Development of a Tendon-Driven Wearable Assist System for Thumb Motion of Hand Paralysis

Author(s):  
Dan Yoshikawa ◽  
Hiroaki Kawamoto ◽  
Yoshiyuki Sankai
Keyword(s):  
2017 ◽  
Vol 139 (10) ◽  
Author(s):  
Taylor D. Niehues ◽  
Ashish D. Deshpande

The anatomically correct testbed (ACT) hand mechanically simulates the musculoskeletal structure of the fingers and thumb of the human hand. In this work, we analyze the muscle moment arms (MAs) and thumb-tip force vectors in the ACT thumb in order to compare the ACT thumb's mechanical structure to the human thumb. Motion data are used to determine joint angle-dependent MA models, and thumb-tip three-dimensional (3D) force vectors are experimentally analyzed when forces are applied to individual muscles. Results are presented for both a nominal ACT thumb model designed to match human MAs and an adjusted model that more closely replicates human-like thumb-tip forces. The results confirm that the ACT thumb is capable of faithfully representing human musculoskeletal structure and muscle functionality. Using the ACT hand as a physical simulation platform allows us to gain a better understanding of the underlying biomechanical and neuromuscular properties of the human hand to ultimately inform the design and control of robotic and prosthetic hands.


2020 ◽  
Vol 45 (9) ◽  
pp. 877.e1-877.e10
Author(s):  
Jayme Augusto Bertelli ◽  
Sushil Nehete ◽  
Elisa Cristiana Winkelmann Duarte ◽  
Marcos Flávio Ghizoni

2011 ◽  
Vol 23 (4) ◽  
pp. 190-195
Author(s):  
Narendra Vaidya ◽  
Bryan Buchholz ◽  
Mufeed Mahʼd ◽  
Aldo Crugnola

Hand Surgery ◽  
2011 ◽  
Vol 16 (03) ◽  
pp. 271-275 ◽  
Author(s):  
Kaoru Tada ◽  
Kazuo Ikeda ◽  
Kenji Shigemoto ◽  
Seigo Suganuma ◽  
Hiroyuki Tsuchiya

We evaluated the presence of "tendon irritation" of flexor pollicis longus (FPL) for cases of distal radius fracture treated with volar plates to prevent FPL tendon rupture. This report details cases of 24 patients. The presence of pain or a sense of incompatibility and subdermal crepitus around the wrist with an active thumb motion were defined as symptoms of FPL tendon irritation. Twelve of 24 patients complained of FPL tendon irritation. The plates were removed in nine of these 12 patients, while tendon injury was found in three cases. The other 12 patients did not complain of FPL tendon irritation. Four of these 12 patients underwent plate removal, and tendon injury was not detected. The results of this study indicate that FPL tendon irritation is likely to appear before tendon rupture. Therefore, FPL tendon rupture might be prevented by plate removal in patients who complained of tendon irritation.


Sensors ◽  
2020 ◽  
Vol 20 (14) ◽  
pp. 3998
Author(s):  
Tomoyuki Kuroiwa ◽  
Akimoto Nimura ◽  
Yu Takahashi ◽  
Toru Sasaki ◽  
Takafumi Koyama ◽  
...  

Research into hand-sensing is the focus of various fields, such as medical engineering and ergonomics. The thumb is essential in these studies, as there is great value in assessing its opposition function. However, evaluation methods in the medical field, such as physical examination and computed tomography, and existing sensing methods in the ergonomics field have various shortcomings. Therefore, we conducted a comparative study using a carbon nanotube-based strain sensor to assess whether opposition movement and opposition impairment can be detected in 20 hands of volunteers and 14 hands of patients with carpal tunnel syndrome while avoiding existing shortcomings. We assembled a measurement device with two sensors and attached it to the dorsal skin of the first carpometacarpal joint. We measured sensor expansion and calculated the correlation coefficient during thumb motion. The average correlation coefficient significantly increased in the patient group, and intrarater and interrater reliability were good. Thus, the device accurately detected thumb opposition impairment due to carpal tunnel syndrome, with superior sensitivity and specificity relative to conventional manual inspection, and may also detect opposition impairment due to various diseases. Additionally, in the future, it could be used as an easy, affordable, and accurate sensor in sensor gloves.


1985 ◽  
Vol 10 (1) ◽  
pp. 117-120 ◽  
Author(s):  
LASSE KVARNES ◽  
OLAV REIKERÅS

This paper presents a clinical review of patients operated by different procedures for disabling osteoarthritis of the carpometacarpal joint of the thumb. Fusion of the joint resulted in pain relief, and the patients achieved a stable thumb with excellent strength. Although a minor loss of thumb motion was noted, this was not considered a problem. Excision of the trapezium gave good results with respect to pain relief, but there was loss of thumb stability and strength. Implant arthroplasty with a silicone prosthesis appeared to give a painfree, stable and mobile thumb, but there was loss of power. In conclusion, arthrodesis is the method of choice if reduction of strength is to be avoided.


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