Abstract
Introduction and Aims: Following injuries leading to loss of hand function, rehabilitative exercises are often critical for recovery. This project utilises artificial muscles to create a glove that can provide specific rehabilitation options to the hand, as well as provide grasp and release functions to those unable to move their hand.
Method: Artificial muscles are composed of electrically activated polymers or shape memory alloys (SMA) that shorten under current, in a way similar to muscles. In this project, three glove prototypes were developed and tested initially with SMA Nitinol wires. Each wire was placed such that its activation caused a movement of an individual joint in a hand model. Wire activation was controlled by a pocket PC, thereby enabling portability. Artificial proprioception was provided for the joints, using force/position transducers. A software interface in the controller was used to program desired passive movement.
Results: Each joint could be independently moved to a desired angle. The force and position transducers were tested against calibrated inputs and were found to be reliable. These were used as feedback for the control of motion and force. The control software allowed the therapist to program desired force, speed and range of motion for each of the 15 finger/thumb joints in the hand model. As such, continuous passive joint movements can be administered by the glove for hours at a time through a portable glove and controller device. Another experiment verified the ability of this unique rehabilitation glove to provide a light hand grasp with controllable holding force. This function can be triggered using an external switch such as a shoulder stick. Other functions implemented include the provision of dynamic splinting to the finger joints using the system software and the ability to log the performance of the hand through time. The latter function would be valuable for monitoring the effectiveness of the therapy, as well as for continuously adjusting the exercises to increase performance.
Conclusion: The individual tailoring of therapeutic programs for the hand joints will create a safer and more effective therapy than current devices available on the market. As well as being portable, the provision of hand grasp and release with the glove provides an additional functional benefit for those with paralysed hands.
These abstracts were prepared by Editorial Secretary, George Sikorski. Correspondence should be addressed to Australian Orthopaedic Association, Ground Floor, The William Bland Centre, 229 Macquarie Street, Sydney, NSW 2000, Australia.
One or more of the listed authors are receiving or have received benefits or support from a recognised academic body for the pursuance of the study.
