Exo-Glove Shell: A Hybrid Rigid-Soft Wearable Robot for Thumb Opposition with an Under-Actuated Tendon-Driven System.

Usability and functionality are important when designing hand-wearable robots; however, satisfying both indicators remains a challenging issue, even though researchers have made important progress with state-of-the-art robot components. Although hand-wearable robots require sufficient actuators and sensors considering their functionality, these components complicate the robot. Further, robot compliance should be carefully considered because it affects both indicators. For example, a robot's softness makes it compact (improving usability) but also induces inaccurate force transmission (impacting functionality). To address this issue, we present in this paper a tendon-driven, hybrid, hand-wearable robot, named Exo-Glove Shell. The proposed robot assists in three primitive motions (i.e., thumb opposition motion, which is known as one of the most important hand functions, and flexion/extension of the index/middle fingers) while employing only four actuators by using an under-actuation mechanism. The Exo-Glove Shell was designed by combining a soft robotic body with rigid tendon router modules. The use of soft garments enables the robot to be fitted well to users without customization or adjustment of the mechanisms; the metal routers facilitate accurate force transmission. User tests conducted with an individual with a spinal cord injury (SCI) found that the robot could sufficiently and reliably assist in three primitive motions through its four actuators. The research also determined that the robot can assist in various postures with sufficient stability. Based on the grasp stability index proposed in this paper, user stability-when assisted by the proposed robot-was found to be 4.75 times that of an SCI person who did not use the Exo-Glove Shell.