Soft robotic glove for hand rehabilitation and task specific training

This paper presents advancements in the design of a portable, soft robotic glove for individuals with functional grasp pathologies. The robotic glove leverages soft material actuator technology to safely distribute forces along the length of the finger and provide active flexion and passive extension. These actuators consist of molded elastomeric bladders with anisotropic fiber reinforcements that produce specific bending, twisting, and extending trajectories upon fluid pressurization. In particular, we present a method for customizing a soft actuator to a wearer's biomechanics and demonstrate in a motion capture system that the ranges of motion (ROM) of the two are nearly equivalent. The active ROM of the glove is further evaluated using the Kapandji test. Lastly, in a case study, we present preliminary results of a patient with very weak hand strength performing a timed Box-and-Block test with and without the soft robotic glove.

[1]  L. Der-Yeghiaian,et al.  Robot-based hand motor therapy after stroke. , 2007, Brain : a journal of neurology.

[2]  Conor J. Walsh,et al.  A pediatric robotic thumb exoskeleton for at-home rehabilitation: The isolated orthosis for thumb actuation (IOTA) , 2014, Int. J. Intell. Comput. Cybern..

[3]  Filip Ilievski,et al.  Soft robotics for chemists. , 2011, Angewandte Chemie.

[4]  Robert J. Wood,et al.  Mechanically programmable bend radius for fiber-reinforced soft actuators , 2013, 2013 16th International Conference on Advanced Robotics (ICAR).

[5]  R. Teasell,et al.  The Role of Task-Specific Training in Rehabilitation Therapies , 2005, Topics in stroke rehabilitation.

[6]  T. Milner,et al.  HandCARE: A Cable-Actuated Rehabilitation System to Train Hand Function After Stroke , 2008, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[7]  MajidiCarmel,et al.  Soft Robotics: A Perspective—Current Trends and Prospects for the Future , 2014 .

[8]  Arjen Bergsma,et al.  Patterns of decline in upper limb function of boys and men with DMD: an international survey , 2014, Journal of Neurology.

[9]  A. Kapandji Cotation clinique de l'opposition et de la contre-opposition du pouce , 1986 .

[10]  Oliver Brock,et al.  A compliant hand based on a novel pneumatic actuator , 2013, 2013 IEEE International Conference on Robotics and Automation.

[11]  S. Leonhardt,et al.  A survey on robotic devices for upper limb rehabilitation , 2014, Journal of NeuroEngineering and Rehabilitation.

[12]  Soo-Jin Lee,et al.  Current hand exoskeleton technologies for rehabilitation and assistive engineering , 2012 .

[13]  Kevin C. Galloway,et al.  Biologically Inspired Soft Robot for Thumb Rehabilitation , 2014 .

[14]  V. Mathiowetz,et al.  Adult norms for the Box and Block Test of manual dexterity. , 1985, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[15]  Conor J. Walsh,et al.  A pediatric robotic thumb exoskeleton for at-home rehabilitation: The Isolated Orthosis for Thumb Actuation (IOTA) , 2013, 2013 IEEE 13th International Conference on Rehabilitation Robotics (ICORR).

[16]  Robert J. Wood,et al.  Soft robotic glove for combined assistance and at-home rehabilitation , 2015, Robotics Auton. Syst..

[17]  Steven L. Wolf,et al.  Randomized Clinical Trial Function in Patients With Subacute Stroke : A Robotic-Assisted Therapy to Improve Hand Motor Quality-of-Life Change Associated With , 2010 .

[18]  Haruhisa Kawasaki,et al.  Development of a Hand-Assist Robot With Multi-Degrees-of-Freedom for Rehabilitation Therapy , 2012, IEEE/ASME Transactions on Mechatronics.

[19]  Robert J. Wood,et al.  Modeling of Soft Fiber-Reinforced Bending Actuators , 2015, IEEE Transactions on Robotics.

[20]  Aaron M. Dollar,et al.  Benchmarking grasping and manipulation: Properties of the Objects of Daily Living , 2010, 2010 IEEE/RSJ International Conference on Intelligent Robots and Systems.

[21]  Alabama,et al.  Spinal Cord Injury Facts and Figures at a Glance , 2013, The journal of spinal cord medicine.

[22]  J. P. Miller,et al.  Effect of constraint-induced movement therapy on upper extremity function 3 to 9 months after stroke: the EXCITE randomized clinical trial. , 2006, JAMA.

[23]  D. Mozaffarian,et al.  Heart disease and stroke statistics--2012 update: a report from the American Heart Association. , 2012, Circulation.

[24]  Spinal Cord Injury Facts and Figures at a Glance , 2014, The journal of spinal cord medicine.