Aid device for the movement and/or rehabilitation of one or more fingers of a hand
20170266075 · 2017-09-21
Inventors
- Francesco Becchi (Genova, IT)
- Patrizio Sale (Roma, IT)
- Wiktor Sieklicki (Gdansk, PL)
- Giovanni Stellin (Genova, IT)
Cpc classification
A63B21/00178
HUMAN NECESSITIES
A61H2230/605
HUMAN NECESSITIES
A61H2201/501
HUMAN NECESSITIES
International classification
A61H1/02
HUMAN NECESSITIES
A63B21/00
HUMAN NECESSITIES
Abstract
An aid device for the movement and rehabilitation hand fingers includes a exoskeleton, an articulated glove or a wearable mechanism configured to be positioned on the back of at least one finger and to be mechanically constrained to the finger, and a motorized system exerting a movement or a change in the configuration of the exoskeleton. The exoskeleton includes a rigid elements arranged on a row one behind the other along a longitudinal axis parallel to the longitudinal extension of the finger and articulated with each other to make a modular underactuated structure and obtain maximum shape and kinematic adaptability to the fingers, particularly to follow the extension and flexing movement of the fingers. The motorized system includes pulling and/or pushing elements that act on one or more of the elements of the exoskeleton to produce finger movements and particularly the extension and flexing movements of the fingers.
Claims
1. An aid device for movement and rehabilitation of one or more fingers of a hand, comprising: an exoskeleton configured to be positioned on the back of at least one finger and to be mechanically constrained to the finger; and a motorized system exerting a movement or a change in a configuration of said exoskeleton, wherein said exoskeleton comprises an underactuated modular structure having a plurality of substantially identical rigid elements arranged on a row and articulated with each other, wherein said rigid elements are arranged in said row one behind another along a longitudinal axis parallel to a longitudinal extension of the finger and are articulated with each other to follow one or more finger movements selected from the group consisting of extension, flexion, adduction, abduction, or opposition of thumb, wherein said motorized system comprises one or both of pulling or pushing elements that act on one or more of said rigid elements of the exoskeleton to produce said one more finger movements, wherein said rigid elements of said exoskeleton are constrained with each other by a continuous longitudinal element comprising a chain having links articulated with each other according to first parallel articulation axes, said first parallel articulation axes being oriented parallel to articulation axes of finger phalanges in an extension and closure movement thereof, and wherein the rigid elements pivot with respect to each other according to second parallel articulation axes, said second parallel articulation axes being oriented parallel to the articulation axes of the finger phalanges, and being movable near and away from each other, each of said rigid elements being pivotally fastened about an axis of articulation of two links of the chain; further comprising at least one pulling element passing through the rigid elements and freely slidable therethrough, said pulling element being flexible and constrained at one end to an end element placed at a distal end of the finger and at an opposite end to a pulling member.
2. The aid device according to claim 1, wherein each plurality of rigid elements comprises a variable number of rigid elements or translates along an alignment axis to modify a length of the chain depending on different dimensions of a patient's fingers.
3. The aid device according to claim 1, wherein said rigid elements comprise blocks or plates of a substantially rectangular annular shape, having a predetermined thickness, and are provided with a support surface and a through hole for a longitudinal articulation element, inner walls of the through hole at posts oriented perpendicular to the articulation axes being provided with holes which engage opposite ends of a pin provided on a chain element and extending on opposite sides of the chain element at an articulation axis, and wherein each rigid element is provided with at least one through hole obtained in a direction of the adjacent rigid elements and configured to be passed through by the pulling element.
4. The aid device according to claim 1, wherein the end element placed at the distal end of the finger is locked and constrained to the pulling element.
5. The aid device according to claim 3, wherein each rigid element is articulated at an articulation axis of a link of the chain element, there being provided at least one intermediate articulation axis between two adjacent rigid elements, a rigid element being not articulated on said intermediate articulation axis.
6. The aid device according to claim 1, wherein the rigid elements are mounted on a supporting structure coupled to the hand and comprising a stiffening disc adapted to adhere to a palm of the hand.
7. The aid device according to claim 6, wherein the supporting structure is configured as a continuous glove.
8. The aid device according to claim 6, wherein the supporting structure comprises at least one fingerstall end segment for the distal end of the finger and at least one intermediate annular segment fastenable to the finger.
9. The aid device according to claim 1, wherein the pulling elements comprise at least one actuating unit for a pulling action which is mounted on a back side of a wristband, said pulling elements being operatively connectable to each pull cable so that the pulling action is contemporaneously exerted by all pull cables, by each pull cable selectively and independently from each other, or by sub-groups of the pull cables, wherein the pulling action is exerted contemporaneously for the pull cables of a corresponding sub-group.
