Stroke patients are often affected by hand impairment. Literature shows different experiences of robotic rehabilitation that is able to prove an intensive and effective therapy. A preliminary analysis of the state of the art evidenced lacks in hand robotic rehabilitation devices. Thus, this work proposes a new rehabilitation device for hand rehabilitation based on a compliant transmission. The mechanical power generator is not on the hand to reduce the weight of the device. The mechanical model of the system is descripted. Experimental results on 126 stroke patients evidenced the efficacy of this device

References

References
1.
Song
,
D.
,
Lan
,
N.
,
Loeb
,
G. E.
, and
Gordon
,
J.
,
2008
, “
Model-Based Sensorimotor Integration for Multi-Joint Control: Development of a Virtual Arm Model
,”
Ann. Biomed. Eng.
,
36
(
6
), pp.
1033
1048
.
2.
Prange
,
G. B.
,
Jannink
,
M. J. A.
,
Groothuis-Oudshoorn
,
C. G. M.
,
Hermens
,
H. J.
, and
Ijzerman
,
M. J.
,
2006
, “
Systematic Review of the Effect of Robot-Aided Therapy on Recovery of the Hemiparetic Arm after Stroke
,”
J. Rehabil. Res. Dev.
,
43
(
2
), pp.
171
183
.
3.
Fulesdi
,
B.
,
Limburg
,
M.
,
Bereczki
,
D.
,
Kaplar
,
M.
,
Molnar
,
C.
,
Kappelmayer
,
J.
,
Neuwirth
,
G.
, and
Csiba
,
L.
,
1999
, “
Cerebrovascular Reactivity and Reserve Capacity in Type Ii Diabetes Mellitus
,”
J. Diabetes Its Complications
,
13
(
4
), pp.
191
199
.
4.
Mukherjee
,
M.
,
Koutakis
,
P.
,
Siu
,
K. C.
,
Fayad
,
P. B.
, and
Stergiou
,
N.
,
2013
, “
Stroke Survivors Control the Temporal Structure of Variability During Reaching in Dynamic Environments
,”
Ann. Biomed. Eng.
,
41
(
2
), pp.
366
376
.
5.
Nowak
,
D. A.
,
2008
, “
The Impact of Stroke on the Performance of Grasping: Usefulness of Kinetic and Kinematic Motion Analysis
,”
Neurosci. Biobehav. Rev.
,
32
(
8
), pp.
1439
1450
.
6.
Salter
,
R. B.
,
2004
, “
Continuous Passive Motion: From Origination to Research to Clinical Applications
,”
J. Rheumatol.
,
31
(
11
), pp.
2104
2105
.
7.
Sargsyan
,
S.
,
Arakelian
,
V.
, and
Briot
,
S.
,
2013
, “
Robotic Rehabilitation Devices of Human Extremities: Design Concepts and Functional Particularities
,”
ASME
11th Biennial Conference on Engineering Systems Design and Analysis 3, pp.
245
254
.
8.
Hu
,
X. L.
,
Tong
,
K. Y.
,
Song
,
R.
,
Tsang
,
V. S.
,
Leung
,
P. O.
, and
Li
,
L.
,
2007
, “
Variation of Muscle Coactivation Patterns in Chronic Stroke During Robot-Assisted Elbow Training
,”
Arch. Phys. Med. Rehabil.
,
88
(
8
), pp.
1022
1029
.
9.
Reinkensmeyer
,
D. J.
,
Schmit
,
B. D.
, and
Rymer
,
W. Z.
,
1999
, “
Assessment of Active and Passive Restraint During Guided Reaching after Chronic Brain Injury
,”
Ann. Biomed. Eng.
,
27
(
6
), pp.
805
814
.
10.
Maciejasz
,
P.
,
Eschweiler
,
J.
,
Gerlach-Hahn
,
K.
,
Jansen-Troy
,
A.
, and
Leonhardt
,
S.
,
2014
, “
A Survey on Robotic Devices for Upper Limb Rehabilitation
,”
J. Neuroeng. Rehabil.
,
11
(
1
), p.
3
.
11.
Gatti
,
C. J.
,
Scibek
,
J.
,
Svintsitski
,
O.
,
Carpenter
,
J. E.
, and
Hughes
,
R. E.
,
2008
, “
An Integer Programming Model for Optimizing Shoulder Rehabilitation
,”
Ann. Biomed. Eng.
,
36
(
7
), pp.
1242
1253
.
12.
Amici
,
C.
,
Borboni
,
A.
,
Faglia
,
R.
,
Fausti
,
D.
, and
Magnani
,
P. L.
,
2008
, “
A Parallel Compliant Meso-Manipulator for Finger Rehabilitation Treatments: Kinematic and Dynamic Analysis
,”
IEEE/RSJ International Conference on Intelligent Robots and Systems
, pp.
735
740
.
13.
Balasubramanian
,
S.
,
Klein
,
J.
, and
Burdet
,
E.
,
2010
, “
Robot-Assisted Rehabilitation of Hand Function
,”
Curr. Opin. Neurol.
,
23
(
6
), pp.
661
670
.
14.
