Therapy effect on hand function after home use of a wearable assistive soft-robotic glove supporting grip strength
Soft-robotic gloves with an assist-as-needed control have the ability to assist daily activities where needed, while stimulating active and highly functional movements within the user's possibilities. Employment of hand activities with glove support might act as training for unsupported hand fu...
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| Published in | PloS one Vol. 19; no. 7; p. e0306713 |
|---|---|
| Main Authors | , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Public Library of Science
11.07.2024
Public Library of Science (PLoS) |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1932-6203 1932-6203 |
| DOI | 10.1371/journal.pone.0306713 |
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| Abstract | Soft-robotic gloves with an assist-as-needed control have the ability to assist daily activities where needed, while stimulating active and highly functional movements within the user's possibilities. Employment of hand activities with glove support might act as training for unsupported hand function.
To evaluate the therapeutic effect of a grip-supporting soft-robotic glove as an assistive device at home during daily activities.
This multicentre intervention trial consisted of 3 pre-assessments (averaged if steady state = PRE), one post-assessment (POST), and one follow-up assessment (FU). Participants with chronic hand function limitations were included. Participants used the Carbonhand glove during six weeks in their home environment on their most affected hand. They were free to choose which activities to use the glove with and for how long. The primary outcome measure was grip strength, secondary outcome measures were pinch strength, hand function and glove use time.
63 patients with limitations in hand function resulting from various disorders were included. Significant improvements (difference PRE-POST) were found for grip strength (+1.9 kg, CI 0.8 to 3.1; p = 0.002) and hand function, as measured by Jebson-Taylor Hand Function Test (-7.7 s, CI -13.4 to -1.9; p = 0.002) and Action Research Arm Test (+1.0 point, IQR 2.0; p≤0.001). Improvements persisted at FU. Pinch strength improved slightly in all fingers over six-week glove use, however these differences didn't achieve significance. Participants used the soft-robotic glove for a total average of 33.0 hours (SD 35.3), equivalent to 330 min/week (SD 354) or 47 min/day (SD 51). No serious adverse events occurred.
The present findings showed that six weeks use of a grip-supporting soft-robotic glove as an assistive device at home resulted in a therapeutic effect on unsupported grip strength and hand function. The glove use time also showed that this wearable, lightweight glove was able to assist participants with the performance of daily tasks for prolonged periods. |
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| AbstractList | Background Soft-robotic gloves with an assist-as-needed control have the ability to assist daily activities where needed, while stimulating active and highly functional movements within the user's possibilities. Employment of hand activities with glove support might act as training for unsupported hand function. Objective To evaluate the therapeutic effect of a grip-supporting soft-robotic glove as an assistive device at home during daily activities. Methods This multicentre intervention trial consisted of 3 pre-assessments (averaged if steady state = PRE), one post-assessment (POST), and one follow-up assessment (FU). Participants with chronic hand function limitations were included. Participants used the Carbonhand glove during six weeks in their home environment on their most affected hand. They were free to choose which activities to use the glove with and for how long. The primary outcome measure was grip strength, secondary outcome measures were pinch strength, hand function and glove use time. Results 63 patients with limitations in hand function resulting from various disorders were included. Significant improvements (difference PRE-POST) were found for grip strength (+1.9 kg, CI 0.8 to 3.1; p = 0.002) and hand function, as measured by Jebson-Taylor Hand Function Test (-7.7 s, CI -13.4 to -1.9; p = 0.002) and Action Research Arm Test (+1.0 point, IQR 2.0; p[less than or equal to]0.001). Improvements persisted at FU. Pinch strength improved slightly in all fingers over six-week glove use, however these differences didn't achieve significance. Participants used the soft-robotic glove for a total average of 33.0 hours (SD 35.3), equivalent to 330 min/week (SD 354) or 47 min/day (SD 51). No serious adverse events occurred. Conclusion The present findings showed that six weeks use of a grip-supporting