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      Kinematic synergies of hand grasps: a comprehensive study on a large publicly available dataset

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          Abstract

          Background

          Hand grasp patterns require complex coordination . The reduction of the kinematic dimensionality is a key process to study the patterns underlying hand usage and grasping. It allows to define metrics for motor assessment and rehabilitation, to develop assistive devices and prosthesis control methods. Several studies were presented in this field but most of them targeted a limited number of subjects, they focused on postures rather than entire grasping movements and they did not perform separate analysis for the tasks and subjects, which can limit the impact on rehabilitation and assistive applications. This paper provides a comprehensive mapping of synergies from hand grasps targeting activities of daily living. It clarifies several current limits of the field and fosters the development of applications in rehabilitation and assistive robotics.

          Methods

          In this work, hand kinematic data of 77 subjects, performing up to 20 hand grasps, were acquired with a data glove (a 22-sensor CyberGlove II data glove) and analyzed. Principal Component Analysis (PCA) and hierarchical cluster analysis were used to extract and group kinematic synergies that summarize the coordination patterns available for hand grasps.

          Results

          Twelve synergies were found to account for > 80% of the overall variation. The first three synergies accounted for more than 50% of the total amount of variance and consisted of: the flexion and adduction of the Metacarpophalangeal joint (MCP) of fingers 3 to 5 (synergy #1), palmar arching and flexion of the wrist (synergy #2) and opposition of the thumb (synergy #3). Further synergies refine movements and have higher variability among subjects.

          Conclusion

          Kinematic synergies are extracted from a large number of subjects (77) and grasps related to activities of daily living (20). The number of motor modules required to perform the motor tasks is higher than what previously described. Twelve synergies are responsible for most of the variation in hand grasping. The first three are used as primary synergies, while the remaining ones target finer movements (e.g. independence of thumb and index finger). The results generalize the description of hand kinematics, better clarifying several limits of the field and fostering the development of applications in rehabilitation and assistive robotics.

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          Most cited references34

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          Assessment of movement quality in robot- assisted upper limb rehabilitation after stroke: a review

          Abstract Studies of stroke patients undergoing robot-assisted rehabilitation have revealed various kinematic parameters describing movement quality of the upper limb. However, due to the different level of stroke impairment and different assessment criteria and interventions, the evaluation of the effectiveness of rehabilitation program is undermined. This paper presents a systematic review of kinematic assessments of movement quality of the upper limb and identifies the suitable parameters describing impairments in stroke patients. A total of 41 different clinical and pilot studies on different phases of stroke recovery utilizing kinematic parameters are evaluated. Kinematic parameters describing movement accuracy are mostly reported for chronic patients with statistically significant outcomes and correlate strongly with clinical assessments. Meanwhile, parameters describing feed-forward sensorimotor control are the most frequently reported in studies on sub-acute patients with significant outcomes albeit without correlation to any clinical assessments. However, lack of measures in coordinated movement and proximal component of upper limb enunciate the difficulties to distinguish the exploitation of joint redundancies exhibited by stroke patients in completing the movement. A further study on overall measures of coordinated movement is recommended. Electronic supplementary material The online version of this article (doi:10.1186/1743-0003-11-137) contains supplementary material, which is available to authorized users.
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            Comparison of six electromyography acquisition setups on hand movement classification tasks

            Hand prostheses controlled by surface electromyography are promising due to the non-invasive approach and the control capabilities offered by machine learning. Nevertheless, dexterous prostheses are still scarcely spread due to control difficulties, low robustness and often prohibitive costs. Several sEMG acquisition setups are now available, ranging in terms of costs between a few hundred and several thousand dollars. The objective of this paper is the relative comparison of six acquisition setups on an identical hand movement classification task, in order to help the researchers to choose the proper acquisition setup for their requirements. The acquisition setups are based on four different sEMG electrodes (including Otto Bock, Delsys Trigno, Cometa Wave + Dormo ECG and two Thalmic Myo armbands) and they were used to record more than 50 hand movements from intact subjects with a standardized acquisition protocol. The relative performance of the six sEMG acquisition setups is compared on 41 identical hand movements with a standardized feature extraction and data analysis pipeline aimed at performing hand movement classification. Comparable classification results are obtained with three acquisition setups including the Delsys Trigno, the Cometa Wave and the affordable setup composed of two Myo armbands. The results suggest that practical sEMG tests can be performed even when costs are relevant (e.g. in small laboratories, developing countries or use by children). All the presented datasets can be used for offline tests and their quality can easily be compared as the data sets are publicly available.
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              Soft robotic devices for hand rehabilitation and assistance: a narrative review

