This paper establishes design criteria for soft exogloves (SEG) to be used as rehabilitation or assistance devices. This research consists in identifying, selecting, and grouping SEG features based on the analysis of 91 systems that have been proposed during the last decade. Thus, function, mobility, and usability criteria are defined and explicitly discussed to highlight SEG design guidelines. Additionally, this study provides a detailed description of each system that was analysed including application, functional task, palm design, actuation type, assistance mode, degrees of freedom (DOF), target fingers, motions, material, weight, force, pressure (only for fluids), control strategy, and assessment. Such characteristics have been reported according to specific design methodologies and operating principles. Technological trends are contemplated in this contribution with emphasis on SEG design opportunity areas. In this review, suggestions, limitations, and implications are also discussed in order to enhance future SEG developments aimed at stroke survivors or people with hand disabilities.

This article presents a methodology for the design of rehabilitation devices that considers factors involved in a clinical environment. This methodology integrates different disciplines that work together. The methodology is composed by three phases and 13 stages with specific tasks, the first phase includes the clinical context considering the requirements of the patient and therapist during the rehabilitation, the second phase is focused in engineering based on the philosophy of digital twin, and in the third phase is evaluated the device. This article explains the characteristics of the methodology and how it was applied in the design of an exoskeleton for passive rehabilitation of upper limb.

There are different alternatives when selecting removable prostheses for below the knee amputated patients. The designs of these prostheses vary according to their different functions. These prostheses designs can be classified into Energy Storing and Return (ESAR), Controlled Energy Storing and Return (CESR), active, and hybrid. This paper aims to identify the state of the art related to the design of these prostheses of which ESAR prostheses are grouped into five types, and active and CESR are categorized into four groups. Regarding patent analysis, 324 were analyzed over the last six years. For scientific communications, a bibliometric analysis was performed using 104 scientific reports from the Web of Science in the same period. The results show a tendency of ESAR prostheses designs for patents (68%) and active prostheses designs for scientific documentation (40%).

This paper addresses the design, fabrication and control of Fabric Inflatable Soft Actuators (FISAs) for driving Soft Wearable Devices (SWD) for rehabilitation or assistance tasks. FISAs are integrated by a set of pneumatic chambers made of 200D TPU-nylon that create bending-extending motions using a modular assembly that allow FISAs to adapt them to any size of limb or easily replace them. Regarding FISAs fabrication, a self-hand manufacturing approach has been used for cutting, sewing, and joining them. Additionally, to evaluate FISAs operation, a Soft Exo-Sleeve called MOSAR system was manufactured to achieve elbow motion. To control their inflation-deflation process in real-time, proportional and solenoid valves have been implemented along with a Proportional-Derivative (PD) control strategy that has been embedded in the NUCLEO-STM32F767ZI™ board with rapid control prototyping. Preliminary experiments about FISA performance on the MOSAR system were carried out to measure the inflation-deflation time, Range of Motion (ROM), and output force when elbow flexion-extension occurred in a dummy limb. The results have demonstrated FISAs functionality above the exosuit since they were able to lift 1 kg with flexion of 130${}^{°}$ in 5 s using 50 psi. Therefore, FISAs represent a feasible choice for semicircular motions in other joints such as the wrist, hand, or knee, no matter age, limb, or size, only the number of FISAs must be adjusted on the MOSAR system.

There are different devices to increase the strength capacity of people with walking problems. These devices can be classified into exoskeletons, orthotics, and braces. This review aims to identify the state of the art in the design of these medical devices, based on an analysis of patents and literature. However, there are some difficulties in processing the records due to the lack of filters and standardization in the names, generating discrepancies between the search engines, among others. Concerning the patents, 74 patents were analyzed using search engines such as Google Patents, Derwent, The Lens, Patentscope, and Espacenet over the past ten years. A bibliometric analysis was performed using 63 scientific reports from Web of Science and The Lens in the same period for scientific communications. The results show a trend to use the mechanical design of exoskeletons based on articulated rigid structures and elements that provide force to move the structure. These are generally two types: (a) elastic elements and (b) electromechanical elements. The United States accounts for 32% of the technological patents reviewed. The results suggest that the use of exoskeletons or orthoses customized to the users’ needs will continue to increase over the years due to the worldwide growth in disability, particularly related to mobility difficulties and technologies related to the combined use of springs and actuators.