首页|Expanding Functional Workspace for People With C5-C7 Spinal Cord Injury With Supernumerary Dorsal Grasping

Expanding Functional Workspace for People With C5-C7 Spinal Cord Injury With Supernumerary Dorsal Grasping

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Spinal cord injuries (SCI) substantially affect sensory, motor, and autonomous functions below the level of injury, reducing the independence and quality of life for affected individuals. Specifically, people with SCI between C5 and C7 cervical levels encounter limitations in voluntary finger and wrist flexion, reducing grasp capability. Compensatory strategies like tenodesis grasp, whereby wrist extension passively closes the fingers, remain; this is effective for small and light objects but insufficient for heavier ones. Typically, wearable assistive exoskeletons are designed to actuate a person’s fingers, however, such devices are sensitive to anatomical variability, such as hand size and joint contractures. The Dorsal Grasper is a wearable device designed to address this challenge by leveraging voluntary wrist extension and providing human-robot collaborative grasping capabilities with underactuated supernumerary fingers on the back of the hand. In this study, we introduce kinematic assessment methods that we use to show how the Dorsal Grasper expands the graspable workspace and reduces trunk motion, especially in situations where the use of a wheelchair restricts the individual’s posture. Our functionally relevant experiments with multiple SCI participants demonstrate the Dorsal Grasper’s potential as a versatile assistive solution for enhancing grasping capability in individuals with distinct SCI profiles.

WristGraspingBendingThumbTendonsMusclesKinematicsSpinal cord injurySkinRubber

Jungpyo Lee、Andrew I. W. McPherson、Haoxiang Huang、Licheng Yu、Yuri Gloumakov、Hannah S. Stuart

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Department of Mechanical Engineering, Embodied Dexterity Group, University of California at Berkeley, Berkeley, CA, USA

Department of Mechanical Engineering, Embodied Dexterity Group, University of California at Berkeley, Berkeley, CA, USA|Department of Electrical and Computer Engineering, RUKA Lab, University of Connecticut, Storrs, CT, USA

2025

IEEE transactions on neural systems and rehabilitation engineering: a publication of the IEEE Engineering in Medicine and Biology Society
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