Stroke is one of the leading causes of disability worldwide: post-stroke disabilities affect the upper and lower limbs, significantly undermining a subject's autonomy in the Activities of Daily Living (ADLs). Among post-stroke disabilities, one of the most impairing and widespread conditions is the clenched fist deformity: the subject experiences a permanent contraction of the hand, resulting in a closed hand rest pose. In this paper, the authors propose a novel light-weight inflatable soft exoskeleton device, called the AirExGlove, to deliver high-dosage, adaptive and gradual rehabilitation therapy to patients affected by clenched fist deformity. Our system is lightweight, low-cost, adaptable to any hand size and unobtrusive. The system has been extensively tested to assess the hand-opening range in which it can operate according to the severity of the patient condition, which is typically ranked on the Modified Ashworth Scale (MAS) scale. Experimental analysis demonstrates the suitability of the glove for patients affected by post-stroke muscle spasticity scoring up to 3 out of 4 in the MAS scale. Preliminary testing with clenched-fist patient confirmed a higher level of ergonomics of the system in comparison with rigid-linked robotic systems.

Robotics is increasingly involving many aspects of daily life and robotic-based assistance to physically impaired people is considered one of the most promising application of this largely investigated technology. However, the World Health Organization reports that, so far, only 10% of people in need can get access to the so-called assistive technology also due to its high costs. This work aims to tackle the aforementioned point presenting an innovative control strategy for a low-cost hand exoskeleton system based on surface electromyography signals. Most of the activities of daily living are, in fact, carried out thanks to the hands while the exploitation of surface electromyography signals represents a non-invasive technique in straightforwardly controlling wearable devices. Although such approach results deeply studied in literature, it has not been deeply tested on real patients yet. The main contribution of this article is hence not only to describe a novel control strategy but also to provide a detailed explanation of its implementation into a real device, ready to be used. Finally, the authors have evaluated and preliminary tested the proposed technique enrolling a patient in a single-case study.

Recently, robotics has increasingly become a companion for the human being and assisting physically impaired people with robotic devices is showing encouraging signs regarding the application of this largely investigated technology to the clinical field. As of today, however, exoskeleton design can still be considered a hurdle task and, even in modern robotics, aiding those patients who have lost or injured their limbs is surely one of the most challenging goal. In this framework, the research activity carried out by the Department of Industrial Engineering of the University of Florence concentrated on the development of portable, wearable and highly customizable hand exoskeletons to aid patients suffering from hand disabilities, and on the definition of patient-centered design strategies to tailor-made devices specifically developed on the different users’ needs. Three hand exoskeletons versions will be presented in this paper proving the major taken steps in mechanical designing and controlling a compact and lightweight solution. The performance of the resulting systems has been tested in a real-use scenario. The obtained results have been satisfying, indicating that the derived solutions may constitute a valid alternative to existing hand exoskeletons so far studied in the rehabilitation and assistance fields.