soft-robotic glove as an assistive device at home resulted in a therapeutic effect on unsupported grip strength and hand function. The glove use time also showed that this wearable, lightweight glove was able to assist participants with the performance of daily tasks for prolonged periods. Soft-robotic gloves with an assist-as-needed control have the ability to assist daily activities where needed, while stimulating active and highly functional movements within the user's possibilities. Employment of hand activities with glove support might act as training for unsupported hand function. To evaluate the therapeutic effect of a grip-supporting soft-robotic glove as an assistive device at home during daily activities. This multicentre intervention trial consisted of 3 pre-assessments (averaged if steady state = PRE), one post-assessment (POST), and one follow-up assessment (FU). Participants with chronic hand function limitations were included. Participants used the Carbonhand glove during six weeks in their home environment on their most affected hand. They were free to choose which activities to use the glove with and for how long. The primary outcome measure was grip strength, secondary outcome measures were pinch strength, hand function and glove use time. 63 patients with limitations in hand function resulting from various disorders were included. Significant improvements (difference PRE-POST) were found for grip strength (+1.9 kg, CI 0.8 to 3.1; p = 0.002) and hand function, as measured by Jebson-Taylor Hand Function Test (-7.7 s, CI -13.4 to -1.9; p = 0.002) and Action Research Arm Test (+1.0 point, IQR 2.0; p[less than or equal to]0.001). Improvements persisted at FU. Pinch strength improved slightly in all fingers over six-week glove use, however these differences didn't achieve significance. Participants used the soft-robotic glove for a total average of 33.0 hours (SD 35.3), equivalent to 330 min/week (SD 354) or 47 min/day (SD 51). No serious adverse events occurred. The present findings showed that six weeks use of a grip-supporting soft-robotic glove as an assistive device at home resulted in a therapeutic effect on unsupported grip strength and hand function. The glove use time also showed that this wearable, lightweight glove was able to assist participants with the performance of daily tasks for prolonged periods. Soft-robotic gloves with an assist-as-needed control have the ability to assist daily activities where needed, while stimulating active and highly functional movements within the user's possibilities. Employment of hand activities with glove support might act as training for unsupported hand function.BACKGROUNDSoft-robotic gloves with an assist-as-needed control have the ability to assist daily activities where needed, while stimulating active and highly functional movements within the user's possibilities. Employment of hand activities with glove support might act as training for unsupported hand function.To evaluate the therapeutic effect of a grip-supporting soft-robotic glove as an assistive device at home during daily activities.OBJECTIVETo evaluate the therapeutic effect of a grip-supporting soft-robotic glove as an assistive device at home during daily activities.This multicentre intervention trial consisted of 3 pre-assessments (averaged if steady state = PRE), one post-assessment (POST), and one follow-up assessment (FU). Participants with chronic hand function limitations were included. Participants used the Carbonhand glove during six weeks in their home environment on their most affected hand. They were free to choose which activities to use the glove with and for how long. The primary outcome measure was grip strength, secondary outcome measures were pinch strength, hand function and glove use time.METHODSThis multicentre intervention trial consisted of 3 pre-assessments (averaged if steady state = PRE), one post-assessment (POST), and one follow-up assessment (FU). Participants with chronic hand function limitations were included. Participants used the Carbonhand glove during six weeks in their home environment on their most affected hand. They were free to choose which activities to use the glove with and for how long. The primary outcome measure was grip strength, secondary outcome measures were pinch strength, hand function and glove use time.63 patients with limitations in hand function resulting from various disorders were included. Significant improvements (difference PRE-POST) were found for grip strength (+1.9 kg, CI 0.8 to 3.1; p = 0.002) and hand function, as measured by Jebson-Taylor Hand Function Test (-7.7 s, CI -13.4 to -1.9; p = 0.002) and Action Research Arm Test (+1.0 point, IQR 2.0; p≤0.001). Improvements persisted at FU. Pinch strength improved slightly in all fingers over six-week glove