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21 pages, 3334 KiB  
Article
Protective Efficacy of Lactobacillus plantarum Postbiotic beLP-K in a Dexamethasone-Induced Sarcopenia Model
by Juyeong Moon, Jin-Ho Lee, Eunwoo Jeong, Harang Park, Hye-Yeong Song, Jinsu Choi, Min-ah Kim, Kwon-Il Han, Doyong Kim, Han Sung Kim and Tack-Joong Kim
Int. J. Mol. Sci. 2025, 26(15), 7504; https://doi.org/10.3390/ijms26157504 - 3 Aug 2025
Viewed by 126
Abstract
Sarcopenia is characterized by a reduction in muscle function and skeletal muscle mass relative to that of healthy individuals. In older adults and those who are less resistant to sarcopenia, glucocorticoid secretion or accumulation during treatment exacerbates muscle protein degradation, potentially causing sarcopenia. [...] Read more.
Sarcopenia is characterized by a reduction in muscle function and skeletal muscle mass relative to that of healthy individuals. In older adults and those who are less resistant to sarcopenia, glucocorticoid secretion or accumulation during treatment exacerbates muscle protein degradation, potentially causing sarcopenia. This study assessed the preventive effects and mechanisms of heat-killed Lactobacillus plantarum postbiotic beLP-K (beLP-K) against dexamethasone (DEX)-induced sarcopenia in C2C12 myotubes and Sprague-Dawley rats. The administration of beLP-K did not induce cytotoxicity and mitigated cell damage caused by DEX. Furthermore, beLP-K significantly reduced the expression of forkhead box O3 α (FoxO3α), muscle atrophy f-box (MAFbx)/atrogin-1, and muscle RING-finger protein-1 (MuRF1), which are associated with muscle protein degradation. DEX induced weight loss in rats; however, in the beLP-K group, weight gain was observed. Micro-computed tomography analysis revealed that beLP-K increased muscle mass, correlating with weight and grip strength. beLP-K alleviated the DEX-induced reduction in grip strength and increased the mass of hind leg muscles. The correlation between beLP-K administration and increased muscle mass was associated with decreased expression levels of muscle degradation-related proteins such as MAFbx/atrogin-1 and MuRF1. Therefore, beLP-K may serve as a treatment for sarcopenia or as functional food material. Full article
(This article belongs to the Section Molecular Biology)
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18 pages, 16316 KiB  
Article
AntGrip—Boosting Parallel Plate Gripper Performance Inspired by the Internal Hairs of Ant Mandibles
by Mohamed Sorour and Barbara Webb
Robotics 2025, 14(8), 105; https://doi.org/10.3390/robotics14080105 - 30 Jul 2025
Viewed by 162
Abstract
Ants use their mandibles—effectively a two-finger gripper—for a wide range of grasping activities. Here, we investigate whether mimicking the internal hairs found on ant mandibles can improve performance of a two-finger parallel plate robot gripper. With bin-picking applications in mind, the gripper fingers [...] Read more.
Ants use their mandibles—effectively a two-finger gripper—for a wide range of grasping activities. Here, we investigate whether mimicking the internal hairs found on ant mandibles can improve performance of a two-finger parallel plate robot gripper. With bin-picking applications in mind, the gripper fingers are long and slim, with interchangeable soft gripping pads that can be hairy or hairless. A total of 2400 video-documented experiments have been conducted, comparing hairless to hairy pads with different hair patterns. Simply by adding hairs, the grasp success rate was increased by at least 29%, and the number of objects that remain securely gripped during manipulation more than doubled. This result not only advances the state of the art in grasping technology, but also provides novel insight into the mechanical role of mandible hairs in ant biology. Full article
(This article belongs to the Section Intelligent Robots and Mechatronics)
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16 pages, 2386 KiB  
Article
Heat-Killed Lactobacillus plantarum beLP1 Attenuates Dexamethasone-Induced Sarcopenia in Rats by Increasing AKT Phosphorylation
by Jinsu Choi, Eunwoo Jeong, Harang Park, Hye-Yeong Song, Juyeong Moon, Min-ah Kim, Bon Seo Koo, Jin-Ho Lee, Jong Kwang Hong, Kwon-Il Han, Doyong Kim, Han Sung Kim and Tack-Joong Kim
Biomedicines 2025, 13(7), 1668; https://doi.org/10.3390/biomedicines13071668 - 8 Jul 2025
Viewed by 437
Abstract
Background/Objectives: Sarcopenia is an age-related disease resulting in muscle mass deterioration and declining strength and functional ability. Muscle protein degradation pathways are activated through the ubiquitin–proteasome system, which is integral to the pathogenesis of sarcopenia. This study examined the capability of Lactobacillus [...] Read more.
