Author:
Tiago Leite, Eurico Seabra Tiago Leite, Eurico Seabra
Abstract
Many diseases and injuries of the hand require rehabilitation to restore function. However, the high human, financial, spatial, and temporal costs associated with rehabilitation often mean that the population in need does not have access to optimal rehabilitative care. Therefore, devices that complement the therapist are a possible solution, as they make rehabilitation more independent and frequent, and save healthcare facilities the aforementioned resources. Nevertheless, these devices are not widely distributed in the market, mainly due to their poor accessibility. The newly designed exoskeleton has four motors and a redundant transmission system that allows independent flexion and extension of each finger, except the thumb. Kinematics were analyzed with motion studies and loads were evaluated with static studies and structural analysis using motion loads. In the simulations, both flexion and extension were achieved in four seconds. A prototype transmission system was built and its kinematics matched that of the simulation and corresponded to the biomechanics of the fingers. At maximum flexion, the exoskeleton would be able to hold small objects and exert a normal force of up to 20 N with structural integrity.
Keywords: Engineering design, exoskeleton, hand rehabilitation, hand functionalization.
Publisher
Education Support and Investment Fund NGO
Reference10 articles.
1. American Society of Plastic Surgeons. Plastic surgery statistics report (2020). Available at:https://www.plasticsurgery.org/ documents/News/Statistics/2020/plastic-surgery-statistics-full-report-2020.pdf.
2. E. Bebbington, D. Furniss, “Linear regression analysis of Hospital Episode Statistics predicts a large increase in demand for elective hand surgery in England”, Journal of Plastic, Reconstructive & Aesthetic Surgery 68 (2015) 243-251. doi:10.1016/j.bjps.2014.10.011.
3. D. Carrieri, S. Briscoe, M. Jackson, et al, “‘Care Under Pressure’: a realist review of interventions to tackle doctor’s mental ill-health and its impacts on the clinical workforce and patient care”, BMJ Open 8 (2018). doi:10.1136/bmjopen-2017-021273.
4. R. Bos, “Mechanical design of dynamic hand orthoses: Expanding technology with comprehensive overviews and alternative pathways”, TUDelft (2019). doi: 10.4233/uuid:011f686f-5f5c-4fc5-9ba5-b613f95abfe2.
5. B. Hirt, H. Seyhan, M. Wagner, R. Zumhasch, Hand and Wrist Anatomy and Biomechanics: A Comprehensive Guide, Thieme Medical Publishers, 2016.