use, however these differences didn't achieve significance. Participants used the soft-robotic glove for a total average of 33.0 hours (SD 35.3), equivalent to 330 min/week (SD 354) or 47 min/day (SD 51). No serious adverse events occurred.RESULTS63 patients with limitations in hand function resulting from various disorders were included. Significant improvements (difference PRE-POST) were found for grip strength (+1.9 kg, CI 0.8 to 3.1; p = 0.002) and hand function, as measured by Jebson-Taylor Hand Function Test (-7.7 s, CI -13.4 to -1.9; p = 0.002) and Action Research Arm Test (+1.0 point, IQR 2.0; p≤0.001). Improvements persisted at FU. Pinch strength improved slightly in all fingers over six-week glove use, however these differences didn't achieve significance. Participants used the soft-robotic glove for a total average of 33.0 hours (SD 35.3), equivalent to 330 min/week (SD 354) or 47 min/day (SD 51). No serious adverse events occurred.The present findings showed that six weeks use of a grip-supporting soft-robotic glove as an assistive device at home resulted in a therapeutic effect on unsupported grip strength and hand function. The glove use time also showed that this wearable, lightweight glove was able to assist participants with the performance of daily tasks for prolonged periods.CONCLUSIONThe present findings showed that six weeks use of a grip-supporting soft-robotic glove as an assistive device at home resulted in a therapeutic effect on unsupported grip strength and hand function. The glove use time also showed that this wearable, lightweight glove was able to assist participants with the performance of daily tasks for prolonged periods. Background Soft-robotic gloves with an assist-as-needed control have the ability to assist daily activities where needed, while stimulating active and highly functional movements within the user’s possibilities. Employment of hand activities with glove support might act as training for unsupported hand function. Objective To evaluate the therapeutic effect of a grip-supporting soft-robotic glove as an assistive device at home during daily activities. Methods This multicentre intervention trial consisted of 3 pre-assessments (averaged if steady state = PRE), one post-assessment (POST), and one follow-up assessment (FU). Participants with chronic hand function limitations were included. Participants used the Carbonhand glove during six weeks in their home environment on their most affected hand. They were free to choose which activities to use the glove with and for how long. The primary outcome measure was grip strength, secondary outcome measures were pinch strength, hand function and glove use time. Results 63 patients with limitations in hand function resulting from various disorders were included. Significant improvements (difference PRE-POST) were found for grip strength (+1.9 kg, CI 0.8 to 3.1; p = 0.002) and hand function, as measured by Jebson-Taylor Hand Function Test (-7.7 s, CI -13.4 to -1.9; p = 0.002) and Action Research Arm Test (+1.0 point, IQR 2.0; p≤0.001). Improvements persisted at FU. Pinch strength improved slightly in all fingers over six-week glove use, however these differences didn’t achieve significance. Participants used the soft-robotic glove for a total average of 33.0 hours (SD 35.3), equivalent to 330 min/week (SD 354) or 47 min/day (SD 51). No serious adverse events occurred. Conclusion The present findings showed that six weeks use of a grip-supporting soft-robotic glove as an assistive device at home resulted in a therapeutic effect on unsupported grip strength and hand function. The glove use time also showed that this wearable, lightweight glove was able to assist participants with the performance of daily tasks for prolonged periods. Soft-robotic gloves with an assist-as-needed control have the ability to assist daily activities where needed, while stimulating active and highly functional movements within the user's possibilities. Employment of hand activities with glove support might act as training for unsupported hand function. To evaluate the therapeutic effect of a grip-supporting soft-robotic glove as an assistive device at home during daily activities. This multicentre intervention trial consisted of 3 pre-assessments (averaged if steady state = PRE), one post-assessment (POST), and one follow-up assessment (FU). Participants with chronic hand function limitations were included. Participants used the Carbonhand glove during six weeks in their home environment on their most affected hand. They were free to choose which activities to use the glove with and for how long. The primary outcome measure was grip strength, secondary outcome measures were pinch strength, hand function and glove use time. 63 patients with limitations in hand function