Cable-driven Finger Exercise Device with Extension Return Springs for Recreating Standard Therapy Exercises


C. - H. Yeow, A. T. Baisch, S. G. Talbot, and C. J. Walsh, “Cable-driven Finger Exercise Device with Extension Return Springs for Recreating Standard Therapy Exercises,” ASME Journal of Medical Devices, vol. 8, pp. 014502, 2014.
PDF1.89 MB


Finger therapy exercises, which include table-top, proximal-interphalangeal blocking, straight-fist, distal-interphalangeal blocking, hook-fist and fist exercises, are important for maintaining hand mobility and preventing development of tendon adhesions in post-operative hand-injury patients. Continuous passive motion devices act as an adjunct to the therapist in performing therapy exercises on patients, however current devices are unable to recreate these exercises well. The current study aimed to design and evaluate a finger exercise device that reproduces the therapy exercises, by adopting a cable-actuated flexion and spring-return extension mechanism. The device comprises of phalanx interface attachments, connected by palmar-side cables to spooling actuators and linked by dorsal-side extension springs to provide passive return. Two designs were tested, whereby the springs had similar (Design 1) or different stiffnesses (Design 2). The device was donned onto a model hand and actuated into the desired therapy postures. Our findings indicated that Design 1 is able to recreate table-top, straight-fist and fist exercises, while Design 2 is capable of further replicating distal-interphalangeal blocking, proximal-interphalangeal blocking and hook-fist exercises. Considering that these therapy exercises have not yet been well-replicated in current devices, developing a new device that reproduces the exercises will be beneficial for post-operative rehabilitation of patients.

Last updated on 09/10/2014