Frank
,
C.
,
Akeson
,
W. H.
,
Woo
,
S. L. Y.
,
Amiel
,
D.
, and
Coutts
,
R. D.
,
1984
, “
Physiology and Therapeutic Value of Passive Joint Motion
,”
Clin. Orthop. Relat. Res.
,
185
, pp.
113
125
.
15.
Brosseau
,
L.
,
Milne
,
S.
,
Wells
,
G.
,
Tugwell
,
P.
,
Robinson
,
V.
,
Casimiro
,
L.
,
Pelland
,
L.
,
Noel
,
M. J.
,
Davis
,
J.
, and
Drouin
,
H.
,
2004
, “
Efficacy of Continuous Passive Motion Following Total Knee Arthroplasty: A Metaanalysis
,”
J. Rheumatol.
,
31
(
11
), pp.
2251
2264
.
16.
Hu
,
X. L.
,
Tong
,
K. Y.
,
Song
,
R.
,
Zheng
,
X. J.
, and
Leung
,
W. W. F.
,
2009
, “
A Comparison between Electromyography-Driven Robot and Passive Motion Device on Wrist Rehabilitation for Chronic Stroke
,”
Neurorehabilitation Neural Repair
,
23
(
8
), pp.
837
846
.
17.
Giudice
,
M. L.
,
1990
, “
Effects of Continuous Passive Motion and Elevation on Hand Edema
,”
Am. J. Occupational Therapy
,
44
(
10
), pp.
914
921
.
18.
Dirette
,
D.
, and
Hinojosa
,
J.
,
1994
, “
Effects of Continuous Passive Motion on the Edematous Hands of 2 Persons With Flaccid Hemiplegia
,”
Am. J. Occup. Ther.
,
48
(
5
), pp.
403
409
.
19.
Seitz
,
A. R.
, and
Dinse
,
H. R.
,
2007
, “
A Common Framework for Perceptual Learning
,”
Curr. Opin. Neurobiol.
,
17
(
2
), pp.
148
153
.
20.
Winter
,
J.
,
Hunter
,
S. M.
,
Sim
,
J.
, and
Crome
,
P.
,
2012
, “
Hands-On Therapy Interventions for Upper Limb Motor Dysfunction after Stroke
,”
Stroke
,
43
(
1
), pp.
E1
E2
.
21.
Geurts
,
A. C. H.
,
Visschers
,
B. A. J. T.
,
Van Limbeek
,
J.
, and
Ribbers
,
G. M.
,
2000
, “
Systematic Review of Aetiology and Treatment of Post-Stroke Hand Oedema and Shoulder-Hand Syndrome
,”
Scand. J. Rehabil. Med.
,
32
(
1
), pp.
4
10
.
22.
Wong
,
J. M.
,
2002
, “
Management of Stiff Hand: An Occupational Therapy Perspective
,”
Hand Surg.
,
7
(
2
), pp.
261
269
.
23.
Cruz
,
E. G.
, and
Kamper
,
D. G.
,
2010
, “
Use of a Novel Robotic Interface to Study Finger Motor Control
,”
Ann. Biomed. Eng.
,
38
(
2
), pp.
259
268
.
24.
Pawluk
,
D. T. V.
, and
Howe
,
R. D.
,
1999
, “
Dynamic Lumped Element Response of the Human Fingerpad
,”
ASME J. Biomech. Eng.
,
121
(
2
), pp.
178
183
.
25.
Lenicek
,
I.
,
Ilic
,
D.
, and
Ferkovic
,
L.
,
2013
, “
High Value Resistance Comparison Using Modified Wheatstone Bridge Based on Current Detection
,”
Measurement
,
46
(
10
), pp.
4388
4393
.
26.
Borboni
,
A.
, and
De Santis
,
D.
,
2014
, “
Large Deflection of a Non-Linear, Elastic, Asymmetric Ludwick Cantilever Beam Subjected to Horizontal Force, Vertical Force and Bending Torque at the Free End
,”
Meccanica
,
49
(
6
), pp.
1327
1336
.
27.
Merrien
,
J. L.
, and
Sablonniere
,
P.
,
2013
, “
Rational Splines for Hermite Interpolation With Shape Constraints
,”
Comput. Aided Geom. Des.
,
30
(
3
), pp.
296
309
.
28.
Delibasi
,
A.
, and
Henrion
,
D.
,
2010
, “
Hermite Matrix in Lagrange Basis for Scaling Static Output Feedback Polynomial Matrix Inequalities
,”
Int. J. Control
,
83
(
12
), pp.
2494
2505
.
29.
Bao-Lian
,
F.
,
1981
, “
Energy Theorems for Solving Equations of Deflections
,”
Appl. Math. Mech.
,
2
(
6
), pp.
765
777
.
30.
Heo
,
P.
,
Gu
,
G. M.
,
Lee
,
S. J.
,
Rhee
,
K.
, and
Kim
,
J.
,
2012
, “
Current Hand Exoskeleton Technologies for Rehabilitation and Assistive Engineering
,”
Int. J. Precis. Eng. Manuf.
,
13
(
5
), pp.
807
824
.
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