Gesture-Based Navigation of Smart Wheelchairs: A Review of Current Trends and Future Directions

Gesture recognition systems powered by artificial intelligence provide a promising solution for mobility and independence for individuals with physical disabilities. However, the deployment of such systems remains limited due to some challenges related to robustness, different user requirements, affordability for lower income people, and adaptation to low-resource environments. This study presents a systematic review of gesture-controlled intelligent wheelchair systems published recently. After searching academic databases, 600 studies were found. After removing duplicate and irrelevant studies and applying the inclusion and exclusion criteria, 72 of the most relevant studies were selected for detailed analysis. The review identifies three major approaches: vision-based methods, sensor-based techniques, and signal-based techniques utilizing electromyography (EMG) and inertial measurement units (IMU), and hybrid multimodal frameworks. A comparative study is conducted to analyze performance metrics, computational requirements, datasets, and validation strategies among these approaches. The findings identify several critical research gaps, including limited real-world testing, insufficient handling of pathological tremors, weak environmental robustness, and the lack of culturally aligned gesture vocabularies. The findings identify important design considerations and research directions for developing robust, affordable, and accessible intelligent wheelchair systems suitable for underserved people in low-resource environments.