title: A structured overview of trends and technologies used in dynamic hand orthoses.
abstract: The development of dynamic hand orthoses is a fast-growing field of research and has resulted in many different devices. A large and diverse solution space is formed by the various mechatronic components which are used in these devices. They are the result of making complex design choices within the constraints imposed by the application, the environment and the patient's individual needs. Several review studies exist that cover the details of specific disciplines which play a part in the developmental cycle. However, a general collection of all endeavors around the world and a structured overview of the solution space which integrates these disciplines is missing. In this study, a total of 165 individual dynamic hand orthoses were collected and their mechatronic components were categorized into a framework with a signal, energy and mechanical domain. Its hierarchical structure allows it to reach out towards the different disciplines while connecting them with common properties. Additionally, available arguments behind design choices were collected and related to the trends in the solution space. As a result, a comprehensive overview of the used mechatronic components in dynamic hand orthoses is presented.
authors.affiliation: Department of Biomechanical Engineering, Delft University of Technology, Mekelweg 2, 2628 CD Delft, The Netherlands. r.a.bos@tudelft.nl.
authors.forename: Ronald A
authors.identifier: 0000-0001-7251-5941
authors.initials: RA
authors.lastname: Bos
authors.affiliation: Department of Biomechanical Engineering, University of Twente, Drienerlolaan 5, 7522 NB Enschede, The Netherlands.
authors.forename: Claudia J W
authors.initials: CJ
authors.lastname: Haarman
authors.affiliation: Department of Biomechanical Engineering, University of Twente, Drienerlolaan 5, 7522 NB Enschede, The Netherlands.
authors.forename: Teun
authors.initials: T
authors.lastname: Stortelder
authors.affiliation: Department of Biomechanical Engineering, University of Twente, Drienerlolaan 5, 7522 NB Enschede, The Netherlands.
authors.forename: Kostas
authors.initials: K
authors.lastname: Nizamis
authors.affiliation: Department of Biomechanical Engineering, University of Twente, Drienerlolaan 5, 7522 NB Enschede, The Netherlands.|Department of Precision and Microsystems Engineering, Delft University of Technology, Mekelweg 2, 2628 CD Delft, The Netherlands.
authors.forename: Just L
authors.initials: JL
authors.lastname: Herder
authors.affiliation: Department of Biomechanical Engineering, University of Twente, Drienerlolaan 5, 7522 NB Enschede, The Netherlands.|Department of Physical Therapy and Human Movement Sciences, Northwestern University, 645 N. Michigan Ave. Suite 1100, Chicago, 60611, IL, USA.
authors.forename: Arno H A
authors.initials: AH
authors.lastname: Stienen
authors.affiliation: Department of Biomechanical Engineering, Delft University of Technology, Mekelweg 2, 2628 CD Delft, The Netherlands.
authors.forename: Dick H
authors.initials: DH
authors.lastname: Plettenburg
mesh_terms: D004867:Equipment Design; D006225:Hand; D006801:Humans; D009989:Orthotic Devices; D012371:Robotics
keywords: Assistive device; Exoskeleton; Hand impairments; Orthosis; Rehabilitation robot