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Howard J, Bowtell M, Fisher Z, Tasker LH, Tree JJ. Can a previously co-designed device be used by others? A service evaluation of the use of the Sativex spray holder for individuals with multiple sclerosis. Disabil Rehabil Assist Technol 2024; 19:1700-1708. [PMID: 37354541 DOI: 10.1080/17483107.2023.2228344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2022] [Revised: 04/27/2023] [Accepted: 06/18/2023] [Indexed: 06/26/2023]
Abstract
PURPOSE Co-design has previously been used to design custom assistive devices, involving the end user in the process to ensure the device meets their needs. From devices previously created, designs could be re-used and modified to meet variations in the needs of other individuals with similar clinical needs. This service evaluation explored the re-usability of a holder for helping administer the spray medication Sativex, for individuals with multiple sclerosis. METHODS This evaluation was conducted in a UK based Rehabilitation Engineering NHS department. Five individuals who were currently prescribed Sativex trialled the device and provided feedback to further customise the device. Questionnaires evaluated the satisfaction and impact of the devices provided. The resources to provide the devices were calculated. RESULTS Three of the five individuals who trialled the Sativex spray holder were using long term. Modifications to the shape of the holder were made due to differences in hand strength and dexterity from the initial user. Results indicated high satisfaction with the device and service provided, with improvements in the individuals' competence, adaptability and self-esteem. The mean cost of providing and modifying the device was £78.62. CONCLUSIONS The previously co-designed Sativex spray holder was used by other individuals, demonstrating how a co-design framework can be used to identify user needs and modifications to previous designs and then implement design changes. The wider use of the device helped off-set the initial costs associated with co-designing devices. Further work is required to explore how other devices could be modified to meet individual needs.
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Affiliation(s)
- Jonathan Howard
- Department of Psychology, College of Human and Health Sciences, Swansea University, Swansea, UK
- Rehabilitation Engineering Unit, Swansea Bay University Health Board, Morriston Hospital, Swansea, UK
| | - Mark Bowtell
- Rehabilitation Engineering Unit, Swansea Bay University Health Board, Morriston Hospital, Swansea, UK
| | - Zoe Fisher
- Health and Wellbeing Academy, College of Human and Health Sciences, Swansea University, Swansea, UK
- Regional Neuropsychology and Community Brain Injury Service, Swansea Bay University Health Board, Morriston Hospital, Swansea, UK
| | - Lorna H Tasker
- Rehabilitation Engineering Unit, Swansea Bay University Health Board, Morriston Hospital, Swansea, UK
| | - Jeremy J Tree
- Department of Psychology, College of Human and Health Sciences, Swansea University, Swansea, UK
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Thorsen R, Cugnod D, Ramella M, Converti RM, Ferrarin M. From patient to maker - a workflow including people with cerebral palsy in co-creating assistive devices using 3D printing technologies. Disabil Rehabil Assist Technol 2024; 19:1358-1368. [PMID: 36880457 DOI: 10.1080/17483107.2023.2177754] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Revised: 12/09/2022] [Accepted: 02/02/2023] [Indexed: 03/08/2023]
Abstract
PURPOSE Digital fabrication, like 3D printing, is a new opportunity for rehabilitation professionals to produce customized assistive devices. It allows for empowerment and collaboration in device procurement, but practical implementations are scarcely described. We describe the workflow, discuss feasibility and propose directions for future work. METHODS We showcase a process of co-manufacturing a custom spoon handle together with two people with cerebral palsy. Our digital manufacturing process was centered around videoconferencing to remotely control the processes from design to final 3D printing. Device functionality and satisfaction were assessed using standard clinical questionnaires: the Individual Priority Problem Assessment Questionnaire (IPPA) and the Quebec User Satisfaction Assessment with Assistive Technology (QUEST 2.0). RESULTS IPPA was instrumental in assessing user needs and device effectiveness. QUEST revealed where to focus future design efforts. CONCLUSION Involving people with disabilities in co-creation of assistive devices opens for new opportunities for healthcare providers that should be explored in depth using the described methodology. There may also be therapeutic benefits and we envisage specific actions to take in order to make it clinically viable.
