Exotendon Glove System for Finger Rehabilitation after Stroke

Moromugi, Shunji; Higashi, Toshio; Ishikawa, Ryo; Kudo, Seiya; Iso, Nozomi; Ooso, Shirou; Shirotani, Takeaki; Lawn, Murray; Ishimatsu, Takakazu

doi:10.1007/978-3-319-08072-7_19

Cited by 2 publications

References 9 publications

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Therapeutic Effect of a Soft Robotic Glove for Activities of Daily Living In People With Impaired Hand Strength: Protocol for a Multicenter Clinical Trial (iHand)

Kottink¹,

Nikamp²,

Bos³

et al. 2022

JMIR Res Protoc

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Background Decline of hand function, especially reduced hand strength, is a common problem that can be caused by many disorders and results in difficulties performing activities of daily living. A wearable soft robotic glove may be a solution, enabling use of the affected arm and hand repeatedly during functional daily activities and providing intensive and task-specific training simultaneously with assistance of hand function. Objective We aim to investigate the therapeutic effect of an assistive soft robotic glove (Carbonhand). Methods This multicenter uncontrolled intervention study consists of 3 preassessments (T0, T1, and T2), a postassessment (T3), and a follow-up assessment (T4). Participants are patients who experience hand function limitations. For the intervention, participants will use the glove during activities of daily living at home for 6 weeks, with a recommended use of at least 180 minutes per week. The primary outcome measure is handgrip strength, and secondary outcome measures are related to functional arm and hand abilities, amount of glove use, and quality of life. Results The first participant was included on June 25, 2019. Currently, the study has been extended due to the COVID-19 pandemic; data collection and analysis are expected to be completed in 2022. Conclusions The Carbonhand system is a wearable assistive device, allowing performance of functional activities to be enhanced directly during functional daily activities. At the same time, active movement of the user is encouraged as much as possible, which has potential to provide highly intensive and task-specific training. As such, it is one of the first assistive devices to incorporate assist-as-needed principles. This is the first powered clinical trial that investigates the unique application of an assistive grip-supporting soft robotic glove outside of clinical settings with the aim to have a therapeutic effect. Trial Registration Netherlands Trial Register NTR NL7561; https://www.trialregister.nl/trial/7561 International Registered Report Identifier (IRRID) DERR1-10.2196/34200

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Therapeutic Effect of a Soft Robotic Glove for Activities of Daily Living In People With Impaired Hand Strength: Protocol for a Multicenter Clinical Trial (iHand)

Kottink¹,

Nikamp²,

Bos³

et al. 2022

JMIR Res Protoc

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Therapeutic Effect of a Soft Robotic Glove for Activities of Daily Living In People With Impaired Hand Strength: Protocol for a Multicenter Clinical Trial (iHand) (Preprint)

Kottink¹,

Nikamp²,

Bos³

et al. 2021

Preprint

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BACKGROUND Decline of hand function, especially reduced hand strength, is a common problem amongst many disorders, resulting in difficulties to perform activities of daily living (ADLs). A wearable soft-robotic glove may be a possible solution, enabling use of the affected arm and hand repeatedly during functional daily activities, and providing intensive and task-specific training simultaneously with assistance of hand function. OBJECTIVE The current multi-center uncontrolled intervention study aims to investigate the therapeutic effect of an assistive soft-robotic glove (Carbonhand). METHODS The study design consists of three pre-assessments (T0, T1 and T2), a post-assessment (T3) and a follow-up assessment (T4). Participants are patients who experience hand function limitations, which can result from a wide range of chronic disorders. As intervention, all participants will use the Carbonhand glove during ADLs at home for six weeks, with a recommended use of at least 180 minutes/week. The primary outcome measure is handgrip strength and secondary outcome measures are related to arm and hand function, functional arm and hand abilities, amount of glove use and quality of life. RESULTS The first participant was included on the 25th of June 2019. Currently, the iHand study is extended because of the COVID-19 pandemic and data collection and analysis are expected to be completed in 2022. CONCLUSIONS The Carbonhand system is a wearable assistive device, allowing performance of functional activities to be enhanced directly during functional daily activities. At the same time, active movement of the user is encouraged as much as possible, which has potential to provide highly intensive and task-specific training. As such it is one of the first assistive devices incorporating assist-as-needed principles. This is the first powered clinical trial that investigates the unique application of an assistive grip-supporting soft-robotic glove outside of the clinical setting with the aim to have a therapeutic effect. CLINICALTRIAL The iHand study was prospectively registered on March 4th 2019 in the Netherlands Trial Register: NTR NL7561 (www.trialregister.nl/7561).

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Exotendon Glove System for Finger Rehabilitation after Stroke

Cited by 2 publications

References 9 publications

Therapeutic Effect of a Soft Robotic Glove for Activities of Daily Living In People With Impaired Hand Strength: Protocol for a Multicenter Clinical Trial (iHand)

Therapeutic Effect of a Soft Robotic Glove for Activities of Daily Living In People With Impaired Hand Strength: Protocol for a Multicenter Clinical Trial (iHand)

Therapeutic Effect of a Soft Robotic Glove for Activities of Daily Living In People With Impaired Hand Strength: Protocol for a Multicenter Clinical Trial (iHand) (Preprint)

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