Background/Objectives: Sarcopenia is an age-related disease resulting in muscle mass deterioration and declining strength and functional ability. Muscle protein degradation pathways are activated through the ubiquitin–proteasome system, which is integral to the pathogenesis of sarcopenia. This study examined the capability of Lactobacillus plantarum beLP1 as a postbiotic ingredient of kimchi that prevents sarcopenia. Methods: We evaluated cell viability and measured diameters in a C2C12 myotube damage model and muscle volume, muscle weight, muscle strength, and the expression of muscle degradation proteins MuRF1 and Atrogin-1 in dexamethasone-induced sarcopenic model rats using a heat-killed beLP1 strain. Results: beLP1 had no cytotoxic effects on C2C12 and prevented dexamethasone-induced cellular damage, suggesting its role in muscle protein degradation pathways. beLP1 treatment significantly prevented the dexamethasone-induced reduction in myotube diameter. In a dexamethasone-induced sarcopenic rat model, oral beLP1 significantly mitigated muscle mass decline and prevented grip strength reduction. Microcomputed tomography demonstrated that beLP1 reduced dexamethasone-induced muscle volume loss. beLP1 treatment reduced Atrogin-1 and Muscle RING-finger protein-1 (MuRF1) and the transcription factor Forkhead box O3 alpha (FoxO3α), which triggers muscle protein breakdown. beLP1 exerts protective effects by inhibiting the ubiquitin-proteasome system and regulating FoxO3α signaling. It increased AKT (Ser473) phosphorylation, which affected muscle protein synthesis, degradation, and cell survival, suggesting its potential to prevent sarcopenia. Conclusions: Heat-killed Lactobacillus plantarum beLP1 alleviates muscle mass wasting and weakness in a dexamethasone-induced sarcopenia model by regulating muscle protein degradation pathways and signaling molecules. Thus, postbiotics may be functional ingredients in sarcopenia prevention. Full article
(This article belongs to the Section Microbiology in Human Health and Disease)
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15 pages, 883 KiB  
Article
Comparison of Finger Flexor Strength and Muscle Quality Between Climbers and Non-Climbers: Influence of Sex and Grip Type
by Diego González-Martín, Javier Santos-Pérez, Sergio Maroto-Izquierdo, José Antonio de Paz and Ángel Gallego-Selles
Appl. Sci. 2025, 15(13), 7161; https://doi.org/10.3390/app15137161 - 25 Jun 2025
Viewed by 997
Abstract
Climbing demands exceptional isometric finger flexor strength and neuromuscular efficiency. This study aimed to compare maximum isometric strength and muscle quality (MQ) between climbers and non-climbers and examine the influence of sex and specific grip types. Methods: 33 climbers (14 women) and 29 [...] Read more.