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Affiliation(s)
- Rune Thorsen
- IRCCS Fondazione Don Carlo Gnocchi Onlus, Milano, Italy
| | - Denise Cugnod
- IRCCS Fondazione Don Carlo Gnocchi Onlus, Milano, Italy
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Lamontagne ME, Pellichero A, Tostain V, Routhier F, Flamand V, Campeau-Lecours A, Gherardini F, Thébaud M, Coignard P, Allègre W. The REHAB-LAB model for individualized assistive device co-creation and production. Assist Technol 2024; 36:154-163. [PMID: 37463509 DOI: 10.1080/10400435.2023.2229880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/16/2023] [Indexed: 07/20/2023] Open
Abstract
Assistive devices are designed to enhance individuals with disabilities' functional abilities. The rise of 3D printing technology enabled the production of individualized assistive devices (IADs). A REHAB-LAB is intended for IAD provision involving technical referents and occupational therapists. This study aimed to develop the REHAB-LAB logic model; to explore its fidelity and desirability; and to explore the characteristics of arising initiatives of IAD production. The REHAB-LAB logic model development involved stakeholders throughout the research process. A pragmatic multimethod approach followed two phases 1) logic model development and 2) exploration of its fidelity and desirability. The REHAB-LAB logic model presented the resources (equipment, space, human) required to implement IAD provision in a rehabilitation center, and the expected deliverables (activities and outputs). The REHAB-LAB logic model highlights the interdisciplinarity of IAD provision including occupational therapists, doctors, engineers, managers, and technical referents and places the users at the center of the IAD production. Results confirmed the fidelity and desirability of the REHAB-LAB logic model. The REHAB-LAB logic model can be used as a reference for future healthcare organizations wishing to implement an IAD provision. This research highlighted the interest of IAD provision based on the REHAB-LAB model involving users and transdisciplinary practices.
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Affiliation(s)
- Marie-Eve Lamontagne
- Center for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, Quebec, Canada
- Department of Rehabilitation, Université Laval, Quebec City, Quebec, Canada
| | - Alice Pellichero
- Kerpape Rehabilitation Center, Ploemeur, France
- Department LUSSI (Logistique des Usages, Sciences Sociales et de l'Information), Institut Mines-Telecom Atlantique, Brest, France
| | | | - François Routhier
- Center for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, Quebec, Canada
- Department of Rehabilitation, Université Laval, Quebec City, Quebec, Canada
| | - Véronique Flamand
- Center for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, Quebec, Canada
- Department of Rehabilitation, Université Laval, Quebec City, Quebec, Canada
| | - Alexandre Campeau-Lecours
- Center for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, Quebec, Canada
- Department of Mechanical Engineering, Université Laval, Quebec City, Quebec, Canada
| | - Francesco Gherardini
- Department of Engineering "Enzo Ferrari", Università di Modena e Reggio Emilia, Modena, Italy
| | | | | | - Willy Allègre
- Kerpape Rehabilitation Center, Ploemeur, France
- CoWork'HIT Innovation Center, Ploemeur, France
- Université de Bretagne-Sud, Lab-STICC, Lorient, France
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Leigh JH, Kim MY, Kim JN, Chung JC, Han S, Kim JH, Lee G. Customised joystick-making and training service of power wheelchair using rapid prototyping in rehabilitation centre for people with cervical spinal cord injury: findings from two case studies. Disabil Rehabil Assist Technol 2024:1-7. [PMID: 38230962 DOI: 10.1080/17483107.2023.2295947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2023] [Accepted: 12/13/2023] [Indexed: 01/18/2024]
Abstract
PURPOSE This study aimed to evaluate the clinical applicability of a customised power wheelchair joystick using rapid prototyping with 3D modeling and printing technology within a rehabilitation centre for patients with cervical spinal cord injury. MATERIALS AND METHODS Two male participants with tetraplegia following cervical-level spinal cord injury who had difficulty operating a powered wheelchair were recruited. The procedure of the joystick-making and training service consists of four steps: (1) driving evaluation; (2) digital fabrication; (3) functional test; and (4) driving training. K-QUEST 2.0 (Korean-Quebec User Evaluation of Satisfaction version 2.0) was used to measure the usability of the off-the-shelf and customised joystick. RESULTS During the application process, several redesign stages were required to obtain the final customised joystick. After participants attended a 30-min driving training five times per week for 8 weeks, the usability of the customised joystick was higher than that of the off-the-shelf one. CONCLUSION Providing the customised joystick-making and training service can be used in hospitalised rehabilitation centre before the hospital discharge of patients and returns to their everyday lives.
