Wrist-driven orthotics have been designed to assist people with C6-7 spinal cord injury, however, the kinematic constraint imposed by such a control strategy can impede mobility and lead to abnormal body motion. This study characterizes body compensation using the novel Tenodesis Grasp Emulator, an adaptor orthotic that allows for the investigation of tenodesis grasping in subjects with unimpaired hand function. Subjects perform a series of grasp-and-release tasks in order to compare normal (test control) and constrained wrist-driven modes, showing significant compensation as a result of the constraint. A motor-augmented mode is also compared against traditional wrist-driven operation, to explore the potential role of hybrid human-robot control. We find that both the passive wrist-driven and motor-augmented modes fulfill different roles throughout various tasks tested. Thus, we conclude that a flexible control scheme that can alter intervention based on the task at hand holds the potential to reduce compensation in future work.

In this paper we present a novel method of categorizing naturalistic human arm motions during activities of daily living using clustering techniques. While many current approaches attempt to define all arm motions using heuristic interpretation, or a combination of several abstract motion primitives, our unsupervised approach generates a hierarchical description of natural human motion with well recognized groups. Reliable recommendation of a subset of motions for task achievement is beneficial to various fields, such as robotic and semi-autonomous prosthetic device applications. The proposed method makes use of well-known techniques such as dynamic time warping (DTW) to obtain a divergence measure between motion segments, DTW barycenter averaging (DBA) to get a motion average, and Ward's distance criterion to build the hierarchical tree. The clusters that emerge summarize the variety of recorded motions into the following general tasks: reach-to-front, transfer-box, drinking from vessel, on-table motion, turning a key or door knob, and reach-to-back pocket. The clustering methodology is justified by comparing against an alternative measure of divergence using Bezier coefficients and K-medoids clustering.