Climbing demands exceptional isometric finger flexor strength and neuromuscular efficiency. This study aimed to compare maximum isometric strength and muscle quality (MQ) between climbers and non-climbers and examine the influence of sex and specific grip types. Methods: 33 climbers (14 women) and 29 non-climbers (15 women) volunteered in this study. Maximum isometric strength was measured for handgrip, three-finger drag, and half-crimp grips, while forearm muscle mass was estimated using DXA. MQ was calculated as the ratio of peak isometric force to forearm muscle mass. Results: Climbers demonstrated significantly higher isometric strength in both the three-finger drag and half-crimp grips compared to non-climbers (p < 0.01); however, non-significant differences were observed in handgrip strength. Despite similar forearm muscle mass, climbers exhibited greater MQ. Notably, female non-climbers showed higher MQ than their male counterparts (p < 0.05), a sex difference that was not evident among climbers. All tests exhibited high repeatability (ICC > 0.93, CV < 5.81%) with low SEM and MDC95 values. Conclusions: The findings underscore the necessity of employing climbing-specific strength assessments to capture the unique neuromuscular adaptations induced by climbing training. Muscle quality emerges as a sex-neutral biomarker for strength performance evaluation, with potential applications in the optimization of training programs. Future research should further explore the predictive value of MQ and strive for standardized testing protocols. Full article
(This article belongs to the Special Issue Biomechanics and Technology in Sports)
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24 pages, 13787 KiB  
Article
Design and Evaluation of a Soft Robotic Actuator with Non-Intrusive Vision-Based Bending Measurement
by Narges Ghobadi, Witold Kinsner, Tony Szturm and Nariman Sepehri
Sensors 2025, 25(13), 3858; https://doi.org/10.3390/s25133858 - 20 Jun 2025
Viewed by 682
Abstract
This paper presents the design and evaluation of a novel soft pneumatic actuator featuring two independent bending chambers, enabling independent joint actuation and localization for rehabilitation purposes. The actuator’s dual-chamber configuration provides flexibility for applications requiring customized bending profiles. To measure the bending [...] Read more.
This paper presents the design and evaluation of a novel soft pneumatic actuator featuring two independent bending chambers, enabling independent joint actuation and localization for rehabilitation purposes. The actuator’s dual-chamber configuration provides flexibility for applications requiring customized bending profiles. To measure the bending angle of the finger joints in real time, a camera-based system is employed, utilizing a deep learning detection model to localize the joints and estimate their bending angles. This approach provides a non-intrusive, sensor-free alternative to hardware-based measurement methods, reducing complexity and wiring typically associated with wearable devices. Experimental results demonstrate the effectiveness of the proposed actuator in achieving bending angles of 105 degrees for the metacarpophalangeal (MCP) joint and 95 degrees for the proximal interphalangeal (PIP) joint, as well as a gripping force of 9.3 N. The vision system also captures bending angles with a precision of 98%, indicating potential applications in fields such as rehabilitation and human–robot interaction. Full article
(This article belongs to the Special Issue Recent Advances in Sensor Technology and Robotics Integration)
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25 pages, 9816 KiB  
Article
Design and Basic Performance Analysis of a Bionic Finger Soft Actuator with a Dual-Chamber Composite Structure
by Yu Cai, Sheng Liu, Dazhong Wang, Shuai Huang, Dong Zhang, Mengyao Shi, Wenqing Dai and Shang Wang
Actuators 2025, 14(6), 268; https://doi.org/10.3390/act14060268 - 28 May 2025
Viewed by 603
Abstract
Pneumatic soft manipulators are one of the current development trends in the field of manipulators. The soft manipulator that has been developed at present still has problems with single function and poor load-bearing capacity. This paper designs a composite soft finger inspired by [...] Read more.
Pneumatic soft manipulators are one of the current development trends in the field of manipulators. The soft manipulator that has been developed at present still has problems with single function and poor load-bearing capacity. This paper designs a composite soft finger inspired by the human middle finger, featuring a dual-chamber pneumatic drive and embedded steel sheet structure. Utilizing the principles of moment equilibrium and virtual work, a theoretical model for the bending behavior of the soft finger is developed, and the correlation between the bending angle and driving air pressure is derived. The determination process of key parameters and their influence on bending deformation are explained in detail through simulation. The bending experiment confirmed the reliability of the theoretical model. The fingertip force test indicates that the composite finger exerts a greater force than the ordinary one, with the extra force equivalent to 42.57% of the composite finger’s own fingertip force. Subsequent tests on the soft robotic hand measured the hooking quality, gripping diameter, and gripping force. The hooking experiment confirmed that composite fingers have a stronger load-bearing capacity than ordinary fingers, with an extra capacity equivalent to 31.25% of the composite finger’s own load-bearing capacity. Finally, the grasping experiment demonstrates that the soft manipulator can grasp objects of varying shapes and weights, indicating its strong adaptability and promising applications. Full article
(This article belongs to the Section Actuators for Robotics)
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25 pages, 13985 KiB  
Article
A Low-Cost Prototype of a Soft–Rigid Hybrid Pneumatic Anthropomorphic Gripper for Testing Tactile Sensor Arrays
by Rafał Andrejczuk, Moritz Scharff, Junhao Ni, Andreas Richter and Ernst-Friedrich Markus Vorrath
Actuators 2025, 14(5), 252; https://doi.org/10.3390/act14050252 - 17 May 2025
Viewed by 906
Abstract
Soft anthropomorphic robotic grippers are attractive because of their inherent compliance, allowing them to adapt to the shape of grasped objects and the overload protection needed for safe human–robot interaction or gripping delicate objects with sophisticated control. The anthropomorphic design allows the gripper [...] Read more.
