Robotic Systems for Hand Rehabilitation—Past, Present and Future

<b>Background:</b> Cerebrovascular accident, commonly known as stroke, Parkinson’s disease, and multiple sclerosis represent significant neurological conditions affecting millions globally. Stroke remains the third leading cause of death worldwide and significantly impacts patients’ hand...

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Main Authors: Bogdan Gherman, Ionut Zima, Calin Vaida, Paul Tucan, Adrian Pisla, Iosif Birlescu, Jose Machado, Doina Pisla
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Technologies
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Online Access:https://www.mdpi.com/2227-7080/13/1/37
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author Bogdan Gherman
Ionut Zima
Calin Vaida
Paul Tucan
Adrian Pisla
Iosif Birlescu
Jose Machado
Doina Pisla
author_facet Bogdan Gherman
Ionut Zima
Calin Vaida
Paul Tucan
Adrian Pisla
Iosif Birlescu
Jose Machado
Doina Pisla
author_sort Bogdan Gherman
collection DOAJ
description <b>Background:</b> Cerebrovascular accident, commonly known as stroke, Parkinson’s disease, and multiple sclerosis represent significant neurological conditions affecting millions globally. Stroke remains the third leading cause of death worldwide and significantly impacts patients’ hand functionality, making hand rehabilitation crucial for improving quality of life. <b>Methods:</b> A comprehensive literature review was conducted analyzing over 300 papers, and categorizing them based on mechanical design, mobility, and actuation systems. To evaluate each device, a database with 45 distinct criteria was developed to systematically assess their characteristics. <b>Results:</b> The analysis revealed three main categories of devices: rigid exoskeletons, soft exoskeletons, and hybrid devices. Electric actuation represents the most common source of power. The dorsal placement of the mechanism is predominant, followed by glove-based, lateral, and palmar configurations. A correlation between mass and functionality was observed during the analysis; an increase in the number of actuated fingers or in functionality automatically increases the mass of the device. The research shows significant technological evolution with considerable variation in design complexity, with 29.4% of devices using five or more actuators while 24.8% employ one or two actuators. <b>Conclusions:</b> While substantial progress has been made in recent years, several challenges persist, including missing information or incomplete data from source papers and a limited number of clinical studies to evaluate device effectiveness. Significant opportunities remain to improve device functionality, usability, and therapeutic effectiveness, as well as to implement advanced power systems for portable devices.
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spelling doaj-art-2d729cd8b8d641bdbe0afeb4c0244be62025-01-24T13:50:49ZengMDPI AGTechnologies2227-70802025-01-011313710.3390/technologies13010037Robotic Systems for Hand Rehabilitation—Past, Present and FutureBogdan Gherman0Ionut Zima1Calin Vaida2Paul Tucan3Adrian Pisla4Iosif Birlescu5Jose Machado6Doina Pisla7CESTER, Technical University of Cluj-Napoca, Memorandumului 28, 400114 Cluj-Napoca, RomaniaCESTER, Technical University of Cluj-Napoca, Memorandumului 28, 400114 Cluj-Napoca, RomaniaCESTER, Technical University of Cluj-Napoca, Memorandumului 28, 400114 Cluj-Napoca, RomaniaCESTER, Technical University of Cluj-Napoca, Memorandumului 28, 400114 Cluj-Napoca, RomaniaCESTER, Technical University of Cluj-Napoca, Memorandumului 28, 400114 Cluj-Napoca, RomaniaCESTER, Technical University of Cluj-Napoca, Memorandumului 28, 400114 Cluj-Napoca, RomaniaCESTER, Technical University of Cluj-Napoca, Memorandumului 28, 400114 Cluj-Napoca, RomaniaCESTER, Technical University of Cluj-Napoca, Memorandumului 28, 400114 Cluj-Napoca, Romania<b>Background:</b> Cerebrovascular accident, commonly known as stroke, Parkinson’s disease, and multiple sclerosis represent significant neurological conditions affecting millions globally. Stroke remains the third leading cause of death worldwide and significantly impacts patients’ hand functionality, making hand rehabilitation crucial for improving quality of life. <b>Methods:</b> A comprehensive literature review was conducted analyzing over 300 papers, and categorizing them based on mechanical design, mobility, and actuation systems. To evaluate each device, a database with 45 distinct criteria was developed to systematically assess their characteristics. <b>Results:</b> The analysis revealed three main categories of devices: rigid exoskeletons, soft exoskeletons, and hybrid devices. Electric actuation represents the most common source of power. The dorsal placement of the mechanism is predominant, followed by glove-based, lateral, and palmar configurations. A correlation between mass and functionality was observed during the analysis; an increase in the number of actuated fingers or in functionality automatically increases the mass of the device. The research shows significant technological evolution with considerable variation in design complexity, with 29.4% of devices using five or more actuators while 24.8% employ one or two actuators. <b>Conclusions:</b> While substantial progress has been made in recent years, several challenges persist, including missing information or incomplete data from source papers and a limited number of clinical studies to evaluate device effectiveness. Significant opportunities remain to improve device functionality, usability, and therapeutic effectiveness, as well as to implement advanced power systems for portable devices.https://www.mdpi.com/2227-7080/13/1/37hand exoskeletonrehabilitation roboticsstroke rehabilitationhand rehabilitationexoskeleton
spellingShingle Bogdan Gherman
Ionut Zima
Calin Vaida
Paul Tucan
Adrian Pisla
Iosif Birlescu
Jose Machado
Doina Pisla
Robotic Systems for Hand Rehabilitation—Past, Present and Future
Technologies
hand exoskeleton
rehabilitation robotics
stroke rehabilitation
hand rehabilitation
exoskeleton
title Robotic Systems for Hand Rehabilitation—Past, Present and Future
title_full Robotic Systems for Hand Rehabilitation—Past, Present and Future
title_fullStr Robotic Systems for Hand Rehabilitation—Past, Present and Future
title_full_unstemmed Robotic Systems for Hand Rehabilitation—Past, Present and Future
title_short Robotic Systems for Hand Rehabilitation—Past, Present and Future
title_sort robotic systems for hand rehabilitation past present and future
topic hand exoskeleton
rehabilitation robotics
stroke rehabilitation
hand rehabilitation
exoskeleton
url https://www.mdpi.com/2227-7080/13/1/37
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