The Role and Prospects of Composite Fibers in the Production of Hand Exoskeletons
Source abstract
Abstract
Composite materials, particularly polymers reinforced with carbon, glass, and aramid fibers, enable the development of lightweight yet mechanically robust structures that enhance user comfort and functional performance. Their high strength-to-weight ratio and fatigue resistance make them ideal for applications requiring repetitive movements in rehabilitation and assistive robotics. However, challenges remain related to cost-effective production, durability under complex loading conditions, and ergonomic fit to human anatomy. Recent advances in materials science and smart materials are expanding the possibilities of multifunctional composites with embedded sensors. Furthermore, machine learning methods are increasingly being used to optimize material selection and structural design. Future advances are expected to improve scalability, personalization, and system integration, positioning composite fibers as a key assistive technology in next-generation robotic systems.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: Prosthetics and Rehabilitation Robotics · Advanced Sensor and Energy Harvesting Materials · Stroke Rehabilitation and Recovery
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Faculty of Computer Science, Kazimierz Wielki University, 85-064 Bydgoszcz, Poland
Faculty of Mechatronics, Kazimierz Wielki University, 85-064 Bydgoszcz, Poland
Funding
Kazimierz Wielki University
References (100+)
Show source-provided references
1. The Kahawa Declaration: A manifesto for the democratization of medical technology
2. Rajak, D.K., Pagar, D.D., Menezes, P.L., and Linul, E. (2019). Fiber-Reinforced Polymer Composites: Manufacturing, Properties, and Applications. Polymers, 11.10.3390/polym11101667 ↗
3. A comprehensive review on fiber-reinforced polymer composites: Raw materials to applications, recycling, and waste management10.1016/j.pmatsci.2024.101326 ↗
4. Kiratli, S. (2026). Compressive, hardness, and surface characterization of nanoclay-reinforced glass/epoxy laminates for structural applications. BMC Chem., 20.10.1186/s13065-026-01783-4 ↗
5. A review of machine learning applications in polymer composites: Advancements, challenges, and future prospects10.1039/D5TA00982K ↗
6. Joining methods for Fiber Reinforced Polymer (FRP) composites—A critical review10.1016/j.compositesa.2024.108394 ↗
7. Manufacturing of carbon fiber reinforced thermoplastics and its recovery of carbon fiber: A review10.1016/j.polymertesting.2023.108029 ↗
8. Recent developments in improving the fracture toughness of 3D-printed fiber-reinforced polymer composites10.1016/j.compositesb.2024.111622 ↗
9. Altun, F., Bayar, A., Hamzat, A.K., Asmatulu, R., Ali, Z., and Asmatulu, E. (2025). AI-driven innovations in 3D printing: Optimization, automation, and intelligent control. J. Manuf. Mater. Process., 9.10.3390/jmmp9100329 ↗
10. Graphene and CNT-based smart fiber-reinforced composites: A review10.1002/adfm.202205723 ↗
11. Rehabilitation robotics after stroke: A bibliometric literature review10.1080/17434440.2022.2096438 ↗
12. A review: A comprehensive review of soft and rigid wearable rehabilitation and assistive devices with a focus on the shoulder joint10.1007/s10846-021-01353-x ↗
13. Pang, Z., Wang, T., Wang, Z., Yu, J., Sun, Z., and Liu, S. (2020). Design and analysis of a wearable upper limb rehabilitation robot with characteristics of tension mechanism. Appl. Sci., 10.10.3390/app10062101 ↗
14. Hoang, T.T., Sy, L., Bussu, M., Thai, M.T., Low, H., Phan, P.T., Davies, J., Nguyen, C.C., Lovell, N.H., and Do, T.N. (2021). A wearable soft fabric sleeve for upper limb augmentation. Sensors, 21.10.3390/s21227638 ↗