Soft anthropomorphic robotic grippers are attractive because of their inherent compliance, allowing them to adapt to the shape of grasped objects and the overload protection needed for safe human–robot interaction or gripping delicate objects with sophisticated control. The anthropomorphic design allows the gripper to benefit from the biological evolution of the human hand to create a multi-functional robotic end effector. Entirely soft grippers could be more efficient because they yield under high loads. A trending solution is a hybrid gripper combining soft and rigid elements. This work describes a prototype of an anthropomorphic, underactuated five-finger gripper with a direct pneumatic drive from soft bending actuators and an integrated resistive tactile sensor array. It is a hybrid construction with soft robotic structures and rigid skeletal elements, which reinforce the body, focus the direction of the actuator’s movement, and make the finger joints follow the forward kinematics. The hand is equipped with a resistive tactile dielectric elastomer sensor array that directly triggers the hand’s actuation in the sense of reflexes. The hand can execute precision grips with two and three fingers, as well as lateral grip and strong grip types. The softness of the actuation allows the finger to adapt to the shape of the objects. Full article
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32 pages, 9128 KiB  
Article
Integration and Validation of Soft Wearable Robotic Gloves for Sensorimotor Rehabilitation of Human Hand Function
by Vasiliki Fiska, Konstantinos Mitsopoulos, Vasiliki Mantiou, Vasileia Petronikolou, Panagiotis Antoniou, Konstantinos Tagaras, Konstantinos Kasimis, Konstantinos Nizamis, Markos G. Tsipouras, Alexander Astaras, Panagiotis D. Bamidis and Alkinoos Athanasiou 
Appl. Sci. 2025, 15(10), 5299; https://doi.org/10.3390/app15105299 - 9 May 2025
Cited by 1 | Viewed by 1270
Abstract
This study aims to present the development of a wearable prototype device consisting of soft robotic gloves (SRGs), its integration into a wearable robotics platform for sensorimotor rehabilitation, and the device’s validation experiments with individuals suffering from impaired hand motor function due to [...] Read more.
This study aims to present the development of a wearable prototype device consisting of soft robotic gloves (SRGs), its integration into a wearable robotics platform for sensorimotor rehabilitation, and the device’s validation experiments with individuals suffering from impaired hand motor function due to neurological lesions. The SRG is tested and evaluated by users with spinal cord injury (SCI) and stroke. The proposed system combines multiple-sensor arrays with pneumatic actuation to assist finger movement during grasping tasks. Evaluations on SCI and stroke patients revealed that the gloves consistently improved finger and grip performance. Detailed analyses indicated observable differences in sensor-derived features during actuation versus non-actuation, with statistically significant modifications appearing in both time-domain and frequency-domain metrics. Although the stroke participants exhibited greater variability, all participants were able to use the system reporting low discomfort and effort. The findings underscore the potential for personalized calibration to further optimize therapeutic outcomes. In summary, the study validates the utility of these gloves as assistive and rehabilitative modalities, and future research will focus on refining the device in the context of multimodal wearable robotics and individualized neurorehabilitation strategies. Full article
(This article belongs to the Special Issue Human Activity Recognition (HAR) in Healthcare, 2nd Edition)
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24 pages, 10867 KiB  
Article
Machine Learning-Based Smartphone Grip Posture Image Recognition and Classification
by Dohoon Kwon, Xin Cui, Yejin Lee, Younggeun Choi, Aditya Subramani Murugan, Eunsik Kim and Heecheon You
Appl. Sci. 2025, 15(9), 5020; https://doi.org/10.3390/app15095020 - 30 Apr 2025
Viewed by 664
Abstract
Uncomfortable smartphone grip postures resulting from inappropriate user interface design can degrade smartphone usability. This study aims to develop a classification model for smartphone grip postures by detecting the positions of the hand and fingers on smartphones using machine learning techniques. Seventy participants [...] Read more.