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Affiliation(s)
- Ja-Ho Leigh
- Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea
- Traffic Rehabilitation Research Institute, National Traffic Rehabilitation Hospital, Yangpyeong-gun, Gyeonggi-do, Republic of Korea
| | - Moon Young Kim
- Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea
- Traffic Rehabilitation Research Institute, National Traffic Rehabilitation Hospital, Yangpyeong-gun, Gyeonggi-do, Republic of Korea
- Program in Occupational Therapy, WA University School of Medicine, St. Louis, MO, USA
| | - Jae-Nam Kim
- Rehabilitation Medical Research Center, Incheon Hospital, Korea Workers' Compensation and Welfare Service, Incheon, Republic of Korea
| | - Jun-Chul Chung
- Rehabilitation Medical Research Center, Incheon Hospital, Korea Workers' Compensation and Welfare Service, Incheon, Republic of Korea
| | - Soul Han
- Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea
| | - Jin Hong Kim
- Rehabilitation Medical Research Center, Incheon Hospital, Korea Workers' Compensation and Welfare Service, Incheon, Republic of Korea
| | - Gangpyo Lee
- Rehabilitation Medical Research Center, Incheon Hospital, Korea Workers' Compensation and Welfare Service, Incheon, Republic of Korea
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Thorsen R, Cugnod D, Ramella M, Converti R, Ferrarin M. A parametric 3D printed assistive device for people with cerebral palsy - assessment of outcomes and comparison with a commercial counterpart. Assist Technol 2024; 36:16-21. [PMID: 37083458 DOI: 10.1080/10400435.2023.2202696] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/09/2023] [Indexed: 04/22/2023] Open
Abstract
This paper presents the use of a parametric design platform and 3D printing to create personalized assistive devices (ADs) for individuals with cerebral palsy, specifically a fork/spoon holder. Five subjects participated in the study, each receiving a customized device to fit their dominant hand, and they tested both the 3D printed device and a commercially available one. The devices were evaluated based on functionality and satisfaction using two standard clinical questionnaires (IPPA and QUEST 2.0). The results showed that neither the 3D printed nor the commercial device provided substantial benefits, but the questionnaires provided valuable feedback on areas for improvement. The study highlights the need for highly personalized solutions in ADs, which could be addressed by 3D printing. A configurator for generating production files from a parametric model could facilitate personalization, but a large number of model versions should be available to meet individual needs. Future research could explore clinical evaluations and guide the development of efficient and effective frameworks for digital fabrication in terms of clinically feasible AD model sourcing.
