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Systematic Review

A Systematic Literature Review on Intelligent Soft Hand Exoskeleton Robots: Artificial Intelligence-Enabled Personalisation, Adaptation, and Design Considerations

by
Seena Joseph
1,
Wai Keung Fung
2,
Tony Punnoose Valayil
3,†,
Rajan Prasad
4 and
Tim Bashford
1,*
1
Academic Discipline of Computing, University of Wales Trinity Saint David, Swansea SA1 8EW, Wales, UK
2
EUREKA Robotics Centre, Cardiff School of Technologies, Cardiff Metropolitan University, Cardiff CF5 2YB, Wales, UK
3
Institute of Robotics, Bulgarian Academy of Sciences, 1113 Sofia, Bulgaria
4
Mechanical and Nuclear Engineering Department, Khalifa University of Science and Technology, Abu Dhabi P.O. Box 127788, United Arab Emirates
*
Author to whom correspondence should be addressed.
Current address: College of Engineering and Advanced Computing, Alfaisal University, Riyadh 11533, Saudi Arabia.
Robotics 2026, 15(5), 99; https://doi.org/10.3390/robotics15050099
Submission received: 31 March 2026 / Revised: 1 May 2026 / Accepted: 5 May 2026 / Published: 12 May 2026

Abstract

In recent years, hand exoskeleton robots have attracted extensive attention from researchers and practitioners due to their potential to rehabilitate, assist, and enhance hand movements, particularly for stroke patients. With an ageing population increasingly affected by strokes, there is a growing demand for patient-centred interventions which place less demand on clinicians, especially wearable devices that can enhance hand function. Advances in artificial intelligence have opened new avenues for developing more reliable and adaptive assistive systems. This study presents a systematic literature review, following the PRISMA protocol on the design elements of hand exoskeleton robots, acknowledging the emerging perspectives on AI integration and ethical considerations. The study provides a comprehensive foundation for future research and development in rehabilitation technologies by systematically synthesising the current mechanical architecture, actuation, sensors, material, weight, and cost aspects of soft hand exoskeleton robots for rehabilitation. The results show important patterns and trade-offs in various design dimensions, providing useful information to direct the development of more accessible and efficient rehabilitation solutions in the future.
Keywords: artificial intelligence; ethical consideration; hand exoskeleton; rehabilitation; soft robotics; systematic literature review artificial intelligence; ethical consideration; hand exoskeleton; rehabilitation; soft robotics; systematic literature review

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MDPI and ACS Style

Joseph, S.; Fung, W.K.; Valayil, T.P.; Prasad, R.; Bashford, T. A Systematic Literature Review on Intelligent Soft Hand Exoskeleton Robots: Artificial Intelligence-Enabled Personalisation, Adaptation, and Design Considerations. Robotics 2026, 15, 99. https://doi.org/10.3390/robotics15050099

AMA Style

Joseph S, Fung WK, Valayil TP, Prasad R, Bashford T. A Systematic Literature Review on Intelligent Soft Hand Exoskeleton Robots: Artificial Intelligence-Enabled Personalisation, Adaptation, and Design Considerations. Robotics. 2026; 15(5):99. https://doi.org/10.3390/robotics15050099

Chicago/Turabian Style

Joseph, Seena, Wai Keung Fung, Tony Punnoose Valayil, Rajan Prasad, and Tim Bashford. 2026. "A Systematic Literature Review on Intelligent Soft Hand Exoskeleton Robots: Artificial Intelligence-Enabled Personalisation, Adaptation, and Design Considerations" Robotics 15, no. 5: 99. https://doi.org/10.3390/robotics15050099

APA Style

Joseph, S., Fung, W. K., Valayil, T. P., Prasad, R., & Bashford, T. (2026). A Systematic Literature Review on Intelligent Soft Hand Exoskeleton Robots: Artificial Intelligence-Enabled Personalisation, Adaptation, and Design Considerations. Robotics, 15(5), 99. https://doi.org/10.3390/robotics15050099

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