Among the methods of hand function rehabilitation after stroke, robot-assisted rehabilitation is widely used, and the use of hand rehabilitation robots can provide functional training of the hand or assist the paralyzed hand with activities of daily living. However, patients with hand disorders consistently report that the needs of some users are not being met. The purpose of this review is to understand the reasons why these user needs are not being adequately addressed, to explore research on hand rehabilitation robots, to review their current state of research in recent years, and to summarize future trends in the hope that it will be useful to researchers in this research area. This review summarizes the techniques in this paper in a systematic way. We first provide a comprehensive review of research institutions, commercial products, and literature. Thus, the state of the art and deficiencies of functional hand rehabilitation robots are sought and guide the development of subsequent hand rehabilitation robots. This review focuses specifically on the actuation and control of hand functional rehabilitation robots, as user needs are primarily focused on actuation and control strategies. We also review hand detection technologies and compare them with patient needs. The results show that the trends in recent years are more inclined to pursue new lightweight materials to improve hand adaptability, investigating intelligent control methods for human-robot interaction in hand functional rehabilitation robots to improve control robustness and accuracy, and VR virtual task positioning to improve the effectiveness of active rehabilitation training.

Stroke is one of the most prevalent health issues that people face today, causing long-term complications such as paresis, hemiparesis, and aphasia. These conditions significantly impact a patient’s physical abilities and cause financial and social hardships. In order to address these challenges, this paper presents a groundbreaking solution—a wearable rehabilitation glove. This motorized glove is designed to provide comfortable and effective rehabilitation for patients with paresis. Its unique soft materials and compact size make it easy to use in clinical settings and at home. The glove can train each finger individually and all fingers together, using assistive force generated by advanced linear integrated actuators controlled by sEMG signals. The glove is also durable and long-lasting, with 4–5 h of battery life. The wearable motorized glove is worn on the affected hand to provide assistive force during rehabilitation training. The key to this glove’s effectiveness is its ability to perform the classified hand gestures acquired from the non-affected hand by integrating four sEMG sensors and a deep learning algorithm (the 1D-CNN algorithm and the InceptionTime algorithm). The InceptionTime algorithm classified ten hand gestures’ sEMG signals with an accuracy of 91.60% and 90.09% in the training and verification sets, respectively. The overall accuracy was 90.89%. It showed potential as a tool for developing effective hand gesture recognition systems. The classified hand gestures can be used as a control command for the motorized wearable glove placed on the affected hand, allowing it to mimic the movements of the non-affected hand. This innovative technology performs rehabilitation exercises based on the theory of mirror therapy and task-oriented therapy. Overall, this wearable rehabilitation glove represents a significant step forward in stroke rehabilitation, offering a practical and effective solution to help patients recover from stroke’s physical, financial, and social impact.

Bionic prosthetic hands hold the potential to replicate the functionality of human hands. The use of bionic limbs can assist amputees in performing everyday activities. This article systematically reviews the research progress on bionic prostheses, with a focus on control mechanisms, sensory feedback integration, and mechanical design innovations. It emphasizes the use of bioelectrical signals, such as electromyography (EMG), for prosthetic control and discusses the application of machine learning algorithms to enhance the accuracy of gesture recognition. Additionally, the paper explores advancements in sensory feedback technologies, including tactile, visual, and auditory modalities, which enhance user interaction by providing essential environmental feedback. The mechanical design of prosthetic hands is also examined, with particular attention to achieving a balance between dexterity, weight, and durability. Our contribution consists of compiling current research trends and identifying key areas for future development, including the enhancement of control system integration and improving the aesthetic and functional resemblance of prostheses to natural limbs. This work aims to inform and inspire ongoing research that seeks to refine the utility and accessibility of prosthetic hands for amputees, emphasizing user-centric innovations.

As one of the most influential symptoms of daily life after stroke, hand dysfunction has seriously affected the quality of life of patients and families. At present, the commonly used rehabilitation method is to carry out continuous passive training on the patient’s fingers with the help of physical therapists, so as to promote the rehabilitation of the hands. However, this kind of therapist-assisted rehabilitation greatly increases the cost of rehabilitation treatment and is not conducive to the promotion of household use. Many exoskeleton hand rehabilitation robots still lack in overall weight and control, resulting in the application potential of exoskeleton hand rehabilitation robots not being fully developed, and the commercial and clinical success cases are limited. The research of this paper focuses on the structural design and electronic control design of the exoskeleton hand rehabilitation robot. Through the design of an exoskeleton hand rehabilitation robot suitable for human hands, the kinematics parameters are obtained by kinematics simulation, and the lightweight design of the hand rehabilitation robot is completed by using topology optimization. At the same time, this paper shows the development technology of the rehabilitation robot control system. We hope that through the subsequent product development, the exoskeleton hand rehabilitation robot studied in this paper can be applied in the future.

Currently, the driving motor used in a dexterous prosthetic hand is limited by the driving principle, and it has the characteristics of a complex structure, slow response, low positioning accuracy, and excessive volume. There are special requirements in terms of quality and quality, and traditional motor drives have greatly affected the progress of prosthetic robots. A motor (ultrasonic motor) has been developed over more than 30 years. It has the advantages of a small size, small mass, simple structure, accurate positioning, high power density, and fast response time, which is enough to improve the driving mechanism performance of the prosthetic hand with a connecting rod. In this paper, the structural characteristics of the prosthetic hand will be analyzed, and the modal analysis, harmonic response analysis, and transient analysis simulation of the longitudinal vibration linear motor stator used in the prosthetic hand with a connecting rod will be carried out in order to provide preliminary preparation for the feasible design and manufacture of the size of the ultrasonic driver structure used for the prosthetic hand with a connecting rod.

Lasso transmission is a method for realizing long-distance flexible transmission and lightweight robots. However, there are transmission characteristic losses of velocity, force, and displacement during the motion of lasso transmission. Therefore, the analysis of transmission characteristic losses of lasso transmission has become the focus of research. For this study, at first, we developed a new flexible hand rehabilitation robot with a lasso transmission method. Second, the theoretical analysis and simulation analysis of the dynamics of the lasso transmission in the flexible hand rehabilitation robot were carried out to calculate the force, velocity, and displacement losses of the lasso transmission. Finally, the mechanism and transmission models were established for experimental studies to measure the effects of different curvatures and speeds on the lasso transmission torque. The experimental data and image analysis results show torque loss in the process of lasso transmission and an increase in torque loss with the increase in the lasso curvature radius and transmission speed. The study of the lasso transmission characteristics is important for the design and control of hand functional rehabilitation robots, providing an important reference for the design of flexible rehabilitation robots and also guiding the research on the lasso regarding the compensation method for transmission losses.