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Affiliation(s)
- Rune Thorsen
- IRCCS Fondazione Don Carlo Gnocchi Onlus, Milano, Italy
| | - Denise Cugnod
- IRCCS Fondazione Don Carlo Gnocchi Onlus, Milano, Italy
| | | | - Rosa Converti
- IRCCS Fondazione Don Carlo Gnocchi Onlus, Milano, Italy
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Howard J, Tasker LH, Fisher Z, Tree J. Assessing the use of co-design to produce bespoke assistive technology solutions within a current healthcare service: a service evaluation. Disabil Rehabil Assist Technol 2024; 19:42-51. [PMID: 35426354 DOI: 10.1080/17483107.2022.2060355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Accepted: 03/26/2022] [Indexed: 10/18/2022]
Abstract
PURPOSE Co-design involves engaging with the end-user in the design process and may help reduce the barriers to assistive technology use. Previous research has used co-design in the provision of assistive technology, but no research has looked at applying it within a healthcare setting. This service evaluation examines the use of co-design in providing customized assistive devices within a current UK healthcare based Rehabilitation Engineering department. METHODS This evaluation reports on three case studies. Individuals identified a range of challenges in daily living. The participants worked with the clinician in trialling prototypes and providing feedback to develop custom devices. A mixed-method approach of questionnaires and semi-structured interviews were used to evaluate the devices provided and the co-design approach. The resources required to provide the device were also calculated. RESULTS Five different devices were developed, which were able to overcome the challenges identified. Results indicated participants were satisfied with both the devices and service provided. Participants expressed other benefits including increased independence, increased positive emotions and reduced mental load. Participants indicated they liked being involved in the design process and their feedback helped ensure the devices were customized to their needs. CONCLUSIONS The use of co-design was able to produce customized assistive device that met the needs of the individuals within a current healthcare service. Further work is required to assess the feasibility of utilising a co-design approach for the provision of other custom assistive technology in the future and explore if this can overcome the barriers to assistive technology use.Implications for rehabilitationEnd-user involvement, the design process can help enable customized assistive devices to be provided that better meet the user's needs.The custom assistive devices provided not only helped the individuals overcome the challenges identified but had wider reaching benefits for the individuals physical and mental health and wellbeing.End-users valued being able to input into the co-design process and working closely with the clinician in developing the device.
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Affiliation(s)
- Jonathan Howard
- Department of Psychology, College of Human and Health Sciences, Swansea University, Swansea, UK
- Rehabilitation Engineering Unit, Swansea Bay University Health Board, Morriston Hospital, Swansea, UK
| | - Lorna H Tasker
- Rehabilitation Engineering Unit, Swansea Bay University Health Board, Morriston Hospital, Swansea, UK
| | - Zoe Fisher
- Health and Wellbeing Academy, College of Human and Health Sciences, Swansea University, Swansea, UK
- Regional Neuropsychology and Community Brain Injury Service, Swansea Bay University Health Board, Morriston Hospital, Swansea, UK
| | - Jeremy Tree
- Department of Psychology, College of Human and Health Sciences, Swansea University, Swansea, UK
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Borgnis F, Desideri L, Converti RM, Salatino C. Available Assistive Technology Outcome Measures: Systematic Review. JMIR Rehabil Assist Technol 2023; 10:e51124. [PMID: 37782310 PMCID: PMC10687703 DOI: 10.2196/51124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Revised: 09/14/2023] [Accepted: 09/14/2023] [Indexed: 10/03/2023] Open
Abstract
BACKGROUND The World Health Organization claimed that measuring outcomes is necessary to understand the benefits of assistive technology (AT) and create evidence-based policies and systems to ensure universal access to it. In clinical practice, there is an increasing need for standardized methods to track AT interventions using outcome assessments. OBJECTIVE This review provides an overview of the available outcome measures that can be used at the follow-up stage of any AT intervention and integrated into daily clinical or service practice. METHODS We systematically searched for original manuscripts regarding available and used AT outcome measures by searching for titles and abstracts in the PubMed, Scopus, and Web of Science databases up to March 2023. RESULTS We analyzed 955 articles, of which 50 (5.2%) were included in the review. Within these, 53 instruments have been mentioned and used to provide an AT outcome assessment. The most widely used tool is the Quebec User Evaluation of Satisfaction with Assistive Technology, followed by the Psychosocial Impact of Assistive Technology Scale. Moreover, the identified measures addressed 8 AT outcome domains: functional efficacy, satisfaction, psychosocial impact, caregiver burden, quality of life, participation, confidence, and usability. The AT category Assistive products for activities and participation relating to personal mobility and transportation was the most involved in the reviewed articles. CONCLUSIONS Among the 53 cited instruments, only 17 (32%) scales were designed to evaluate specifically assistive devices. Moreover, 64% (34/53) of the instruments were only mentioned once to denote poor uniformity and concordance in the instruments to be used, limiting the possibility of comparing the results of studies. This work could represent a good guide for promoting the use of validated AT outcome measures in clinical practice that can be helpful to AT assessment teams in their everyday activities and the improvement of clinical practice.