10. The aid device according to claim 1, further comprising a differential mechanism interposed between at least one pulling unit and at least two pulling elements for controlling at least two pulling element with a single pulling unit.
11. The aid device according to claim 1, further comprising position sensors and force sensors connected to an electronic unit operating and controlling movement depending on signals detected by said position and force sensors.
12. The aid device according to claim 11, wherein the exoskeleton is coupled to forefinger, ring finger, middle finger and little finger, and the pulling elements comprise four actuating units, each of said actuating units acting on a single finger, the electronic unit being configured to independently control the exoskeleton on each finger.
13. The aid device according to claim 1, further comprising members driving and transmitting exoskeleton movements corresponding to adduction and/or abduction movements and opposition movements of the thumb, said members being individually activatable or deactivatable to let the adduction/abduction movements and the thumb movements free, to lock the fingers in a predetermined position, or to actively actuate finger movement.
14. The aid device according to claim 1, further comprising a system that executes a logic program managing and controlling the exoskeleton configured as a videogame or a predetermined program, and a system that changes difficulty level thereof or of an associated action based on achievement of predetermined motor performances.
15. The aid device according to claim 1, wherein the chain articulating the rigid elements with each other is composed of a continuous and one-piece element that forms a flexible connection element composed of bridges of a material or of film-shaped hinges to which the rigid elements are coupled and distributed spaced from each other along a longitudinal extension of said connection element to generate an overall deformation of the exoskeleton according to a preferential flexion plane.
16. The aid device according to claim 15, wherein the flexible connection element is made at least of two different materials.
17. The aid device according to claim 15, wherein the flexible connection element is made at least partially or for its entire extension of an elastically flexible material.
18. An aid device for movement and rehabilitation of one or more fingers of a hand, comprising: an exoskeleton configured to be positioned on a back of at least one finger and to be mechanically constrained to the finger; and a motorized system exerting a movement or a change in a configuration of said exoskeleton, wherein said exoskeleton comprises an underactuated modular structure, comprising a plurality of substantially identical rigid elements arranged on a row and articulated with each other, wherein said rigid elements are arranged in said row one behind another along a longitudinal axis parallel to a longitudinal extension of the finger and are articulated with each other to follow at least one or more finger movements selected from the group consisting of extension, flexion, adduction, abduction, opposition of thumb, wherein said motorized system for at least a part of said movements comprises pulling and pushing elements that act on one or more of said rigid elements of the exoskeleton to produce said at least one finger movement, and wherein said rigid elements of said exoskeleton are constrained to each other by a continuous longitudinal element composed of a flexible or elastic sequence of connection elements, the individual rigid elements being coupled to the continuous longitudinal element at expected distances from each other, said continuous longitudinal element being made to have an overall deformation along a preferential flexion plane.
19. The aid device according to claim 18, wherein the preferential flexion plane is oriented to correspond to articulation axes of phalanges of the finger in an extension and closure movement thereof, and wherein at least one pulling element is passing through the rigid elements and is freely slidable therethrough, said pulling element being flexible and constrained at one end to an end element placed at a distal end of the finger and at an opposite end to a pulling element.
20. The aid device according to claim 18, wherein each plurality of rigid elements comprises a variable number of rigid elements or translates along an alignment axis to modify a length of the chain depending on different dimensions of a patient's fingers.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0051] The characteristics listed above and other characteristics and advantages of the present invention will be more clear from the following description of some embodiments shown in the annexed drawings wherein:
[0052]
[0053]
[0054]
[0055]
[0056]
[0057]
[0058]
[0059]
[0060]
[0061]
DETAILED DESCRIPTION OF EMBODIMENTS OF THE INVENTION
[0062] With reference to
[0063] In particular the mechanical constraint between the exoskeleton and the finger of the hand can be further strengthened by means of clamping elements 230 provided at predetermined points of the finger and of the hand and for example made in the form of clamping annular bands or strips 230 that are wound around the finger.
[0064] As it will be more clear from the following description, a tension rod 3 in the form of a cable slidably passes through the series of rigid elements 1 that form the exoskeleton structure and that adhere on the back side of the finger. Therefore the tension rod freely passes through each one of the rigid elements 1 and it is fastened by its distal end only to at least one of the rigid elements 1′ provided at the distal end of the exoskeleton. Said distal rigid element 1′ is constrained with the distal phalange by a clamping band 230 and a cap element 330 that is inserted on the end of the distal phalange or a terminal coupling to said distal end of the distal phalange.
[0065] In the variant of
[0066] In order to adapt itself to the dimensions and to the complex kinematics of the fingers each exoskeleton is composed of a serial underactuated mechanism, meaning a mechanism having a lower number of actuators than degrees of freedom. In particular the exoskeleton is made as a grasping underactuated mechanism moved by cables.
