restoring functional independent lifestyles. The goal of this study is to develop a passive, lightweight, wearable device to assist with hand function during performance of activities of daily living. The device, Hand Spring Operated Movement Enhancer (HandSOME), assists with opening the patient's hand using a series of elastic cords that apply extension torques to the finger joints and compensates for the flexor hypertonia. Device design and calibration are described as well as functional and usability testing with stroke subjects with a wide range of hand impairments. In initial testing with eight stroke subjects with finger flexor hypertonia, use of the HandSOME significantly increased range of motion and functional ability . There was some decrease in grip strength with the HandSOME device at the subject's ideal setting, however this was not statistically significant and did not seem to have a significant effect on function. Overall HandSOME shows promise as a training tool to facilitate repetitive task practice for improving hand function in stroke patients. HandSOME can be used as part of a home-based therapy program, or as an orthotic for replacing lost function.

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mentioning

confidence: 99%

Hand Spring Operated Movement Enhancer (HandSOME): A Portable, Passive Hand Exoskeleton for Stroke Rehabilitation

Brokaw

Black

Holley

et al. 2011

IEEE Trans. Neural Syst. Rehabil. Eng.

170

103

View full text Add to dashboard Cite

show abstract

“…The cost of rehabilitation robots is still high then compared to drug-based and humanbased therapies, which in turn makes wide-scale evaluation of such therapies difficult. Often studies have been limited to pilot evaluations, typically of less than 50 participants, to demonstrate the device's basic working principles [52].…”

Section: Recommendationsmentioning

confidence: 99%

Bridging the gap between robotic technology and health care

Andrade

Pereira

Walter

et al. 2014

Biomedical Signal Processing and Control

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Although technology and computation power have become more and more present in our daily lives, we have yet to see the same tendency in robotics applied to health care. In this work we focused on the study of four distinct applications of robotic technology to health care, named Robotic Assisted Surgery, Robotics in Rehabilitation, Prosthetics and Companion Robotic Systems. We identified the main roadblocks that are limiting the progress of such applications by an extensive examination of recent reports. Based on the limitations of the practical use of current robotic technology for health care we proposed a general modularization approach for the conception and implementation of specific robotic devices. The main conclusions of this review are: (i) There is a clear need of the adaptation of robotic technology (closed loop) to the user, so that robotics can be widely accepted and used in the context of heath care; (ii) For all studied robotic technologies cost is still prohibitive and limits their wide use. The reduction of costs influences technology acceptability, thus innovation by using cheaper computer systems and sensors are relevant and should be taken into account in the implementation of robotic systems.

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“…Robot-aided therapy is considered to be as effective as intensive conventional therapy (Kwakkel et al 2008;Lo et al 2010;Mehrholz et al 2009;Prange et al 2006). Systematic and detailed reviews of available hand exoskeletons technologies for rehabilitation show that a wide range of device have been developed (Balasubramanian et al 2010;Heo et al 2012;Maciejasz et al 2014). When focusing on hand therapy that includes the free positioning of the hand, a few systems-the SaeboFlex (Farrell et al 2007), the Hand of Hope (Ho et al 2011), and the Gloreha (Rodigari et al 2014)-have become commercially available for usage in the rehabilitation center.…”

Section: Introductionmentioning

confidence: 99%

SCRIPT passive orthosis: design of interactive hand and wrist exoskeleton for rehabilitation at home after stroke

2016

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Recovery of functional hand movements after stroke is directly linked to rehabilitation duration and intensity. Continued therapy at home has the potential to increase both. For many patients this requires a device that helps them overcome the hyperflexion of wrist and fingers that is limiting their ability to open and use their hand. We developed an interactive hand and wrist orthosis for post-stroke rehabilitation that provides compliant and adaptable extension assistance at the wrist and fingers, interfaces with motivational games based on activities of daily living, is integrated with an off-the-shelf mobile arm support and includes novel wrist and finger actuation mechanisms. During the iterative development, multiple prototypes have been evaluated by therapists in clinical settings and used intensively and independently by 33 patients at home. This paper details the final design of the SCRIPT passive orthosis resulting from these efforts.

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Robot-assisted rehabilitation of hand function

Abstract: The current evidence in support of the robot-assisted hand rehabilitation is preliminary but very promising, and provides a strong rationale for more systematic investigations in the future.

Cited by 256 publications

References 50 publications

Hand Spring Operated Movement Enhancer (HandSOME): A Portable, Passive Hand Exoskeleton for Stroke Rehabilitation

Hand Spring Operated Movement Enhancer (HandSOME): A Portable, Passive Hand Exoskeleton for Stroke Rehabilitation

Bridging the gap between robotic technology and health care

SCRIPT passive orthosis: design of interactive hand and wrist exoskeleton for rehabilitation at home after stroke

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