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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Main Authors: Ryan Kabir, Md Samiul Haque Sunny, Helal Uddin Ahmed, Mohammad Habibur Rahman
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Micromachines
Subjects:
Online Access:https://www.mdpi.com/2072-666X/13/7/1033
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author Ryan Kabir
Md Samiul Haque Sunny
Helal Uddin Ahmed
Mohammad Habibur Rahman
author_facet Ryan Kabir
Md Samiul Haque Sunny
Helal Uddin Ahmed
Mohammad Habibur Rahman
author_sort Ryan Kabir
collection DOAJ
description 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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spelling doaj.art-fb2f59ebe8334189a4b3b3d4adc9f9df2023-12-03T11:57:39ZengMDPI AGMicromachines2072-666X2022-06-01137103310.3390/mi13071033Hand Rehabilitation Devices: A Comprehensive Systematic ReviewRyan Kabir0Md Samiul Haque Sunny1Helal Uddin Ahmed2Mohammad Habibur Rahman3Department of Mechanical Engineering, BioRobotics Lab, University of Wisconsin-Milwaukee, Milwaukee, WI 53211, USADepartment of Computer Science, BioRobotics Lab, University of Wisconsin-Milwaukee, Milwaukee, WI 53211, USADepartment of Mechanical Engineering, BioRobotics Lab, University of Wisconsin-Milwaukee, Milwaukee, WI 53211, USADepartment of Mechanical Engineering, BioRobotics Lab, University of Wisconsin-Milwaukee, Milwaukee, WI 53211, USAA 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.https://www.mdpi.com/2072-666X/13/7/1033hand rehabilitationrehabilitation therapyactuation mechanismcontrol system
spellingShingle Ryan Kabir
Md Samiul Haque Sunny
Helal Uddin Ahmed
Mohammad Habibur Rahman
Hand Rehabilitation Devices: A Comprehensive Systematic Review
Micromachines
hand rehabilitation
rehabilitation therapy
actuation mechanism
control system
title Hand Rehabilitation Devices: A Comprehensive Systematic Review
title_full Hand Rehabilitation Devices: A Comprehensive Systematic Review
title_fullStr Hand Rehabilitation Devices: A Comprehensive Systematic Review
title_full_unstemmed Hand Rehabilitation Devices: A Comprehensive Systematic Review
title_short Hand Rehabilitation Devices: A Comprehensive Systematic Review
title_sort hand rehabilitation devices a comprehensive systematic review
topic hand rehabilitation
rehabilitation therapy
actuation mechanism
control system
url https://www.mdpi.com/2072-666X/13/7/1033
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AT mdsamiulhaquesunny handrehabilitationdevicesacomprehensivesystematicreview
AT helaluddinahmed handrehabilitationdevicesacomprehensivesystematicreview
AT mohammadhabiburrahman handrehabilitationdevicesacomprehensivesystematicreview