Automated Quantifiable Assessments of Sensorimotor Function Using an Instrumented Fragile Object.

Accurate assessment of hand dexterity plays a critical role in informing rehabilitation and care of upper-limb hemiparetic stroke patients. Common upper-limb assessments, such as the Box and Blocks Test and Nine Hole Peg Test, primarily evaluate gross motor function in terms of speed. These assessments neglect an individual's ability to finely regulate grip force, which is critical in activities of daily living, such as manipulating fragile objects. Here we present the Electronic Grip Gauge (EGG), an instrumented fragile object that assesses both gross and fine motor function. Embedded with a load cell, accelerometer, and Hall-effect sensor, the EGG measures grip force, acceleration, and relative position (via magnetic fields) in real time. The EGG can emit an audible "break" sound when the applied grip force exceeds a threshold. The number of breaks, transfer duration, and applied forces are automatically logged in real-time. Using the EGG, we evaluated sensorimotor function in implicit grasping and gentle grasping for the non-paretic and paretic hands of 3 hemiparetic stroke patients. For all participants, the paretic hand took longer to transfer the EGG during implicit grasping. For 2 of 3 participants, grip forces were significantly greater for the paretic hand during gentle grasping. Differences in implicit grasping forces were unique to each participant. This work constitutes an important step towards more widespread and quantitative measures of sensorimotor function, which may ultimately lead to improved personalized rehabilitation and better patient outcomes.

Highly conductive thermoresponsive silver nanowire PNIPAM nanocomposite for reversible electrical switch.

Highly conductive nanocomposite hydrogels have been challenging to produce due to their high water volumes inhibiting the incorporation of an essential amount of conductive nanofillers. Furthermore, the most common fillers used, typically for easy integration, display small aspect ratios. Thus, the formation of interparticle pathways for electronic travel is limited, resulting in low conductivities. Here, we introduce ultralong silver nanowires (ULAgNWs) into a thermoresponsive, volume changing PNIPAM gel to form a nanocomposite that shows switchable electronic performance. The produced nanocomposite surpasses other PNIPAM nanocomposites by expressing the largest electrical switch ratio and the highest peak conductivity. The PNIPAM matrix possesses an interconnected microporous structure that offers a spacious network for the dispersion of nanowires while still maintaining a high volume switch ratio and excellent elastic behavior under extreme compression cycles (98% compression). The ULAgNWs significantly enhance the probability of more numerous connections forming during shrinking cycles. The high swellability displayed by the PNIPAM gel provides the ability to separate the embedded nanowires by many lengths. Together, they form a nanocomposite that can thermo-modulate its electrical properties. Moreover, the conductive PNIPAM maintains the electrical switch of 4.3-4.4 orders of magnitude with thermo-responsive cycles. Because of their high electrical conductivity and outstanding elastic behavior, these stimuli-responsive nanocomposite hydrogels may expand the prospects for conductive hydrogel applications and provide greater performance in their applications.

Thermally tunable hydrogel crosslinking mediated by temperature sensitive liposome.

Hydrogel crosslinking by external stimuli is a versatile strategy to control and modulate hydrogel properties. Besides photonic energy, thermal energy is one of the most accessible external stimuli and widely applicable for many biomedical applications. However, conventional thermal crosslinking systems require a relatively high temperature (over 100 °C) to initiate covalent bond formation. To our knowledge, there has not been a thermally tunable hydrogel crosslinking system suitable for biological applications. This work demonstrates a unique approach to utilize temperature sensitive liposomes to control and modulate hydrogel crosslinking over mild temperature range (below 50 °C). Temperature sensitive liposomes were used to control the release of chemical crosslinkers by moderate temperature changes. The thermally controlled crosslinker release resulted in tunable mechanical and transport properties of the hydrogel. No significant inflammable response observed in the histology results ensured the biocompatibility of the liposome-mediated crosslinkable hydrogel. This work opens new opportunities to implement thermal energy system for control and modulate hydrogel properties.