Effect of handle design on movement dynamics and muscle co-activation in a wrist flexion task

Arm and wrist manipulanda are commonly used as input devices in teleoperation and gaming applications, establish a physical interface to patients in several rehabilitation robots, and are applied as advanced research tools in biomechanics and neuroscience. Despite the fact that the physical interface, i.e. the handle through which the wrist/hand is attached to the manipulator, may influence interaction and movement behavior, the effects of handle design on these parameters has received little attention. Yet, a poor handle design might lead to overexertion and altered movement dynamics, or result in misinterpretation of results in research studies. In this study, twelve healthy subjects performed repetitions of a wrist flexion task against a dynamic load generated by a 1-DOF robotic wrist manipulandum. Three different handle designs were qualitatively and quantitatively evaluated based on wrist movement kinematics and dynamics, patterns of finger and wrist muscle activity, and ergonomics criteria such as perceived comfort and fatigue. The three proposed designs were further compared to a conventional joystick-like handle. Task performance as well as kinematic and kinetic parameters were found to be unaffected by handle design. Nevertheless, differences were found in perceived task difficulty, comfort and levels of muscle activation of wrist and finger muscles, with significantly higher muscle activation when using a joystick-like design, where the handle is completely enclosed by the hand. Comfort was rated high for the flat handle, adapted to the natural curvature of the hand with the fingers extended. These results may inform for the design of handles serving as physical interface in teleoperation applications, robot-assisted rehabilitation and biomechanics/neuroscience research.