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An Instrumented Glove-Controlled Portable Hand-Exoskeleton for Bilateral Hand Rehabilitation.

Shih-Hung Yang1, Chia-Lin Koh2, Chun-Hang Hsu3

  • 1Department of Mechanical Engineering, National Cheng Kung University, Tainan 70101, Taiwan.

Biosensors
|December 23, 2021
PubMed
Summary

This study introduces a novel hand exoskeleton and glove system for bilateral hand training in hemiplegia patients. The device enables effective home-based rehabilitation, improving hand function and daily living activities.

Keywords:
bilateral hand traininghand exoskeletonhand-sensing glovevirtual reality game

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Area of Science:

  • Rehabilitation Engineering
  • Neurorehabilitation
  • Assistive Technology

Background:

  • Effective bilateral hand training is crucial for restoring hand function in individuals with unilateral hemiplegia.
  • Current clinical rehabilitation often lacks sufficient resources for adequate hand function training, hindering optimal neural reorganization.
  • Restoring independent daily activities requires improved hand function post-stroke.

Purpose of the Study:

  • To design and develop a lightweight, portable hand exoskeleton with a hand-sensing glove for bilateral hand training and home-based rehabilitation.
  • To enhance existing hand exoskeleton designs with improved flexible mechanisms and thumb actuation for a better wearing experience and pinch gesture capability.
  • To integrate a virtual reality game to promote engagement and adherence to repetitive movement practice in rehabilitation.

Main Methods:

  • A hand-sensing glove equipped with a flex sensor was utilized to measure the hand movements of the less-affected hand.
  • The affected hand was controlled by a custom-designed hand exoskeleton, mirroring the movements captured by the glove.
  • A virtual reality game was developed to facilitate engaging and repetitive practice sessions.
  • The exoskeleton incorporated flexible back-of-hand mechanisms and an improved thumb mechanism to enable pinch gestures.

Main Results:

  • The developed system facilitates bilateral hand training by enabling the affected hand to mimic the movements of the less-affected hand.
  • Improvements in the exoskeleton's flexible mechanism and thumb actuation enhance user comfort and enable a wider range of hand gestures, including pinch.
  • The integrated virtual reality game aims to increase patient motivation and adherence to rehabilitation exercises.
  • The system supports both bilateral hand training and assistance with activities of daily living.

Conclusions:

  • The novel hand exoskeleton and sensing glove system offers a promising solution for effective bilateral hand training in hemiplegia.
  • This technology facilitates home-based rehabilitation, potentially optimizing neural reorganization and recovery.
  • Early and sufficient hand function training using this system can significantly benefit patients with hemiplegia, improving their independence in daily activities.