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Hellwig L, Preissner L, Pawlowski J, Deiters W. How digital fabrication technologies within digitalized innovation environments lead to participative aid development. JOURNAL OF ENABLING TECHNOLOGIES 2022. [DOI: 10.1108/jet-01-2022-0013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PurposeFacilities such as FabLabs and Makerspaces are characterized by the facilities' wide range of digital fabrication technologies as well as facilities' interdisciplinary user base and collaborative problem solving and product development. These possibilities can also hold great potential for people with disabilities who have a specific need for assistive technology. Since there are no established models of such participatory development processes (PDP) within digitalized innovation environments (DIE), this study intends to provide a comprehensive understanding of these processes along with the influencing factors.Design/methodology/approachThrough a cooperation with a Thalidomide Association, various PDPs were accompanied within a DIE and interviews were conducted with 16 stakeholders involved. Hereby, the perspective of thalidomide-affected people (5) as well as the supporting makers (6) and experts (5) were taken into account. Through a subsequent structured analysis, various dimensions as well as relevant influencing factors could be identified.FindingsIn total, 33 paraphrases could be formed in 8 categories and four dimensions concerning the PDPs investigated. In addition, 17 paraphrases on potentials and challenges could be extracted through generalization.Originality/valueDue to findings' holistic approach, the findings form an empirical basis for further research into this still very young research topic and represent a first step toward theory building. By the applicability of the identified influencing factors an important contribution can be made to the supply of aids and the inclusion of people with disabilities.Peer reviewThe peer review history for this article is available at: https://publons.com/publon 10.1108/JET-01-2022-0013
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Bleau M, Jaiswal A, Holzhey P, Aubin G, Do A, Dumassais S, Mirmiran R, Tangkhpanya F, Wittich W. Use of three-dimensional printing as a rehabilitation tool for individuals with deafblindness or vision impairment: a scoping review protocol. JBI Evid Synth 2021; 19:2790-2800. [PMID: 34645775 DOI: 10.11124/jbies-20-00374] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
OBJECTIVE This scoping review aims to synthesize evidence on the practices involving additive manufacturing, also known as three-dimensional printing, as a rehabilitation tool to assist individuals with deafblindness or vision impairment, and to identify which International Classification of Functioning, Disability and Health domains of functioning can be improved by its use. The goal is to inform health care professionals and family caregivers on how additive manufacturing may enhance the quality of life of people with deafblindness or vision impairment. INTRODUCTION Deafblindness and vision impairment impact many life domains, such as access to information, communication, and mobility. The sense of touch is the main gateway for communication for individuals living with these impairments. Additive manufacturing is a promising technology for producing customized, tactile-based, low-cost tangible objects and devices that could improve the functioning of those with sensory impairment. Emerging studies explore the benefits of additive manufacturing in rehabilitation, education, and inclusion of people living with vision impairment, but very little is known about its use for the deafblind. INCLUSION CRITERIA This review will consider studies that focus on the most widespread additive manufacturing technologies for the use of individuals living with deafblindness or vision impairment, their family caregivers, or professionals who provide their rehabilitation care. METHODS A comprehensive search of 10 databases (PsycINFO, MEDLINE, Global Health, PubMed, CINAHL, Embase, ERIC, Web of Science, Engineering Village, and Scopus) will be conducted. Screening of records will be done at the title/abstract level and at the full-text level by independent reviewers of the team.
