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Book ChapterDOI

Design of Single Degree-of-Freedom Mechanisms for Hand Neurorehabilitation

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TLDR
Three different kinematic mechanisms have been designed and analyzed to train four different functions: wrist flexion/extension, wrist ulnar and radial deviation, forearm pronation/supination, and gross hand opening-closing.
Abstract
Hand rehabilitation requires intensive training of various gross and fine movements Robotic devices have been developed and tested for implementing intense training of different hand functions in the current literature Current hand rehabilitation robots can be broadly grouped into two categories: (a) simple robots with one or two degrees-of-freedom (DOF) that train only one or two hand functions; or (b) complex robots with several DOF capable of training a wide range of functions Thus, to train different hand functions, we either need a set of simple robots or one complex robot, both of which are not economically viable solutions A potential solution is to have a single DOF robot that can train a wide range of functions, ie a robot with a single actuator, along with a set of easily pluggable passive mechanisms for different hand functions In this paper, we present the design and analysis of various kinematic mechanisms for a single DOF hand rehabilitation robot plug and train hand rehabilitation robot (PLUTO) Three different kinematic mechanisms have been designed and analyzed to train four different functions: wrist flexion/extension, wrist ulnar and radial deviation, forearm pronation/supination, and gross hand opening-closing Proper alignment of the robot and human joints is essential for safe and appreciate interaction with a human Misalignment in the robot and human joints can cause undesired forces on the human joint, makes the interaction potentially unsafe The problem of misalignment was addressed in the proposed mechanisms through the use of appropriate passive DOFs between the robot and human joints This paper presents the design and analysis of the three mechanisms for the different hand functions The analysis of the mechanisms were carried out by considering variations in human hand anthropometry, and uncertainty in the robot-human axis alignments

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Journal ArticleDOI

Plug-and-Train Robot (PLUTO) for Hand Rehabilitation: Design and Preliminary Evaluation

TL;DR: The positive response from the preliminary testing and the feedback from the stakeholders indicates that with additional passive mechanisms, assessment features, and optimized ergonomics, PLUTO will be a versatile, affordable, and useful system for routine use in clinics and also patients’ homes for delivering minimally supervised hand therapy.
References
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Journal ArticleDOI

Persisting consequences of stroke measured by the stroke impact scale

TL;DR: In stroke patients deemed recovered, stroke still affected hand function, activities and independent activities of daily living, participation, and overall physical function compared with the stroke-free community dwellers in the HMO health system even after adjustment for age and diabetes status.
Book

Human Hand Function

TL;DR: This book discusses the evolution and anatomy of the hand, sensory neurophysiology, and applications across the lifespan, as well as some of the applications currently in use.
Journal ArticleDOI

Robot-assisted Rehabilitation of Hand Function

TL;DR: The results from clinical studies carried out with eight out of 30 reported devices indicate that robot-assisted hand rehabilitation reduces motor impairments of the affected hand and the arm, and improves the functional use of theaffected hand.
Journal ArticleDOI

Development and pilot testing of HEXORR: Hand EXOskeleton Rehabilitation Robot

TL;DR: A newly developed Hand Exoskeleton Rehabilitation Robot (HEXORR) designed to provide full range of motion (ROM) for all of the hand's digits and a force assistance mode that provides extension assistance based on each individual's needs is introduced.
Journal ArticleDOI

Connecting a Human Limb to an Exoskeleton

TL;DR: A constructive method is derived that allows the determination of all the possible distributions of freed degrees of freedom across different fixation mechanisms and provides formal proofs of global isostaticity.
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