15. Rojek, I., Mikołajewski, D., Dostatni, E., and Macko, M. (2020). AI-Optimized Technological Aspects of the Material Used in 3D Printing Processes for Selected Medical Applications. Materials, 13.10.3390/ma13235437 ↗
16. Rojek, I., Mikołajewski, D., Kotlarz, P., Tyburek, K., Kopowski, J., and Dostatni, E. (2021). Traditional Artificial Neural Networks Versus Deep Learning in Optimization of Material Aspects of 3D Printing. Materials, 14.10.3390/ma14247625 ↗
17. Surface treatment to improve water repellence and compatibility of natural fiber with polymer matrix: Recent advancement10.1016/j.polymertesting.2022.107707 ↗
18. Diniță, A., Ripeanu, R.G., Ilincă, C.N., Cursaru, D., Matei, D., Naim, R.I., and Portoacă, A.I. (2023). Advancements in fiber-reinforced polymer composites: A comprehensive analysis. Polymers, 16.10.3390/polym16010002 ↗
19. Environment friendly, renewable and sustainable poly lactic acid (PLA) based natural fiber reinforced composites–A comprehensive review10.1016/j.jclepro.2021.127483 ↗
20. Mechanical properties of natural as well as synthetic fiber reinforced concrete: A review10.1016/j.conbuildmat.2022.127353 ↗
21. Rajak, D.K., Wagh, P.H., and Linul, E. (2021). Manufacturing technologies of carbon/glass fiber-reinforced polymer composites and their properties: A review. Polymers, 13.10.3390/polym13213721 ↗
22. A review on recycling and reuse methods for carbon fiber/glass fiber composites waste from wind turbine blades10.1016/j.compositesb.2021.108768 ↗
23. Flame-retardant fiber composites: Synergistic effects of additives on mechanical, thermal, chemical, and structural properties10.1007/s42114-024-01111-1 ↗
24. Natural fiber reinforced polymer composites: A comprehensive review of Tribo-Mechanical properties10.1016/j.triboint.2023.108978 ↗
25. Review on natural plant fibres and their hybrid composites for structural applications: Recent trends and future perspectives10.1016/j.jcomc.2022.100322 ↗
26. Boey, J.Y., Lee, C.K., and Tay, G.S. (2022). Factors affecting mechanical properties of reinforced bioplastics: A review. Polymers, 14.10.3390/polym14183737 ↗
27. Review of methods for enhancing interlaminar mechanical properties of fiber-reinforced thermoplastic composites: Interfacial modification, nano-filling and forming technology10.1016/j.compscitech.2022.109660 ↗
28. Sustainable fiber-reinforced composites: A review10.1002/adsu.202200258 ↗
29. Polymer-based composites: An indispensable material for present and future applications
30. Exploring innovative material integration in modern manufacturing for advancing us competitiveness in sustainable global economy10.51594/estj.v4i3.558 ↗
31. Rajak, D.K., Wagh, P.H., and Linul, E. (2022). A review on synthetic fibers for polymer matrix composites: Performance, failure modes and applications. Materials, 15.10.3390/ma15144790 ↗
32. Effect of natural filler materials on fiber reinforced hybrid polymer composites: An Overview10.1080/15440478.2020.1854145 ↗
33. Scalable production of functional fibers with nanoscale features for smart textiles10.1021/acsnano.4c10111 ↗
34. Mechanical performance of bio-based fiber reinforced polymer composites: A review10.1002/pc.30000 ↗
35. A sEMG-driven soft exosuit based on twisted string actuators for elbow assistive applications10.1109/LRA.2020.2988152 ↗
36. Alshammari, B.A., Alsuhybani, M.S., Almushaikeh, A.M., Alotaibi, B.M., Alenad, A.M., Alqahtani, N.B., and Alharbi, A.G. (2021). Comprehensive review of the properties and modifications of carbon fiber-reinforced thermoplastic composites. Polymers, 13.10.3390/polym13152474 ↗
37. Bukvić, M., Milojević, S., Gajević, S., Đorđević, M., and Stojanović, B. (2025). Production technologies and application of polymer composites in engineering: A review. Polymers, 17.10.3390/polym17162187 ↗
