Dorsal Grasper

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.

The Dorsal Grasper, an assistive wearable grasping device, incorporates supernumerary fingers and an artificial palm with the forearm and back of the hand, respectively. It enables power wrap grasping and adduction pinching with its V-shaped soft fingers. Designed with C6/C7 spinal cord injury in mind, it takes advantage of active wrist extension that remains in this population after injury. We propose that allowing the operator to actively participate in applying grasp forces on the object, using the back of the hand, enables intuitive, fast and reliable grasping relevant for the execution of activities of daily living. Functional grasping is tested in three normative subjects and a person with C6 SCI using the Grasp and Release Test. Results indicate that this device provides promising performance on a subset of objects that complements the existing compensatory strategies used by people with C6/C7 SCI. We find that the addition of the artificial palm is important for increasing maximum grip strength, by increasing contact friction and protecting the opisthenar.