Novel Adaptive Gripping Device for Tasks Requiring Fine Motor Control

Fine motor control is essential for a student’s success in school, and beneficial for their independence and quality of life. A C6 spinal cord injury left our client with a severe lack of fine motor control and complete paralysis below his shoulders. The goal of this project was to design and produce a novel device to aid the user in performing tasks requiring fine motor control in order to increase his independence. There are no current devices available that fit our client’s specific need. A device was designed to be lightweight, portable, easy to use, and purely mechanical. It was shown to be successful through a series of tests, allowing the client to complete tasks requiring fine motor control more quickly and efficiently than before, increasing his independence and quality of life

SMA based elbow exoskeleton for rehabilitation therapy and patient evaluation

A large number of musculoskeletal and neurological disorders can affect the upper limb limiting the subject's ability to perform activities of daily living. In recent years, rehabilitation therapies based on robotics have been proposed as complement to the work of therapists. This paper introduces a prototype of exoskeleton for the evaluation and rehabilitation therapy of the elbow joint in flexion extension and pronation-supination. The main novelty is the use of bioinspired actuators based on shape memory alloys (for the first time) in an upper limb rehabilitation exoskeleton. Because of this, the device presents a light weight, less than 1 kg, and noiseless operation, both characteristics are very beneficial for rehabilitation therapies. In addition, the prototype has been designed with low-cost electronics and materials, and the result is a wearable, comfortable, and cheap rehabilitation exoskeleton for the elbow joint. The exoskeleton can generate the joint torque (active mode) or it can be used as a passive tool. (The patient performs therapy by itself, carrying the device while it collects relevant movement data for evaluation.) The simulations and experimental tests validate the solution in the first phases of rehabilitation therapies when slow and repetitive movements are required.This work was supported in part by the Exoesqueleto para Diagnostico y Asistencia en Tareas de Manipulacion through the Spanish Research Project under Grant DPI2016-75346-R, and in part by the RoboCity2030-DIH-CM Madrid Robotics Digital Innovation Hub ("Robotica aplicada a la mejora de la calidad de vida de los ciudadanos. fase IV''), funded by the "Programas de Actividades I+D en la Comunidad de Madrid,'' and co-funded by the Structural Funds of the EU, under Grant S2018/NMT-4331

ReHand - a portable assistive rehabilitation hand exoskeleton

This dissertation presents a synthesis of a novel underactuated exoskeleton (namely ReHand2) thought and designed for a task-oriented rehabilitation and/or for empower the human hand. The first part of this dissertation shows the current context about the robotic rehabilitation with a focus on hand pathologies, which influence the hand capability. The chapter is concluded with the presentation of ReHand2. The second chapter describes the human hand biomechanics. Starting from the definition of human hand anatomy, passing through anthropometric data, to taxonomy on hand grasps and finger constraints, both from static and dynamic point of view. In addition, some information about the hand capability are given. The third chapter analyze the current state of the art in hand exoskeleton for rehabilitation and empower tasks. In particular, the chapter presents exoskeleton technologies, from mechanisms to sensors, passing though transmission and actuators. Finally, the current state of the art in terms of prototype and commercial products is presented. The fourth chapter introduces the concepts of underactuation with the basic explanation and the classical notation used typically in the prosthetic field. In addition, the chapter describe also the most used differential elements in the prosthetic, follow by a statical analysis. Moreover typical transmission tree at inter-finger level as well as the intra- finger underactuation are explained . The fifth chapter presents the prototype called ReHand summarizing the device description and explanation of the working principle. It describes also the kinetostatic analysis for both, inter- and the intra-finger modules. in the last section preliminary results obtained with the exoskeleton are shown and discussed, attention is pointed out on prototype’s problems that have carry out at the second version of the device. The sixth chapter describes the evolution of ReHand, describing the kinematics and dynamics behaviors. In particular, for the mathematical description is introduced the notation used in order to analyze and optimize the geometry of the entire device. The introduced model is also implemented in Matlab Simulink environment. Finally, the chapter presents the new features. The seventh chapter describes the test bench and the methodologies used to evaluate the device statical, and dynamical performances. The chapter presents and discuss the experimental results and compare them with simulated one. Finally in the last chapter the conclusion about the ReHand project are proposed as well as the future development. In particular, the idea to test de device in relevant environments. In addition some preliminary considerations about the thumb and the wrist are introduced, exploiting the possibility to modify the entire layout of the device, for instance changing the actuator location