Uncomfortable smartphone grip postures resulting from inappropriate user interface design can degrade smartphone usability. This study aims to develop a classification model for smartphone grip postures by detecting the positions of the hand and fingers on smartphones using machine learning techniques. Seventy participants (35 males and 35 females with an average of 38.5 ± 12.2 years) with varying hand sizes participated in the smartphone grip posture experiment. The participants performed four tasks (making calls, listening to music, sending text messages, and web browsing) using nine smartphone mock-ups of different sizes, while cameras positioned above and below their hands recorded their usage. A total of 3278 grip posture images were extracted from the recorded videos and were preprocessed using a skin color and hand contour detection model. The grip postures were categorized into seven types, and three models (MobileNetV2, Inception V3, and ResNet-50), along with an ensemble model, were used for classification. The ensemble-based classification model achieved an accuracy of 95.9%, demonstrating higher accuracy than the individual models: MobileNetV2 (90.6%), ResNet-50 (94.2%), and Inception V3 (85.9%). The classification model developed in this study can efficiently analyze grip postures, thereby improving usability in the development of smartphones and other electronic devices. Full article
(This article belongs to the Special Issue Novel Approaches and Applications in Ergonomic Design III)
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15 pages, 3699 KiB  
Article
Performance and Effectiveness of the Passive-Compliant Citrus-Picking Manipulator
by Daode Zhang, Haibing Yang, Zhiyong Yang and Wei Zhang
Appl. Sci. 2025, 15(7), 3667; https://doi.org/10.3390/app15073667 - 27 Mar 2025
Viewed by 361
Abstract
The application of citrus-picking robotic hands in orchard environments is constrained by the diversity in fruit size and shape, as well as the need to control fruit damage during harvesting. To address this issue, this study proposes a passively compliant citrus-picking robotic hand [...] Read more.
The application of citrus-picking robotic hands in orchard environments is constrained by the diversity in fruit size and shape, as well as the need to control fruit damage during harvesting. To address this issue, this study proposes a passively compliant citrus-picking robotic hand and experimentally evaluates its performance. The robotic hand employs a spring-assisted grasping mechanism, optimizing the gripping force range and adjusting spring parameters to achieve passive, compliant encapsulation of citrus fruits of varying sizes while preventing damage. Furthermore, to accommodate citrus fruits with varying ellipticity, the robotic hand incorporates a floating linkage mechanism, enabling each finger to move independently under the control of a single stepper motor, thereby enhancing adaptability to morphological variations. Experimental results indicate that the robotic hand can reliably grasp citrus fruits of various sizes and ellipticities, and complete the harvesting process by rotating four times without applying tensile force, with a damage rate of only 2.6%. The proposed passively compliant robotic hand features a simple structure and strong adaptability, offering a reference for enhancing the applicability of citrus-picking robots in complex orchard environments. Future research will focus on further optimizing the robotic hand’s structure, improving harvesting efficiency, and exploring its adaptability in various operational environments. Full article
(This article belongs to the Section Agricultural Science and Technology)
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16 pages, 21667 KiB  
Article
MateREAL Touch: Handheld Haptic Texture Display with Real Rolling Materials
by Katsuya Maezono, Hikaru Nagano, Yuichi Tazaki and Yasuyoshi Yokokohji
Electronics 2025, 14(7), 1250; https://doi.org/10.3390/electronics14071250 - 21 Mar 2025
Viewed by 470
Abstract
This paper presents the development of “MateREAL Touch”, a tactile display system that reproduces the sensation of stroking various material textures. The system can store up to 30 samples of material, which are connected via a continuous piece of tape. When not touching, [...] Read more.