38. Mikołajewska, E., Masiak, J., and Mikołajewski, D. (2024). Applications of Artificial Intelligence-Based Patient Digital Twins in Decision Support in Rehabilitation and Physical Therapy. Electronics, 13.10.3390/electronics13244994 ↗
39. Łukaniszyn, M., Majka, Ł., Grochowicz, B., Mikołajewski, D., and Kawala-Sterniuk, A. (2024). Digital Twins Generated by Artificial Intelligence in Personalized Healthcare. Appl. Sci., 14.10.3390/app14209404 ↗
40. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews10.1136/bmj.n71 ↗
41. An implantable composite scaffold for amplified chemodynamic therapy and tissue regeneration10.1039/D2TB02699F ↗
42. Munoz-Guijosa, J., Martínez, R., Cendrero, A., and Lantada, A. (2020). Rapid prototyping of personalized articular orthoses by lamination of composite fibers upon 3D-printed molds. Materials, 13.10.3390/ma13040939 ↗
43. Schimmack, M., Hand, A., Mercorelli, P., and Georgiadis, A. (2015, January 7–9). Using a seminorm for wavelet denoising of sEMG signals for monitoring during rehabilitation with embedded orthosis system. Proceedings of the 2015 IEEE International Symposium on Medical Measurements and Applications (MeMeA), Turin, Italy.10.1109/MeMeA.2015.7145249 ↗
44. Ionic liquid-based polymer nanocomposites for sensors, energy, biomedicine, and environmental applications: Roadmap to the future10.1002/advs.202202187 ↗
45. Łukaszewski, K., Wichniarek, R., and Górski, F. (2020). Determination of the elasticity modulus of additively manufactured wrist hand orthoses. Materials, 13.10.3390/ma13194379 ↗
46. Advanced robotics and additive manufacturing of composites: Towards a new era in Industry 4.010.1080/10426914.2020.1866195 ↗
47. A review on sustainable properties of plant fiber-reinforced polymer composites: Characteristics and properties10.1002/pi.6686 ↗
48. Hasan, K.F., Horváth, P.G., and Alpár, T. (2020). Potential natural fiber polymeric nanobiocomposites: A review. Polymers, 12.10.3390/polym12051072 ↗
49. An investigation into 3D printing of fibre reinforced thermoplastic composites
50. Xiao, H., Han, W., Ming, Y., Ding, Z., and Duan, Y. (2019). A sensitivity analysis-based parameter optimization framework for 3D printing of continuous carbon fiber/epoxy composites. Materials, 12.10.3390/ma12233961 ↗
51. Big data, machine learning, and digital twin assisted additive manufacturing: A review10.1016/j.matdes.2024.113086 ↗
52. Consolidation of continuous fibre reinforced composites in additive processes: A review
53. Structural topology optimization and path planning for composites manufactured by fiber placement technologies10.1016/j.compstruct.2022.115488 ↗
54. Short fibre/unidirectional hybrid thermoplastic composites: Experimental characterisation and digital analysis10.1016/j.compositesa.2024.108121 ↗
55. Martín, M.J., Auñón, J.A., and Martín, F. (2021). Influence of infill pattern on mechanical behavior of polymeric and composites specimens manufactured using fused filament fabrication technology. Polymers, 13.10.3390/polym13172934 ↗
56. Monticeli, F.M., Neves, R.M., Ornaghi, H.L., and Almeida, J.H.S. (2022). Prediction of bending properties for 3D-printed carbon fibre/epoxy composites with several processing parameters using ANN and statistical methods. Polymers, 14.10.2139/ssrn.4057767 ↗
57. A materials informatics framework based on reduced-order models for extracting structure–property linkages of additively manufactured continuous fiber-reinforced polymer composites10.1002/pc.28238 ↗
58. Global sensitivity analysis of 3D printed material with binder jet technology by using surrogate modeling and polynomial chaos expansion10.1007/s40964-023-00459-y ↗
