Hand Rehabilitation Devices: A Comprehensive Systematic Review

A cerebrovascular accident, or a stroke, can cause significant neurological damage, inflicting the patient with loss of motor function in their hands. Standard rehabilitation therapy for the hand increases demands on clinics, creating an avenue for powered hand rehabilitation devices. Hand rehabilit...

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Bibliographic Details
Published inMicromachines (Basel) Vol. 13; no. 7; p. 1033
Main Authors Kabir, Ryan, Sunny, Md Samiul Haque, Ahmed, Helal Uddin, Rahman, Mohammad Habibur
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 29.06.2022
MDPI
Subjects
Actuation
actuation mechanism
Control algorithms
control system
Control systems design
Devices
Exoskeletons
Fingers & toes
hand rehabilitation
Human motion
Injuries
Medical equipment
Medical screening
Patients
Physical therapists
Professionals
Rehabilitation
rehabilitation therapy
Review
Robotics
Spasticity
Stroke
Therapy
North America
actuation mechanism
control system
rehabilitation therapy
hand rehabilitation
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Summary:A cerebrovascular accident, or a stroke, can cause significant neurological damage, inflicting the patient with loss of motor function in their hands. Standard rehabilitation therapy for the hand increases demands on clinics, creating an avenue for powered hand rehabilitation devices. Hand rehabilitation devices (HRDs) are devices designed to provide the hand with passive, active, and active-assisted rehabilitation therapy; however, HRDs do not have any standards in terms of development or design. Although the categorization of an injury's severity can guide a patient into seeking proper assistance, rehabilitation devices do not have a set standard to provide a solution from the beginning to the end stages of recovery. In this paper, HRDs are defined and compared by their mechanical designs, actuation mechanisms, control systems, and therapeutic strategies. Furthermore, devices with conducted clinical trials are used to determine the future development of HRDs. After evaluating the abilities of 35 devices, it is inferred that standard characteristics for HRDs should include an exoskeleton design, the incorporation of challenge-based and coaching therapeutic strategies, and the implementation of surface electromyogram signals (sEMG) based control.
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ISSN:2072-666X
2072-666X
DOI:10.3390/mi13071033