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Chapter 2. Prehension

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Appendix D - Prosthetic and Robotic Hands 407<br />

hooks, so that hook opens when the user activates it, and it closes by<br />

use of a spring. Much of their simplicity is due to the fact that they<br />

have one degree of freedom. Studies have been done to determine the<br />

useful acceptance of prostheses. Millstein et al. (1986) studied 314<br />

patients and found the advantages of using the cable-operated hook to<br />

include that they are good for manual skills, not easily damaged,<br />

designed for rugged conditions, and easy to clean. However, the hook<br />

lacked cosmetic appeal, and there was difficulty in stabilizing some<br />

objects due to the hook’s shape and sometimes insufficient gripping<br />

force.<br />

Table D. 1, displaying a list of commercial hooks currently<br />

available, evaluates their functionality in opposition space<br />

terminology. Hooks are categorized as having a side opposition<br />

because the opposition is occurring transverse to the palm. Hooks are<br />

structured so that at the tips, a finer side opposition is available for fine<br />

precision grasping between tip one (VF1) and tip two (VF2). The<br />

hook becomes bowed more proximally, providing a wider opening for<br />

dealing with larger objects in a grasp between one (VF1) and two<br />

(VF2). In general, hooks do not have the surface area necessary for<br />

palm opposition, and their ability to pick up larger and irregularly<br />

shaped objects is limited. Using both fingers together, it is possible to<br />

create a virtual finger three (VF3) useful for lifting and carrying<br />

objects, such as suitcases, plastic bags, etc. Recall from <strong>Chapter</strong> 2 that<br />

since this virtual finger is opposing gravity, and not another virtual<br />

finger, it is designated a VF3.<br />

Of these devices, the Contourhook (Hosmer Dorrance) is a body-<br />

powered device having a unique design that provides two neoprene<br />

covered curved fingers that can apply side opposition very much like<br />

the human thumb in opposition to the side of the index finger.<br />

Another unique device is the Utah Split hook (Mauch), which uses an<br />

improved design over the standard split hook for gripping shapes and<br />

surfaces. This device has wider gripping surfaces than normal, and a<br />

special interlocking knife grip. The outside surface of the tips is ure-<br />

thane-rubber-coated for better friction for grasping paper. Cable<br />

excursion remains constant over the full range of movement, due to<br />

the way the cable housing is attached directly to the terminal device.<br />

Side opposition is used between the two fingers, as in the Hosmer<br />

Dorrance devices. However, the Utah hooks interlocking knife grip<br />

allows objects to be held in a side opposition between the base of the<br />

two hooks, using the distal end of one of the hooks as a VF3 in<br />

opposition to the upward forces developed in cutting with the knife<br />

(Sears et al., 1989).

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