Underactuated Rehabilitation Robotics for Hand Function

Normal hand function plays an important role in daily life. At present, the incidence of hand dysfunction caused by diseases such as cerebral palsy or stroke is increasing year by year. For the rehabilitation of hand dysfunction, in addition to surgical treatment, effective rehabilitation exercise is also particularly important. It is also a necessary link in the efficient and intelligent development of rehabilitation medicine to develop robots that can effectively help patients with rehabilitation hand functions.In this paper, based on the analysis of the design principles and objectives of the rehabilitation robot with hand function, the kinematics model of the rehabilitation robot with hand function is constructed,based on top-down principle in the design of the machine, the design of the machine hand function rehabilitation robots design optimization process framework, and based on the kinematics model and the virtual prototype technology, build its skeleton model, and carries on the kinematics simulation analysis, the design is verified the correctness of the hand function rehabilitation robot kinematics model

An Attention-Controlled Hand Exoskeleton for the Rehabilitation of Finger Extension and Flexion Using a Rigid-Soft Combined Mechanism

Hand rehabilitation exoskeletons are in need of improving key features such as simplicity, compactness, bi-directional actuation, low cost, portability, safe human-robotic interaction, and intuitive control. This article presents a brain-controlled hand exoskeleton based on a multi-segment mechanism driven by a steel spring. Active rehabilitation training is realized using a threshold of the attention value measured by an electroencephalography (EEG) sensor as a brain-controlled switch for the hand exoskeleton. We present a prototype implementation of this rigid-soft combined multi-segment mechanism with active training and provide a preliminary evaluation. The experimental results showed that the proposed mechanism could generate enough range of motion with a single input by distributing an actuated linear motion into the rotational motions of finger joints during finger flexion/extension. The average attention value in the experiment of concentration with visual guidance was significantly higher than that in the experiment without visual guidance. The feasibility of the attention-based control with visual guidance was proven with an overall exoskeleton actuation success rate of 95.54% (14 human subjects). In the exoskeleton actuation experiment using the general threshold, it performed just as good as using the customized thresholds; therefore, a general threshold of the attention value can be set for a certain group of users in hand exoskeleton activation

Modeling & Analysis of Design Parameters for Portable Hand Orthoses to Assist Upper Motor Neuron Syndrome Impairments and Prototype Design

Wearable assistive robotics have the potential to address an unmet medical need of reducing disability in individuals with chronic hand impairments due to neurological trauma. Despite myriad prior works, few patients have seen the benefits of such devices. Following application experience with tendon-actuated soft robotic gloves and a collaborator\u27s orthosis with novel flat-spring actuators, we identified two common assumptions regarding hand orthosis design. The first was reliance on incomplete studies of grasping forces during activities of daily living as a basis for design criteria, leading to poor optimization. The second was a neglect of increases in muscle tone following neurological trauma, rendering most devices non-applicable to a large subset of the population. To address these gaps, we measured joint torques during activities of daily living with able-bodied subjects using dexterity representative of orthosis-aided motion. Next, we measured assistive torques needed to extend the fingers of individuals with increased flexor tone following TBI. Finally, we applied this knowledge to design a cable actuated orthosis for assisting finger extension, providing a basis for future work focused on an under-represented subgroup of patients

Mechanical Redesign and Implementation of Intuitive User Input Methods for a Hand Exoskeleton Informed by User Studies on Individuals with Chronic Upper Limb Impairments

Individuals with upper limb motor deficits due to neurological conditions, such as stroke and traumatic brain injury, may exhibit hypertonia and spasticity, which makes it difficult for these individuals to open their hand. The Hand Orthosis with Powered Extension (HOPE) Hand was created in 2018. The performance of the HOPE Hand was evaluated by conducting a Box and Blocks test with an impaired subject. Improvements were identified and the HOPE Hand was mechanically redesigned to increase the functionality in performing grasps. The original motor configuration was reorganized to include active thumb flexion and extension, as well as thumb abduction/adduction. An Electromyography (EMG) study was conducted on 19 individuals (10 healthy, 9 impaired) to evaluate the viability of EMG device control for the specified user group. EMG control, voice control, and manual control were implemented with the HOPE Hand 2.0 and the exoskeleton system was tested for usability during a second Box and Blocks test

Robotic Exoskeleton Hand with Pneumatic Actuators

With modern developments of smart portable devices and miniaturization of technologies, society has been provided with computerized assistance for almost every daily activity but the physical aspects have been frequently ne-glected. It is currently possible to make robots that process information thru neural networks, that identify and mimic facial expressions and that replace manual labour in assembly plants, getting ever closer to skills associated to human beings. In spite of these technological advances being kept close to they remain separate of humans, replacing or providing assistance with other pe-ripheral tasks, not generally adopting a direct physical symbiotic user assis-tance path. In this dissertation a robotic exoskeleton hand will be described that al-lows for human-machine bidirectional interaction making it possible to provide physical activities with the electromechanical assistance similarly. This system is designed to mimic the human hands functionalities and biomechanical struc-ture, as well sensing and controlling systems. A partial prototype was also built, using components easily acquired in the market, as a proof of concept