              Introduction The debilitating effects on hand function from a number of a neurologic disorders has given rise to the development of rehabilitative robotic devices aimed at restoring hand function in these patients. To combat the shortcomings of previous traditional robotics, soft robotics are rapidly emerging as an alternative due to their inherent safety, less complex designs, and increased potential for portability and efficacy. While several groups have begun designing devices, there are few devices that have progressed enough to provide clinical evidence of their design’s therapeutic abilities. Therefore, a global review of devices that have been previously attempted could facilitate the development of new and improved devices in the next step towards obtaining clinical proof of the rehabilitative effects of soft robotics in hand dysfunction. Methods A literature search was performed in SportDiscus, Pubmed, Scopus, and Web of Science for articles related to the design of soft robotic devices for hand rehabilitation. A framework of the key design elements of the devices was developed to ease the comparison of the various approaches to building them. This framework includes an analysis of the trends in portability, safety features, user intent detection methods, actuation systems, total DOF, number of independent actuators, device weight, evaluation metrics, and modes of rehabilitation. Results In this study, a total of 62 articles representing 44 unique devices were identified and summarized according to the framework we developed to compare different design aspects. By far, the most common type of device was that which used a pneumatic actuator to guide finger flexion/extension. However, the remainder of our framework elements yielded more heterogeneous results. Consequently, those results are summarized and the advantages and disadvantages of many design choices as well as their rationales were highlighted. Conclusion The past 3 years has seen a rapid increase in the development of soft robotic devices for hand rehabilitative applications. These mostly preclinical research prototypes display a wide range of technical solutions which have been highlighted in the framework developed in this analysis. More work needs to be done in actuator design, safety, and implementation in order for these devices to progress to clinical trials. It is our goal that this review will guide future developers through the various design considerations in order to develop better devices for patients with hand impairments.
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                Author and article information

                Contributors
                jarque@uji.es
                alessandro.scano@stiima.cnr.it
                manfredo.atzori@hevs.ch
                henning.mueller@unige.ch
                Journal
                J Neuroeng Rehabil
                J Neuroeng Rehabil
                Journal of NeuroEngineering and Rehabilitation
                BioMed Central (London )
                1743-0003
                28 May 2019
                28 May 2019
                2019
                : 16
                : 63
                Affiliations
                [1 ]ISNI 0000 0001 1957 9153, GRID grid.9612.c, Department of Mechanical Engineering and Construction, , Universitat Jaume I, ; Castellón de la Plana, Spain
                [2 ]ISNI 0000 0001 1940 4177, GRID grid.5326.2, Institute of Intelligent Industrial Systems and Technologies for Advanced Manufacturing (STIIMA), National Research Council of Italy (CNR), ; Milan, Italy
                [3 ]Institute of Intelligent Industrial Systems and Technologies for Advanced Manufacturing (STIIMA), National Research Council of Italy (CNR), Lecco, Italy
                [4 ]ISNI 0000 0004 0453 2100, GRID grid.483301.d, Information Systems Institute, University of Applied Sciences Western Switzerland (HES-SO), ; Sierre, Switzerland
                [5 ]ISNI 0000 0001 2322 4988, GRID grid.8591.5, Medical Informatics, , University of Geneva, ; Rue Gabrielle-Perret-Gentil 4, 1205 Geneva, Switzerland
                Author information
                http://orcid.org/0000-0001-6800-9878
                Article
                536
                10.1186/s12984-019-0536-6
                6540541
                31138257
                c21ef487-0a78-4bd2-8798-1be71ffdca05
                © The Author(s). 2019

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 30 January 2019
                : 14 May 2019
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100003329, Ministerio de Economía y Competitividad;
                Award ID: DPI2014-52095-P
                Funded by: Swiss National Science Foundation
                Award ID: CRSII2_160837
                Categories
                Research
                Custom metadata
                © The Author(s) 2019

                Neurosciences
                cluster analysis,cyberglove,hand synergies,kinematics,myoelectric prostheses,rehabilitation,principal component analysis

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