resulting from various disorders were included. Significant improvements (difference PRE-POST) were found for grip strength (+1.9 kg, CI 0.8 to 3.1; p = 0.002) and hand function, as measured by Jebson-Taylor Hand Function Test (-7.7 s, CI -13.4 to -1.9; p = 0.002) and Action Research Arm Test (+1.0 point, IQR 2.0; p≤0.001). Improvements persisted at FU. Pinch strength improved slightly in all fingers over six-week glove use, however these differences didn't achieve significance. Participants used the soft-robotic glove for a total average of 33.0 hours (SD 35.3), equivalent to 330 min/week (SD 354) or 47 min/day (SD 51). No serious adverse events occurred. The present findings showed that six weeks use of a grip-supporting soft-robotic glove as an assistive device at home resulted in a therapeutic effect on unsupported grip strength and hand function. The glove use time also showed that this wearable, lightweight glove was able to assist participants with the performance of daily tasks for prolonged periods. BackgroundSoft-robotic gloves with an assist-as-needed control have the ability to assist daily activities where needed, while stimulating active and highly functional movements within the user's possibilities. Employment of hand activities with glove support might act as training for unsupported hand function.ObjectiveTo evaluate the therapeutic effect of a grip-supporting soft-robotic glove as an assistive device at home during daily activities.MethodsThis multicentre intervention trial consisted of 3 pre-assessments (averaged if steady state = PRE), one post-assessment (POST), and one follow-up assessment (FU). Participants with chronic hand function limitations were included. Participants used the Carbonhand glove during six weeks in their home environment on their most affected hand. They were free to choose which activities to use the glove with and for how long. The primary outcome measure was grip strength, secondary outcome measures were pinch strength, hand function and glove use time.Results63 patients with limitations in hand function resulting from various disorders were included. Significant improvements (difference PRE-POST) were found for grip strength (+1.9 kg, CI 0.8 to 3.1; p = 0.002) and hand function, as measured by Jebson-Taylor Hand Function Test (-7.7 s, CI -13.4 to -1.9; p = 0.002) and Action Research Arm Test (+1.0 point, IQR 2.0; p≤0.001). Improvements persisted at FU. Pinch strength improved slightly in all fingers over six-week glove use, however these differences didn't achieve significance. Participants used the soft-robotic glove for a total average of 33.0 hours (SD 35.3), equivalent to 330 min/week (SD 354) or 47 min/day (SD 51). No serious adverse events occurred.ConclusionThe present findings showed that six weeks use of a grip-supporting soft-robotic glove as an assistive device at home resulted in a therapeutic effect on unsupported grip strength and hand function. The glove use time also showed that this wearable, lightweight glove was able to assist participants with the performance of daily tasks for prolonged periods. |
| Audience | Academic |
| Author | Sluis, Corry K. van der Prange-Lasonder, Gerdienke B. Kottink, Anke I. R. Onneweer, Bram Voet, Nicoline B. M. Rietman, Johan S. Bos, Foskea P. Stolwijk-Swüste, Janneke M. Nikamp, Corien D. M. Broek, Marieke van den Brink, Sander M. |
| AuthorAffiliation | 7 Rijndam Rehabilitation, Rotterdam, The Netherlands 11 Department of Rehabilitation Medicine, Isala, Zwolle, The Netherlands 1 Roessingh Research and Development, Enschede, The Netherlands 10 Centre of Excellence for Rehabilitation Medicine, Brain Centre Rudolf Magnus, University Medical Centre Utrecht, Utrecht, The Netherlands 6 Sint Maartenskliniek, Ubbergen, The Netherlands University of Illinois Urbana-Champaign, UNITED STATES OF AMERICA 4 Reade, Center for Rehabilitation and Rheumatology, Amsterdam, The Netherlands 9 De Hoogstraat Rehabilitation, Utrecht, The Netherlands 13 Department of Rehabilitation, Donders Institute for Brain, Radboud University Medical Centre, Cognition and Behaviour, Nijmegen, The Netherlands 3 Department of Biomedical Signals and Systems, University of Twente, Enschede, The Netherlands 8 Department of Rehabilitation Medicine, Erasmus Medical Centre, Rotterdam, The Netherlands 5 Department of Rehabilitation Medicine, University Medical Center Groningen, University of |