This paper presents the development of “MateREAL Touch”, a tactile display system that reproduces the sensation of stroking various material textures. The system can store up to 30 samples of material, which are connected via a continuous piece of tape. When not touching, the material switches seamlessly, and the tape moves in sync with the user’s finger, dynamically replicating the feeling of stroking. Additionally, the device simulates transitions between contact and non-contact states by adjusting the grip mechanism based on virtual interactions. As fundamental performance assessments, the material’s switching time was measured. In addition, a discrimination task compared users’ ability to distinguish eight materials under static and dynamic touch conditions in both real and virtual environments. The results showed comparable discrimination accuracy, demonstrating the effectiveness of the system in reproducing real-world material textures in VR. These findings confirm the system’s ability to enable realistic texture perception in virtual environments. Full article
(This article belongs to the Special Issue Haptic Systems and the Tactile Internet: Design and Applications)
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18 pages, 7771 KiB  
Article
Novel Smart Glove for Ride Monitoring in Light Mobility
by Michela Borghetti, Nicola Francesco Lopomo and Mauro Serpelloni
Instruments 2025, 9(1), 6; https://doi.org/10.3390/instruments9010006 - 18 Mar 2025
Viewed by 1597
Abstract
Ensuring comfort in light mobility is a crucial aspect for supporting individuals’ well-being and safety while driving scooters, riding bicycles, etc. In fact, factors such as the hand grip on the handlebar, positions of the wrist and arm, overall body posture, and affecting [...] Read more.
Ensuring comfort in light mobility is a crucial aspect for supporting individuals’ well-being and safety while driving scooters, riding bicycles, etc. In fact, factors such as the hand grip on the handlebar, positions of the wrist and arm, overall body posture, and affecting vibrations play key roles. Wearable systems offer the ability to noninvasively monitor physiological parameters, such as body temperature and heart rate, aiding in personalized comfort assessment. In this context, user positions while driving or riding are, on the other hand, more challenging to monitor ecologically. Developing effective smart gloves as a support for comfort and movement monitoring introduces technical complexities, particularly in sensor selection and integration. Light and flexible sensors can help in this regard by ensuring reliable sensing and thus addressing the optimization of the comfort for the driver. In this work, a novel wireless smart glove is proposed, integrating four bend sensors, four force-sensitive sensors, and one inertial measurement unit for measuring the finger movements, hand orientation, and the contact force exerted by the hand while grasping the handlebar during driving or riding. The smart glove has been proven to be repeatable (1.7%) and effective, distinguishing between different grasped objects, such as a flask, a handlebar, a tennis ball, and a small box. Additionally, it proved to be a valuable tool for monitoring specific actions while riding bicycles, such as braking, and for optimizing the posture during the ride. Full article
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20 pages, 5404 KiB  
Article
Design and Optimization of the Bionic Flexible Gripper Based on Magnetically Sensitive Rubber
by Xianhua Bian, Yu Ding, Rui Li, Mengjie Shou and Pingan Yang
Actuators 2025, 14(3), 124; https://doi.org/10.3390/act14030124 - 5 Mar 2025
Cited by 1 | Viewed by 835
Abstract
Flexible grippers based on magnetically sensitive rubber have garnered significant research attention due to their high gripping adaptability and ease of control. However, current research designs often separate the excitation device from the flexible finger, which can lead to potential interference or damage [...] Read more.
Flexible grippers based on magnetically sensitive rubber have garnered significant research attention due to their high gripping adaptability and ease of control. However, current research designs often separate the excitation device from the flexible finger, which can lead to potential interference or damage to other electronic components in the working environment and an inability to simultaneously ensure safety and gripping performance. In this paper, we propose an integrated magnetically controlled bionic flexible gripper that combines the excitation device and the flexible finger. We derive a formula for calculating the magnetic field generated by the excitation device, model and simulate the device, and find that the optimal magnetic field effect is achieved when the core-to-coil size ratio is 1:5. Additionally, we fabricated flexible fingers with different NdFeB volume ratios and experimentally determined that a volume ratio of 20% yields relatively better bending performance. The integrated magnetically controlled bionic flexible gripper described in this paper can adaptively grasp items such as rubber, column foam, and electrical tape, achieving maximum grasping energy efficiency of 0.524 g per millitesla (g/mT). These results highlight its potential advantages in applications such as robotic end-effectors and industrial automatic sorting. Full article
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25 pages, 42227 KiB  
Article
“The Foot Can Do It”: Controlling the “Persistence” Prosthetic Arm Using the “Infinity-2” Foot Controller
by Peter L. Bishay, Gerbert Funes Alfaro, Ian Sherrill, Isaiah Reoyo, Elihu McMahon, Camron Carter, Cristian Valdez, Naweeth M. Riyaz, Sara Ali, Adrian Lima, Abel Nieto and Jared Tirone
Technologies 2025, 13(3), 98; https://doi.org/10.3390/technologies13030098 - 1 Mar 2025
Viewed by 1710
Abstract
The “Infinity” foot controller for controlling prosthetic arms has been improved in this paper in several ways, including a foot sleeve that enables barefoot use, an improved sensor-controller unit design, and a more intuitive control scheme that allows gradual control of finger actuation. [...] Read more.
