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

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.