[0067] Each man-machine interaction system that directly contacts the human skin should provide wearing and use comfort. No pain and no unpleasant skin irritation have to be caused by any device. In the case of the device shown in
[0068] The fingertip is another point where the force extending the finger is directly applied. According to a possible advantageous solution, in the device according to the present invention there are provided natural leather strips wound in the form of cylindrical bushings. Such solution provided in the embodiments of
[0069] The end bushings made of leather act as fingerstalls where the end of the distal phalange of the corresponding finger is inserted. Said bushings have the same reference numeral 330 of the analogous element provided in the embodiment of
[0070] Moreover as it results from
[0071] As it results from
[0072] Still with a particular reference to
[0073] The main component of the system which is the series of rigid elements 1 arranged on a row with the means for limiting the distance between said rigid elements, is connected to the finger by a leather strip whose edges are held by the terminal 331 such to form distal fingerstalls housing the ends of the distal phalange of the respective finger and of an annular fabric band 230 provided in an intermediate position of the longitudinal extension of the finger, particularly at the proximal phalange. The pull cable 3 passes through all the elements and it is fastened to the last rigid element as disclosed above. The pull cable is guided to the pulling motorized assembly by a sheath.
[0074] The following
[0075] More generally, the inventive concept provides a series of differential mechanisms connected with each other which is the base of an underactuated mechanism and that when applied to the hands, performs an adaptive self-configuration very close to the kinematics of human fingers in the activity grasping objects. An underactuated finger is kinematically under-constrained and dynamically unstable, however, when it closes around an object, the finger obtains the missing external constraints and it configures its shape on the object. As a result, in the case of a hand with at least three underactuated fingers (that gives the minimum number of points of contact for constraining an object in the space), an automatic grasping action is generated around the object with a configuration of the fingers suitable for the object and therefore with a higher stability.
[0076] Conceptually the device is composed of a series of rigid structures or rigid elements arranged on a row on a back surface of the hand and of the fingers along all their length. The relative movement between said rigid elements aims at straightening the fingers, by means of a tension rod acting on the last element at the distal end of the exoskeleton. The above permits a great flexibility in the adaptation to any finger length.
[0077] In a preferred embodiment, the rigid elements are composed of parallelepiped shaped blocks in combination with means limiting the separation distance between the adjacent parallelepiped blocks such to equally distribute straightening forces among each one of said elements/blocks when the finger is flexed. Moreover said separation limiting means reduce the undesired mobility of the blocks such as particularly a rotation about the longitudinal axis of the finger.
[0078] In a preferred embodiment the invention advantageously provides a chain as the separation limiting means.
[0079] With such solution the rotation along the longitudinal plane is prevented while the blocks are free to pivot in the sagittal plane. Moreover the chain passes into a central passage opening of each parallelepiped block generating a backbone-like structure.
[0080] In particular, in order to guarantee the highest adaptability of the exoskeleton to the corresponding finger, each parallelepiped block in the longitudinal direction of the finger has a relatively thin dimension, namely smaller than the dimensions of the block in the other two directions. The thickness is selected such to meet different conflicting needs. On one side the reduction of the thickness of the block in the longitudinal direction of the finger increases the adaptability of the exoskeleton to the shape of the back side of the finger on which the exoskeleton is in contact. On the other side, an excessive reduction of the thickness dimensions of the blocks in the longitudinal direction of the finger complicates the structure both as regards the number of pieces and as regards the configuration of the distance limiting means and the relevant means for the fastening to the individual rigid elements.
[0081] As it will be seen in the specific shown embodiment, the dimension of the blocks in the longitudinal direction of the fingers is such to maintain the structure strong enough and to allow the individual blocks to be articulated to a limiting element made in the form of a chain, all without compromising the adaptability of the exoskeleton structure to the morphology and kinematics of the finger.
[0082]
[0083]
[0084] By going in the details of
[0085] The structure of the chain is composed of two types of links very similar to each other and connected in series alternately to each other said two types of links being denoted by 202, 302 in
[0086] Considering the kinematics of the chain and the shape thereof, as it results from
[0087] A constructional example provides parallelepiped blocks with dimensions of 4.8 mm of thickness, 13 mm of height that is in the direction perpendicular to the articulation axes and 12 mm of width that is in a direction parallel to the articulation axes.
[0088] The links of the chain 2 are long as 7.8 mm, have a thickness of 3 mm and a width of 6 mm. With such dimensions it is still advantageously possible to use a standard manufacturing process and this considerably reduces the manufacturing costs.
[0089] Links 302 are articulated to the corresponding block 1 by means of a pin with a length of 12 mm.
[0090] As regards the kinematic behavior of the device two cases have to be considered:
[0091] The first case is about the last parallelepiped block 1′ which is connected to the tip of the finger, and also the pull cable 3 is connected thereto.