59. A review of process optimization for additive manufacturing based on machine learning10.4208/aam.OA-2023-0023 ↗
60. 3D Printing of Continuous Carbon Fiber Reinforced Composites with Cyanate Ester Interpenetrating Polymer Networks for Enhanced Thermo-Mechanical Properties10.1002/pc.70614 ↗
61. 3D printed models in mandibular reconstruction with bony free flaps10.1007/s10856-018-6029-5 ↗
62. Printing the Future—Updates in 3D Printing for Surgical Applications10.5041/RMMJ.10343 ↗
63. Selection of Fused Deposition Modeling Process Parameters Using Finite Element Analysis and Genetic Algorithms
64. Prototyping of an Individualized Multi-Material Wrist Orthosis Using Fused Deposition Modelling10.12913/22998624/113543 ↗
65. Design and manufacture of a customised temporomandibular prosthesis
66. Comparison of physical and mechanical properties of PLA, ABS and nylon 6 fabricated using fused deposition modeling and injection molding10.1016/j.compositesb.2019.107341 ↗
67. Zaman, S., Mahmud, M.S., Mollick, A.A., Lhaden, T., Dantzler, J., Arroyo, S., Goona, N.K., Mesbah, M., Ahsan, M.A., and Lin, Y. (2026). Artificial intelligence in additive Manufacturing: Advances in smart materials, lattice optimization, and process intelligence. Int. J. Adv. Manuf. Technol., 1–55.10.1007/s00170-026-18072-y ↗
68. Personalized 3D-printed forearm braces as an alternative for a traditional plaster cast or splint; A systematic review10.1016/j.injury.2022.07.020 ↗
69. Górski, F., Wichniarek, R., Kuczko, W., and Żukowska, M. (2021). Study on properties of automatically designed 3d-printed customized prosthetic sockets. Materials, 14.10.3390/ma14185240 ↗
70. Popescu, D., Baciu, F., Vlăsceanu, D., Marinescu, R., and Lăptoiu, D. (2023). Investigations on the Fatigue behavior of 3D-printed and thermoformed polylactic acid wrist–hand orthoses. Polymers, 15.10.3390/polym15122737 ↗
71. Vlăsceanu, D., Popescu, D., Baciu, F., and Stochioiu, C. (2024). Examining the flexural behavior of thermoformed 3D-printed wrist–hand orthoses: Role of material, infill density, and wear conditions. Polymers, 16.10.3390/polym16162359 ↗
72. Trindade, D., Habiba, R., Fernandes, C., Costa, A.A., Silva, R., Alves, N., and Moura, C. (2024). Material performance evaluation for customized orthoses: Compression, flexural, and tensile tests combined with finite element analysis. Polymers, 16.10.3390/polym16182553 ↗
73. Bryła, J., and Martowicz, A. (2021). Study on the importance of a slicer selection for the 3d printing process parameters via the investigation of g-code readings. Machines, 9.10.3390/machines9080163 ↗
74. The design and manufacturing of a Patient-Specific wrist splint for rehabilitation of rheumatoid arthritis10.1016/j.matdes.2024.112704 ↗
75. Exploring orthosis designs for 3D printing applying the finite element approach: Study of different materials and loading conditions
76. Quantifying the effect of material stiffness and wall thickness on the mechanical properties of ankle–foot orthoses manufactured by material extrusion10.1007/s40964-024-00717-7 ↗
77. Łukaszewski, K., Raj, R., and Karwasz, A. (2023). Mechanical evaluation of PET-G 3D-printed wrist-hand orthosis: An integrated experimental and numerical approach. Materials, 16.10.3390/ma16186132 ↗
78. Majdak, M., Bogović, S., Somogyi Škoc, M., and Rezić Meštrović, I. (2024). Assessment of the Mechanical Properties and Fragment Characteristics of a 3D-Printed Forearm Orthosis. Polymers, 16.10.3390/polym16233349 ↗
79. A Computational Model of Custom 3D Printed Hand Orthosis10.4028/p-iCMk3D ↗
80. Turkoglu, T., and Kilinc, A.C. (2025). Optimization of process parameters for steel wire-reinforced polylactic acid composites produced by additive manufacturing. Polymers, 17.10.3390/polym17050624 ↗
