Using the robotic sixth finger and vibrotactile feedback for grasp compensation in chronic stroke patients

This paper presents a wearable robotic extra finger used by chronic stroke patients to compensate for the missing hand functions of the paretic limb. The extra finger is worn on the paretic forearm by means of an elastic band, and it is coupled with a vibrotactile ring interface worn on the healthy hand. The robotic finger and the paretic hand act like the two parts of a gripper working together to hold an object. The human user is able to control the flexion/extension of the robotic finger through a switch placed on the ring, while being provided with vibrotactile feedback about the forces exerted by the robotic finger on the environment. To understand how to control the vibrotactile interface to evoke the most effective cutaneous sensations, we carried out perceptual experiments to evaluate its absolute and differential thresholds. Finally, we performed a qualitative experiment, the Franchay Arm Test, with a chronic post-stroke patient presenting a partial loss of sensitivity on the paretic limb. Results show that the proposed system significantly improves the performance of the considered test.