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Defining the user needs for an assistive pediatric hand exoskeleton: An Italian explorative survey
Luca Emanuele Molteni1, Denise Bentivoglio1,2, Eleonora Diella1
1Scientific Institute IRCCS, "E.Medea", Bosisio Parini, Lecco, Italy.
Assistive Technology : the Official Journal of RESNA
|January 14, 2026
Summary
Parents seek user-centered hand exoskeletons for children with neuromotor disorders. Feedback highlights needs for lightweight, comfortable, and aesthetically pleasing designs to improve daily function.
Area of Science:
- Pediatric Rehabilitation
- Assistive Technology
- Biomedical Engineering
Background:
- Children with neuromotor disorders often have hand impairments, limiting daily independence and skill acquisition.
- Existing hand exoskeleton designs frequently fail to meet user needs, hindering adoption.
- User-centered design is crucial for effective assistive technology development.
Purpose of the Study:
- To gather parental feedback on hand exoskeletons for children with neuromotor disorders.
- To identify key functional needs and user-friendliness requirements for exoskeleton development.
- To inform the design of user-centered hand exoskeletons that meet the needs of children and their families.
Main Methods:
- An anonymous online survey was distributed to parents of children with upper limb impairments.
- The survey focused on perceptions of hand exoskeletons, functional needs, user-friendliness, and training.
- Data from 43 completed surveys were analyzed.
Main Results:
- 76.3% of parents expressed interest in hand exoskeletons for their children.
- Key activities to address include dressing, hygiene, and eating.
- Parents prioritized lightweight, comfortable, aesthetically pleasing designs and trust in the technology.
Conclusions:
- Parental feedback is essential for developing successful hand exoskeletons.
- Designs must prioritize comfort, low weight, aesthetic appeal, and functional benefits for daily living.
- Future hand exoskeleton development should focus on user-centered principles to enhance adoption and efficacy.