81. Computational models for neuromuscular function10.1109/RBME.2009.2034981 ↗
82. Parameter design of continuous carbon fiber-reinforced phenolic resin composites via in situ-curing 3D printing technology10.1177/07316844241228170 ↗
83. Zhang, J., Zhou, Z., Zhang, F., Tan, Y., Tu, Y., and Yang, B. (2020). Performance of 3D-printed continuous-carbon-fiber-reinforced plastics with pressure. Materials, 13.10.3390/ma13020471 ↗
84. Luo, H., Tan, Y., Zhang, F., Zhang, J., Tu, Y., and Cui, K. (2019). Selectively enhanced 3D printing process and performance analysis of continuous carbon fiber composite material. Materials, 12.10.3390/ma12213529 ↗
85. Sun, Z., Xiao, J., Tao, L., Wei, Y., Wang, S., Zhang, H., Zhu, S., and Yu, M. (2019). Preparation of high-performance carbon fiber-reinforced epoxy composites by compression resin transfer molding. Materials, 12.10.3390/ma12010013 ↗
86. Epoxy toughening through high pressure and shear rate preprocessing10.1038/s41598-019-53881-0 ↗
87. Biomedical Engineering Project Based Learning: Euro-African Design School Focused on Medical Devices
88. A systematic review of current AI techniques used in the context of the SDGs10.1007/s41742-024-00668-5 ↗
89. Kantaros, A., Zacharia, P., Drosos, C., Papoutsidakis, M., Pallis, E., and Ganetsos, T. (2025). Smart infrastructure and additive manufacturing: Synergies, advantages, and limitations. Appl. Sci., 15.10.2139/ssrn.5196883 ↗
90. Kantaros, A., Drosos, C., Papoutsidakis, M., Pallis, E., and Ganetsos, T. (2025). The role of 3D printing in advancing automated manufacturing systems: Opportunities and challenges. Automation, 6.10.3390/automation6020021 ↗
91. Rojek, I., Mikołajewski, D., Galas, K., and Piszcz, A. (2025). Advanced Deep Learning Algorithms for Energy Optimization of Smart Cities. Energies, 18.10.3390/en18020407 ↗
92. Rojek, I., Mikołajewski, D., Mroziński, A., Macko, M., Bednarek, T., and Tyburek, K. (2025). Internet of Things Applications for Energy Management in Buildings Using Artificial Intelligence—A Case Study. Energies, 18.10.3390/en18071706 ↗
93. Bioprinting: A focus on improving bioink printability and cell performance based on different process parameters10.1016/j.ijpharm.2023.123020 ↗
94. Antony Jose, S., Evtimow, A., and Menezes, P.L. (2026). Advances in 3D Bioprinting: Materials, Processes, and Emerging Applications. Micromachines, 17.10.3390/mi17030282 ↗
95. Gašparovič, M., Jungová, P., Tomášik, J., Mriňáková, B., Hirjak, D., Timková, S., Danišovič, Ľ., Janek, M., Bača, Ľ., and Peciar, P. (2024). Evolving Strategies and Materials for Scaffold Development in Regenerative Dentistry. Appl. Sci., 14.10.3390/app14062270 ↗
96. A review of smart alginate-based biomaterials: Innovations and challenges in tissue engineering and regenerative medicine10.1016/j.ijbiomac.2025.149518 ↗
97. Zhang, K., Fang, L., Xu, C., Zhou, W., Deng, X., Shan, C., Zhang, Q., and Pan, L. (2026). Advanced 3D/4D Bioprinting of Flexible Conductive Materials for Regenerative Medicine: From Bioinspired Design to Intelligent Regeneration. Micro, 6.10.3390/micro6010008 ↗
98. Coltelli, M.A., and Kartalov, E.P. (2024). Effects of Air Gaps on the Output Force Density in COMSOL Simulations of Biomimetic Artificial Muscles. Appl. Sci., 14.10.3390/app14219715 ↗
99. Vatan, H., Theodoridis, T., Wei, G., Saffari, Z., and Holderbaum, W. (2025). The Design and Development of a Wearable Cable-Driven Shoulder Exosuit (CDSE) for Multi-DOF Upper Limb Assistance. Appl. Sci., 15.10.3390/app151910673 ↗
100. Maican, C.A., Pană, C.F., Vrăjitoru, N.R., Pătrașcu-Pană, D.M., and Rădulescu, V.M. (2025). Fault Detection and Diagnosis for Human-Centric Robotic Actuation in Healthcare: Methods, Failure Modes, and a Validation Framework. Actuators, 14.10.3390/act14120566 ↗