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      Research Status and Prospect of Finger Rehabilitation Machinery

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          Abstract

          About 80% of stroke patients have hand motor dysfunction, and wearing finger rehabilitation machinery can enable patients to carry out efficient passive rehabilitation training independently. At present, many typical finger rehabilitation machines have been developed, and clinical experiments have confirmed the effectiveness of mechanically assisted finger rehabilitation. In this paper, the finger rehabilitation machinery will be classified in the actuation mode, and the terminal traction drive/motor drive/spring drive/rope drive/memory alloy drive/electroactive material drive/hydraulic drive/pneumatic drive technology and its typical applications are analyzed. Study the structure, control methods, overlap between mechanical bending nodes and finger joints, training modes, response speed, and driving force of various types of finger rehabilitation machinery. The advantages and disadvantages of various actuation methods of finger rehabilitation machinery are summarized. Finally, the difficulties and opportunities faced by the future development of finger rehabilitation machinery are prospected. In general, with the continuous improvement of quality of life, stroke patients need flexible, segmented control, accurate bending, multi-training mode, fast response, and good driving force finger rehabilitation machinery. This will also be a future hot research direction.

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          Most cited references102

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          Soft robotic glove for combined assistance and at-home rehabilitation

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            Assisting hand function after spinal cord injury with a fabric-based soft robotic glove

            Background Spinal cord injury is a devastating condition that can dramatically impact hand motor function. Passive and active assistive devices are becoming more commonly used to enhance lost hand strength and dexterity. Soft robotics is an emerging discipline that combines the classical principles of robotics with soft materials and could provide a new class of active assistive devices. Soft robotic assistive devices enable a human-robot interaction facilitated by compliant and light-weight structures. The scope of this work was to demonstrate that a fabric-based soft robotic glove can effectively assist participants affected by spinal cord injury in manipulating objects encountered in daily living. Methods The Toronto Rehabilitation Institute Hand Function Test was administered to 9 participants with C4-C7 spinal cord injuries to assess the functionality of the soft robotic glove. The test included object manipulation tasks commonly encountered during activities of daily living (ADL) and lift force measurements. The test was administered to each participant twice; once without the assistive glove to provide baseline data and once while wearing the assistive glove. The object manipulation subtests were evaluated using a linear mixed model, including interaction effects of variables such as time since injury. The lift force measures were separately evaluated using the Wilcoxon signed-rank test. Results The soft robotic glove improved object manipulation in ADL tasks. The difference in mean scores between baseline and assisted conditions was significant across all participants and for all manipulated objects. An improvement of 33.42 ± 15.43% relative to the maximal test score indicates that the glove sufficiently enhances hand function during ADL tasks. Moreover, lift force also increased when using the assistive soft robotic glove, further demonstrating the effectiveness of the device in assisting hand function. Conclusions The results gathered in this study validate our fabric-based soft robotic glove as an effective device to assist hand function in individuals who have suffered upper limb paralysis following a spinal cord injury. Electronic supplementary material The online version of this article (10.1186/s12984-018-0391-x) contains supplementary material, which is available to authorized users.
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              Exo-Glove Poly II: A Polymer-Based Soft Wearable Robot for the Hand with a Tendon-Driven Actuation System

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                Author and article information

                Journal
                Med Devices (Auckl)
                Med Devices (Auckl)
                mder
                Medical Devices (Auckland, N.Z.)
                Dove
                1179-1470
                03 January 2024
                2024
                : 17
                : 1-22
                Affiliations
                [1 ]School of Mechanical, Manufacturing and Energy Engineering, Mapúa University , Manila, 0900, Philippines
                [2 ]School of Physics and Telecommunications Engineering, Yulin Normal University , Yulin, 537000, People’s Republic of China
                Author notes
                Correspondence: Aldrin D Calderon, Email adcalderon@mapua.edu.ph
                Author information
                http://orcid.org/0009-0009-8391-3131
                Article
                429206
                10.2147/MDER.S429206
                10772600
                0f508712-5664-4632-9111-b04b46bc860d
                © 2024 Zhang et al.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                : 28 July 2023
                : 10 November 2023
                Page count
                Figures: 22, Tables: 1, References: 102, Pages: 22
                Categories
                Review

                Biotechnology
                fingers,machinery,rehabilitation,actuation
                Biotechnology
                fingers, machinery, rehabilitation, actuation

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