A pilot study on the design and validation of a hybrid exoskeleton robotic device for hand rehabilitation

Haghshenas-Jaryani, Mahdi; Patterson, Rita M.; Bugnariu, Nicoleta L.; Wijesundara, Muthu B. J.

doi:10.1016/j.jht.2020.03.024

Cited by 43 publications

(34 citation statements)

References 34 publications

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“…The principle is to have the inductive glove record normal hand movements of the unaffected hand and input data into the exoskeleton robotic glove to guide the affected hand to simulate movement. Therefore, it is also defined as robot -mediated bilateral therapy (Haghshenas-Jaryani et al, 2020). This intervention method may be related to three potential principles of nerve remodeling.…”

Section: Introductionmentioning

confidence: 99%

Synergistic Immediate Cortical Activation on Mirror Visual Feedback Combined With a Soft Robotic Bilateral Hand Rehabilitation System: A Functional Near Infrared Spectroscopy Study

et al. 2022

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BackgroundMirror visual feedback (MVF) has been widely used in neurological rehabilitation. Due to the potential gain effect of the MVF combination therapy, the related mechanisms still need be further analyzed.MethodsOur self-controlled study recruited 20 healthy subjects (age 22.150 ± 2.661 years) were asked to perform four different visual feedback tasks with simultaneous functional near infrared spectroscopy (fNIRS) monitoring. The right hand of the subjects was set as the active hand (performing active movement), and the left hand was set as the observation hand (static or performing passive movement under soft robotic bilateral hand rehabilitation system). The four VF tasks were designed as RVF Task (real visual feedback task), MVF task (mirror visual feedback task), BRM task (bilateral robotic movement task), and MVF + BRM task (Mirror visual feedback combined with bilateral robotic movement task).ResultsThe beta value of the right pre-motor cortex (PMC) of MVF task was significantly higher than the RVF task (RVF task: -0.015 ± 0.029, MVF task: 0.011 ± 0.033, P = 0.033). The beta value right primary sensorimotor cortex (SM1) in MVF + BRM task was significantly higher than MVF task (MVF task: 0.006 ± 0.040, MVF + BRM task: 0.037 ± 0.036, P = 0.016).ConclusionOur study used the synchronous fNIRS to compare the immediate hemodynamics cortical activation of four visual feedback tasks in healthy subjects. The results showed the synergistic gain effect on cortical activation from MVF combined with a soft robotic bilateral hand rehabilitation system for the first time, which could be used to guide the clinical application and the future studies.

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Section: Introductionmentioning

confidence: 99%

Synergistic Immediate Cortical Activation on Mirror Visual Feedback Combined With a Soft Robotic Bilateral Hand Rehabilitation System: A Functional Near Infrared Spectroscopy Study

et al. 2022

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“…In contrast with end-effector robots, exoskeleton robots can be used in a more compact working environment. Exoskeleton robots have had similar success where multiple developments have shown great potential [22][23][24][25][26][27][28] and technological advancement only facilitates the improvement in the performance of these robots [29][30][31][32][33][34][35]. These robotic systems can easily give consistent training and monitor performance with great accuracy and reliability, and hence can provide crucial components for rehabilitation independently such as intensive movement therapy, just-right challenge, task-specific movement, and feedback on performance.…”

Section: Introductionmentioning

confidence: 99%

Autonomous Exercise Generator for Upper Extremity Rehabilitation: A Fuzzy-Logic-Based Approach

et al. 2022

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In this paper, an autonomous exercise generation system based of fuzzy logic approach is presented. This work attempts to close a gap in the design of a completely autonomous robotic rehabilitation system that can recommend exercises to patients based on their data, such as shoulder range of motion (ROM) and muscle strength, from a pre-set library of exercises. The input parameters are fed into a system that uses Mamdani-style fuzzy logic rules to process them. In medical applications, the rationale behind decision making is a sophisticated process that involves a certain amount of uncertainty and ambiguity. In this instance, a fuzzy-logic-based system emerges as a viable option for dealing with the uncertainty. The system’s rules have been reviewed by a therapist to ensure that it adheres to the relevant healthcare standards. Moreover, the system has been tested with a series of test data and the results obtained ensures the proposed idea’s feasibility.

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“…Recently soft materials have been widely used in hand exoskeletons due to their portability and good interactivity, which bring better comfort and convenience to wearers. Four main different actuation methods are widely used in compliant hand exoskeletons, including pneumatic actuation [8][9][10][11], tendon-driven actuation [12][13][14][15][16][17][18][19], elastomeric actuation [20][21][22], and hybrid-driven actuation [23][24][25].…”

Section: Introductionmentioning

confidence: 99%

“…In the design of pneumatic actuation, the composite [8,9] or segmented [11] structure of the air chamber enables the hand exoskeleton to achieve a predetermined bending motion. The air chamber fitted to the finger can produce uniform force to improve comfort, which has received lots of attention.…”

Section: Introductionmentioning

confidence: 99%

Modeling and Evaluation of a Novel Hybrid-Driven Compliant Hand Exoskeleton Based on Human-Machine Coupling Model

et al. 2021

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This paper presents the modeling design method for a novel hybrid-driven compliant hand exoskeleton based on the human-machine coupling model for the patients who have requirements on training and assisting. Firstly, the human-machine coupling model is established based on the kinematics characteristics of human fingers and the Bernoulli beam formula. On this basis, the variable stiffness flexible hinge (VSFH) is used to drive the finger extension and the cable-driven mechanism is used to implement the movement of the finger flexion. Here, a hand orthosis is designed in the proposed hand exoskeleton to act as the base and maintain the function position of the hand for patients with hand dysfunction. Then, a final design prototype is fabricated to evaluate the proposed modeling method. In the end, a series of experiments based on the prototype is proceeded to evaluate its capabilities on stretching force for extension, bio-imitability, finger flexion capability, and fingertip force. The results show that the prototype has a significant improvement in all aspects of the ability mentioned above, and has good bionics. The proposed design method can be utilized to implement the rapid design of the hybrid-driven compliant hand exoskeleton with the changed requirements. The novel modeling method can be easily applied in personalized design in rehabilitation engineering.

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A pilot study on the design and validation of a hybrid exoskeleton robotic device for hand rehabilitation

Cited by 43 publications

References 34 publications

Synergistic Immediate Cortical Activation on Mirror Visual Feedback Combined With a Soft Robotic Bilateral Hand Rehabilitation System: A Functional Near Infrared Spectroscopy Study

Synergistic Immediate Cortical Activation on Mirror Visual Feedback Combined With a Soft Robotic Bilateral Hand Rehabilitation System: A Functional Near Infrared Spectroscopy Study

Autonomous Exercise Generator for Upper Extremity Rehabilitation: A Fuzzy-Logic-Based Approach

Modeling and Evaluation of a Novel Hybrid-Driven Compliant Hand Exoskeleton Based on Human-Machine Coupling Model

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