A technique to train finger coordination and independence after stroke
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Updated: Jun 14, 2026
Cognitive Function and Upper Limb Rehabilitation Training Post-Stroke Using a Digital Occupational Training System
Published on: December 29, 2023
Ludovic Dovat1, Olivier Lambercy, Berna Salman
1Department of Mechanical Engineering, National University of Singapore, Singapore. ludovic.dovat@nus.edu.sg
Purpose:
Finger coordination and independence are often impaired in stroke survivors, preventing them from performing activities of daily living. We have developed a technique using a robotic interface, the HandCARE, to train these functions.
Method:
The Hand Cable-Actuated REhabilitation (CARE) system can assist the subject in opening and closing movements of the hand, and can be adapted to accommodate various hand sizes and finger shapes.
Results:
Two game-like exercises have been developed, which use a motivating approach to promote recovery of finger coordination and independence. Mathematical measures have been implemented to evaluate these functions. This technique is validated with two post-stroke subjects who practiced for 20 minutes twice a week during eight weeks.
Conclusions:
The results show significant improvements in finger coordination, force modulation as well as finger independence.
