Low-Cost Remote Monitoring System for Hand Rehabilitation Using an Exoskeleton and IoT in Phalangeal and Meningeal Fractures

In this article, a low-cost, remotely monitored control system is designed for hand rehabilitation using an exoskeleton in cases of phalangeal and meningeal fractures. Hand injuries, including fractures, often require specialized therapy for recovery, and early intervention is critical to improve outcomes, often without a specialist nearby in rural Peru. Therefore, a system is proposed that integrates an exoskeleton device and Internet of Things (IoT) technology to provide remotely monitored control and personalized rehabilitation to patients. The various values obtained from the system are transmitted to a secure cloud platform via the MQTT protocol for access by both patients and specialists, enabling continuous remote assessment, progress monitoring and adjustment of the rehabilitation regimen. Angle, count, speed and strength parameters can be monitored at each therapy session throughout the patient's progress until discharge. Angle, count, speed and force parameters can be monitored at each therapy session throughout the patient's progress until discharge. Real-time visualization of sensor values allows us to quantify the patient's progress. The successful delivery of information is evaluated, and the IoT-based system is cost-effective and offers an innovative approach to address the rehabilitation needs of patients with hand injuries, ultimately leading to faster recovery, reduced healthcare costs and improved quality of life.