The “Infinity” foot controller for controlling prosthetic arms has been improved in this paper in several ways, including a foot sleeve that enables barefoot use, an improved sensor-controller unit design, and a more intuitive control scheme that allows gradual control of finger actuation. Furthermore, the “Persistence Arm”, a novel transradial prosthetic arm prototype, is introduced. This below-the-elbow arm has a direct-drive wrist actuation system, a thumb design with two degrees of freedom, and carbon fiber tendons for actuating the four forefingers. The manufactured prototype arm and foot controller underwent various tests to verify their efficacy. Wireless transmission speed tests showed that the maximum time delay is less than 165 ms, giving almost instantaneous response from the arm to any user’s foot control signal. Gripping tests quantified the grip and pulling forces of the arm prototype as 2.8 and 12.7 kg, respectively. The arm successfully gripped various household items of different shapes, weights, and sizes. These results highlight the potential of foot control as an alternative prosthetic arm control method and the possibility of new 3D-printed prosthetic arm designs to replace costly prostheses in the market, which could potentially reduce the high rejection rates of upper limb prostheses. Full article
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11 pages, 1999 KiB  
Article
Adipofascial Flap Reconstruction for Pulp Defects: A Retrospective Study of Functional and Aesthetic Outcomes
by Gabriele Delia, Fabiana Battaglia, Emanuele Cigna, Michele Maruccia and Francesco Stagno d’Alcontres
J. Clin. Med. 2025, 14(5), 1466; https://doi.org/10.3390/jcm14051466 - 21 Feb 2025
Viewed by 795
Abstract
Background: Injuries to the digital distal phalanx often result in functional impairments such as loss of grip and sensation, along with aesthetic challenges. Various reconstructive techniques, including the use of adipofascial flaps, have been explored to address these issues. The homodigital dorsal [...] Read more.
Background: Injuries to the digital distal phalanx often result in functional impairments such as loss of grip and sensation, along with aesthetic challenges. Various reconstructive techniques, including the use of adipofascial flaps, have been explored to address these issues. The homodigital dorsal adipofascial reverse flap (HDARF) has demonstrated promising results in restoring both functionality and aesthetics. However, a comparative evaluation between adipofascial flaps and other commonly used techniques, such as V-Y advancement flaps and cross-finger flaps, remains limited. Objective: This retrospective study evaluates the long-term functional and aesthetic outcomes of adipofascial flap reconstructions for pulp defects, focusing on sensory recovery and patient satisfaction. Methods: Between 2010 and 2022, 20 patients (14 men, 6 women) with digital pulp defects underwent reconstruction using adipofascial flaps in a single-stage procedure. Injuries included avulsion and crush injuries, distributed across various digits. Sensory recovery was assessed using the Semmes–Weinstein monofilament test and two-point discrimination. Joint mobility, cold intolerance, and aesthetic satisfaction were also evaluated. Results: All flaps were successfully reconstructed within 24 h of trauma. Sensory recovery was excellent, with Semmes–Weinstein scores ranging from 1.65 to 2.83, comparable to the uninjured hand. Two-point discrimination averaged 1–5 mm in most cases. Cold intolerance persisted in four patients, and mild nail dystrophy was noted in three cases, with one case of nail absence. Aesthetic satisfaction was high in 19 patients. Conclusions: The adipofascial flap effectively restores function and aesthetics in pulp defects, offering superior sensory recovery, high patient satisfaction, and minimal complications. Its regenerative potential and adaptability make it a valuable option for fingertip reconstruction, supporting its continued use in clinical practice. Full article
(This article belongs to the Special Issue Innovation in Hand Surgery)
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