| AuthorAffiliation_xml | – name: University of Illinois Urbana-Champaign, UNITED STATES OF AMERICA – name: 8 Department of Rehabilitation Medicine, Erasmus Medical Centre, Rotterdam, The Netherlands – name: 1 Roessingh Research and Development, Enschede, The Netherlands – name: 12 Rehabilitation Centre Klimmendaal, Arnhem, The Netherlands – name: 3 Department of Biomedical Signals and Systems, University of Twente, Enschede, The Netherlands – name: 13 Department of Rehabilitation, Donders Institute for Brain, Radboud University Medical Centre, Cognition and Behaviour, Nijmegen, The Netherlands – name: 11 Department of Rehabilitation Medicine, Isala, Zwolle, The Netherlands – name: 6 Sint Maartenskliniek, Ubbergen, The Netherlands – name: 14 Roessingh Centre for Rehabilitation, Enschede, The Netherlands – name: 9 De Hoogstraat Rehabilitation, Utrecht, The Netherlands – name: 2 Department of Biomechanical Engineering, University of Twente, Enschede, The Netherlands – name: 4 Reade, Center for Rehabilitation and Rheumatology, Amsterdam, The Netherlands – name: 5 Department of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands – name: 7 Rijndam Rehabilitation, Rotterdam, The Netherlands – name: 10 Centre of Excellence for Rehabilitation Medicine, Brain Centre Rudolf Magnus, University Medical Centre Utrecht, Utrecht, The Netherlands |
| Author_xml | – sequence: 1 givenname: Anke I. R. orcidid: 0000-0002-3619-4404 surname: Kottink fullname: Kottink, Anke I. R. – sequence: 2 givenname: Corien D. M. surname: Nikamp fullname: Nikamp, Corien D. M. – sequence: 3 givenname: Foskea P. surname: Bos fullname: Bos, Foskea P. – sequence: 4 givenname: Corry K. van der surname: Sluis fullname: Sluis, Corry K. van der – sequence: 5 givenname: Marieke van den surname: Broek fullname: Broek, Marieke van den – sequence: 6 givenname: Bram surname: Onneweer fullname: Onneweer, Bram – sequence: 7 givenname: Janneke M. surname: . Stolwijk-Swüste fullname: . Stolwijk-Swüste, Janneke M. – sequence: 8 givenname: Sander M. orcidid: 0000-0001-5594-1578 surname: Brink fullname: Brink, Sander M. – sequence: 9 givenname: Nicoline B. M. surname: Voet fullname: Voet, Nicoline B. M. – sequence: 10 givenname: Johan S. surname: Rietman fullname: Rietman, Johan S. – sequence: 11 givenname: Gerdienke B. surname: Prange-Lasonder fullname: Prange-Lasonder, Gerdienke B. |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38990858$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1177_15280837241292345 |
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| Copyright | Copyright: © 2024 Kottink et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. COPYRIGHT 2024 Public Library of Science 2024 Kottink et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2024 Kottink et al 2024 Kottink et al 2024 Kottink et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
| Copyright_xml | – notice: Copyright: © 2024 Kottink et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. – notice: COPYRIGHT 2024 Public Library of Science – notice: 2024 Kottink et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. – notice: 2024 Kottink et al 2024 Kottink et al – notice: 2024 Kottink et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
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| DOI | 10.1371/journal.pone.0306713 |
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| DocumentTitleAlternate | Therapy effect of a wearable assistive soft-robotic glove supporting grip strength |
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| Snippet | Soft-robotic gloves with an assist-as-needed control have the ability to assist daily activities where needed, while stimulating active and highly functional... Background Soft-robotic gloves with an assist-as-needed control have the ability to assist daily activities where needed, while stimulating active and highly... BackgroundSoft-robotic gloves with an assist-as-needed control have the ability to assist daily activities where needed, while stimulating active and highly... Background Soft-robotic gloves with an assist-as-needed control have the ability to assist daily activities where needed, while stimulating active and highly... |
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| SubjectTerms | Active control Activities of Daily Living Adult Age Aged Arm Biology and Life Sciences Clinical medicine Complications and side effects Diagnosis Engineering and Technology Evaluation Female Fingers Gloves Grip strength Hand Hand (anatomy) Hand - physiology Hand Strength - physiology Home environment Human subjects Humans Intervention Male Medical equipment Medicine and Health Sciences Middle Aged Nervous system diseases Orthopedics Osteoarthritis Pilot projects R&D Rehabilitation Research & development Rheumatoid arthritis Robot control Robotics Robotics - instrumentation Self-Help Devices Spinal cord injuries Stroke Time measurement Usability Wearable Electronic Devices Wearable technology |
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| Title | Therapy effect on hand function after home use of a wearable assistive soft-robotic glove supporting grip strength |
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