[0092] The situation is summarized in
MFT>MQT, where MFT=Ft*r and MQT=Qt*r
[0093] where:
[0094] MFT is the torque exerted by the pulling force;
[0095] Ft is the component of the pulling force perpendicular to radius r;
[0096] Qt is the component of the weight perpendicular to the radius;
[0097] MQT is the torque exerted by the weight generated by the finger;
[0098] r is the radius between the articulation axis of the joint of the finger and the axis of the pull cable.
[0099] In the worst case the force Ft will have the smallest values for the maximum opening angle α=34.5° made possible by the structure of the exoskeleton 100. In such situation the pulling force exerted by the last block 1′ is calculated as being about 0.95 of the force applied by the cable 3, while the MQT torque is calculated as a constant value equal to a factor of 0.29 of the force with which the fingertip opposes the extension/lifting.
[0100] The second case provides the behavior of the intermediate blocks 1 and it is schematically shown in
[0101] The amount of blocks used in the system causes the angle a to change. Generally the smaller the angle a is, the more force is transmitted to the fingertip due to the lower friction, while the generated vertical force pushing the finger downwardly is smaller. The length of each series of blocks is easily adjustable and in the shown example 111 blocks in total are provided to form the exoskeleton of four fingers.
[0102] As already mentioned in the introduction of the present description, in combination with the mechanical part there are provided sensors for the movement and for the exerted force. These sensors can be selected among the sensors available on the market and this is a selection made by the person skilled in the art within his/her basic technical knowledge.
[0103] This is valid also for the provision of a control and processing unit that can be made in the form of a processing unit wherein a control and processing program is loaded.
[0104] Said unit can be worn by the patient or it can be remote and connected to a data transmission unit that receives and transmits the data collected by the sensors and that transmits the configuration and control signals to the device, that is to the motor and to the transmission unit.
[0105] Several possibilities are known and widely used in distributing the control tasks and the processing tasks among several units of which a remote and fixed part and a wearable part. The devices can be dedicated electronics interfacing with the device and having a section for the interface with general processing devices of the retail type such as personal computer, tablet, smart phones and other ones. In this case the person skilled in the art can carry out any selection considered as being the most suitable for the specific case both as regards costs and as regards comfort of use and functionalities. Simply by using its basic technical knowledge.
[0106] A particular embodiment provides a program for managing the rehabilitation exercises that are implemented in the form of a game, the objectives of the game being defined such to progressively increase the difficulty level of the exercises. Advantageously by means of the present sensors, the processing unit that executes the program can automatically evaluate the achievement of specific difficult levels and therefore can automatically set new difficult levels.
[0107] The interfaces between the possible dedicated processing and control electronics and possible traditional processing and control electronics, in both the cases where the processing and control devices are fixed or worn, can be of the wireless type or of the cable type.
[0108] With reference to
[0109] The element 2 can be made in several manners and according to the non-limitative shown embodiment it is a band made of one-piece flexible material.
[0110] The flexible connection element is a continuous element wherein it is possible to integrate in several manners and at predetermined distances the several rigid elements 1 such to form an exoskeleton with the functional characteristics substantially equal to those of the preceding embodiment.
[0111] Such as shown in
[0112] The distances between the individual rigid elements 1 can be selected on the basis of the conditions of use.
[0113] In one embodiment the flexible connection element 2 can be made of only one material or of several materials for example combinations of layers applied for giving particular mechanical behaviors.
[0114] Moreover the rigid elements 1 and the element 2 connecting them can be made as a continuous solution for example made of a same material or different materials, particularly by means of injection, co-injection, over-molding processes and other rapid prototyping techniques.
[0115] By using plastic materials or other materials that can be formed with co-molding or over-molding processes, it is possible for example to make the exoskeleton according to
[0116] As it is clear the exoskeleton structure is made of the sequence of rigid elements 1 and of the sequence of flexible connection elements that connect the individual rigid elements with each other in a flexible manner, forming a kind of film-like hinge.
[0117] The numeral 3 denotes the pull/extension cable that acts in the same manner as described for the preceding embodiment.
[0118] Still according to a further variant, the material used for the flexible connection elements of the sequence 2 of said elements can have not only flexibility characteristics, but also an elastic behavior tending to recover the initial shape once it is biased in a tensile, compression manner and also possibly other manners. Such behavior can be set by acting on the material that can be made of a particular combination of plastic materials or other one or by acting on the dimensions of the elements such as thickness, width, length, on the shape and also on the fact of providing different parts coupled to each other, such as for example a structure composed of different layers coupled with each other, at least at the areas where a certain elastic response is required or desired.
[0119] By means of such elastic characteristics it is possible to obtain a higher adaptation to the different conditions of use.
[0120] Finally, it has to be noted that the element 2 of