Graphical Abstract

Many individuals suffer from stroke, osteoarthritis, or accidental hand injuries, making hand rehabilitation greatly significant. The current hand rehabilitation therapy requires repetitive task-oriented hand exercises, relying on exoskeleton mechanical gloves integrated with different sensors and actuators. However, these conventional mechanical gloves require wearing heavy mechanical components that need weight-bearing and increase hand burden. Additionally, these devices are usually structurally complex, complicated to operate, and require specialized medical institutions. Here, a Virtual Reality (VR) hand rehabilitation system is developed by integrating deep-learning-assisted electromyography (EMG) recognition and VR human-machine interfaces (HMIs). By applying a wet-adhesive, self-healable, and conductive ionic hydrogel electrode array assisted by deep learning, the system can realize 14 Jebsen hand rehabilitation gestures recognition with an accuracy of 97.9%. The recognized gestures further communicate with the VR platform for real-time interaction in a virtual scenario to accomplish VR hand rehabilitation. Compared with present hand rehabilitation devices, the proposed system enables patients to perform immersive hand exercises in real-life scenarios without the need for hand-worn weights, and offers rehabilitation training without time and location limitations. This system could bring great breakthroughs for the development of a load-free hand rehabilitation system available in home-based therapy.