Applying soft actuators to hand motion assist for rehabilitation has been receiving increasing interest in recent years. Pioneering research efforts have shown the feasibility of soft rehabilitation gloves (SRGs). However, one important and practical issue, the effects of users’ individual differences in finger size and joint stiffness on both bending performance (e.g., Range of motion (ROM) and torque) and the mechanical loads applied to finger joints when the actuators are placed on a patient’s hand, has not been well investigated. Moreover, the design considerations of SRGs for individual users, considering individual differences, have not been addressed. These, along with the inherent safety of soft actuators, should be investigated carefully before the practical use of SRGs. This work aimed to clarify the effects of individual differences on the actuator’s performance through a series of experiments using dummy fingers designed with individualized parameters. Two types of fiber-reinforced soft actuators, the modular type for assisting each joint and conventional (whole-finger assist) type, were designed and compared. It was found that the modular soft actuators respond better to individual differences set in the experiment and exhibit a superior performance to the conventional ones. By suitable connectors and air pressure, the modular soft actuators could cope with the individual differences with minimal effort. The effects of the individualized parameters are discussed, and design considerations are extracted and summarized. This study will play an important role in pushing forward the SRGs to real rehabilitation practice.

Studies have developed various types of soft robotic gloves for hand rehabilitation in recent years. Most soft actuators achieved a sufficient thumb flexion assist while lacking opposition support, which requires the coordination of thumb flexion and abduction-adduction. The difficulties for thumb support lie in the intrinsic complexity of thumb movements and spatial restriction of the hand. To realize multiple degrees of freedom of the thumb and make effective use of the limited space of the hand's dorsal side, we optimized and compared two approaches for thumb support. The combination approach used two independent soft actuators for thumb flexion and abduction-adduction support, respectively. The all-in-one approach used one single soft actuator to assist motions in different directions. We designed the soft actuators for each approach based on the thumb's biomechanical characteristics and evaluated their thumb flexion, abduction support performance in terms of the range of motion (RoM) and force output, and the opposition support performance using an enhanced Kapandji test. The results showed a larger abduction RoM and force output of the composition approach and a higher Kapandji score of the all-in-one approach, indicating that the two approaches might be applicable for thumb support but have the advantage in different rehabilitation stages.

Pneumatic artificial muscles (PAMs) have been widely applied to robotic systems, especially assistive devices, which could benefit from PAMs' intrinsic viscoelasticity. However, nonlinearity and hysteresis make it challenging to achieve high-accuracy control. Using pre-tensioned springs to replace one side PAMs in an antagonistic structure is one efficient way to improve control accuracy. However, in the previous study, the selection method for spring, especially the range of spring constant has not been sufficiently investigated. This study designed a method to find the optimal spring constant based on gradient descent algorithm; and verified it with prototype and simulation experiments. Results showed that the group with optimal spring constant leads to a faster response time, smaller overshoot, and lower steady-state error, which indicated that the proposed method could find optimal spring constant. Moreover, the sensitivity of PAMs dynamic model parameters to the optimal spring stiffness was investigated. This study provides insights to practical use of soft actuators.

Soft pneumatic actuators used in robotic rehabilitation gloves are classified into two types: whole-finger actuators with air chambers that cover the entire finger and modular actuators with chambers only above the finger joints. Most existing prototypes provide enough finger flexion support, but insufficient independent thumb abduction or opposition support. Even the latest modular soft actuator realized thumb abduction with a sacrifice of range of motion (RoM). Moreover, the advantages and disadvantages of using the two types of soft actuators for thumb assistance have not been made clear. Without an efficient thumb assist, patients’ options for hand function rehabilitation are very limited. Therefore, the objective of this study was to design a modular actuator (M-ACT) that could support multiple degrees of freedom, compare it with a whole-finger type of thumb actuator with three inner chambers (3C-ACT) in terms of the RoM, force output of thumb flexion, and abduction, and use an enhanced Kapandji test to measure both the kinematic aspect of the thumb (Kapandji score) and thumb-tip pinch force. Our results indicated superior single-DoF support capability of the M-ACT and superior multi-DoF support capability of the 3C-ACT. The use of the 3C-ACT as the thumb actuator and the M-ACT as the four-finger actuator may be the optimal solution for the soft robotic glove. This study will aid in the progression of soft robotic gloves for hand rehabilitation towards real rehabilitation practice.

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