Preliminary design of a simple passive toe exercise apparatus with a flexible metal hydride actuator for pressure ulcer prevention

In an aging society, social demands for home-based rehabilitation and assistive technologies by healthcare and welfare services are globally increasing. The progress of quality-of-life technologies and rehabilitation science is a very important and urgent issue for elderly and disabled individuals as well as for their caregivers. Thus, there is a substantial need to develop simple bedside apparatuses for both continuous exercise of joints and for power assistance for standing to prevent and manage disuse syndromes (e.g., pressure ulcers, joint contractures and muscular atrophy). Unfortunately, there are currently no commercially-available actuators compatible with the human requirements of flexibility, quietness, lightness and a high power-to-weight ratio. To fulfill the above demands, we have developed a novel actuation device using a metal hydride (MH) alloy and a laminate film, called the flexible MH actuator, as a human-friendly force generator for healthcare and welfare services. In this paper, we show the basic structure and characteristics of the flexible MH actuator used to create a passive exercise system for preventing disuse syndromes. To evaluate the efficiency of passive exercise for bedsore prevention, subcutaneous blood flow during passive exercise at common pressure-ulcer sites is measured by a laser blood flow meter. The force and range-of-motion angle required for a passive exercise apparatus is also examined with the help of a professional physical therapist. Based on these findings, a prototype of a passive exercise apparatus is fabricated using the flexible MH actuator technology, and its operation characteristics are preliminarily verified using a thermoelectric control system.