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Affiliation(s)
- Maxime Bleau
- School of Optometry, Université de Montréal, Montreal, QC, Canada.,Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain, Montreal, QC, Canada
| | - Atul Jaiswal
- School of Optometry, Université de Montréal, Montreal, QC, Canada.,Institut Nazareth et Louis-Braille du CISSS de la Montérégie-Centre, Longueuil, QC, Canada.,Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain, Montreal, QC, Canada
| | - Peter Holzhey
- School of Optometry, Université de Montréal, Montreal, QC, Canada
| | - Gabrielle Aubin
- School of Optometry, Université de Montréal, Montreal, QC, Canada.,Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain, Montreal, QC, Canada
| | - Anna Do
- MGH Institute of Health Professions, Boston, MA, USA
| | - Shirley Dumassais
- School of Optometry, Université de Montréal, Montreal, QC, Canada.,Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain, Montreal, QC, Canada
| | - Roxane Mirmiran
- Interdisciplinary School of Health Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada
| | | | - Walter Wittich
- School of Optometry, Université de Montréal, Montreal, QC, Canada.,Institut Nazareth et Louis-Braille du CISSS de la Montérégie-Centre, Longueuil, QC, Canada.,Centre de réadaptation Lethbridge-Layton-Mackay du CIUSSS du Centre-Ouest-de-l'Île-de-Montréal, Montreal, QC, Canada.,Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain, Montreal, QC, Canada
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Janson R, Burkhart K, Firchau C, Hicks K, Pittman M, Yopps M, Hatfield S, Garabrant A. Three-dimensional printed assistive devices for addressing occupational performance issues of the hand: A case report. J Hand Ther 2021; 33:164-169. [PMID: 32423845 DOI: 10.1016/j.jht.2020.03.025] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/15/2019] [Revised: 11/21/2019] [Accepted: 03/31/2020] [Indexed: 02/03/2023]
Abstract
STUDY DESIGN This is a case report. INTRODUCTION Persons with rheumatoid arthritis frequently use assistive devices as a compensatory strategy to enhance occupational performance when client factors such as hand weakness, pain, and/or limited range of motion interfere with activity performance. Computer-aided design software and 3D printers are increasingly being used to design and make assistive devices. PURPOSE OF THE STUDY This case report describes a client-centered approach in the selection, three-dimensional (3D) printing, and evaluation of outcomes for three assistive devices to enhance occupational performance in a subject with rheumatoid arthritis. METHODS Outcome measures used in this study included the Patient-Specific Functional Scale, Numeric Pain Rating Scale, and Quebec User Evaluation of Satisfaction with Assistive Technology V2.0. Activity analysis along with the subject input informed a client-centered approach in the selection, color, and design modifications of 3D printed assistive devices made for the study. RESULTS The subject reported decreased pain, improved occupational performance, and satisfaction with use of 3D printed assistive devices to open plastic beverage bottles, unlock/lock doors, and write. DISCUSSION 3D printing offers therapists a means to design and make assistive devices that can be cost-effective, customizable, and client-centered. CONCLUSION Assistive devices made with 3D printing resulted in positive outcomes in a subject with rheumatoid arthritis.
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Affiliation(s)
- Robin Janson
- Department of Occupational Therapy, School of Health and Human Sciences, Indiana University, Indianapolis, IN, USA.
| | - Katie Burkhart
- Department of Occupational Therapy, School of Health and Human Sciences, Indiana University, Indianapolis, IN, USA
| | - Cassandra Firchau
- Department of Occupational Therapy, School of Health and Human Sciences, Indiana University, Indianapolis, IN, USA
| | - Kelly Hicks
- Department of Occupational Therapy, School of Health and Human Sciences, Indiana University, Indianapolis, IN, USA
| | - Molly Pittman
- Department of Occupational Therapy, School of Health and Human Sciences, Indiana University, Indianapolis, IN, USA
| | - Michaela Yopps
- Department of Occupational Therapy, School of Health and Human Sciences, Indiana University, Indianapolis, IN, USA
| | - Samantha Hatfield
- Department of Occupational Therapy, School of Health and Human Sciences, Indiana University, Indianapolis, IN, USA
| | - Alissia Garabrant
- Department of Occupational Therapy, School of Health and Human Sciences, Indiana University, Indianapolis, IN, USA
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Lu P, Liao Z, Zeng Q, Chen H, Huang W, Liu Z, Chen Y, Zhong J, Huang G. Customized Three-Dimensional-Printed Orthopedic Close Contact Casts for the Treatment of Stable Ankle Fractures: Finite Element Analysis and a Pilot Study. ACS OMEGA 2021; 6:3418-3426. [PMID: 33553960 PMCID: PMC7860236 DOI: 10.1021/acsomega.0c06031] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/11/2020] [Accepted: 01/14/2021] [Indexed: 06/12/2023]
Abstract
Ankle fracture is one of the most common traumatic fractures among the elderly population. The majority of ankle fractures are stable types with the typically conservative strategy of close contact casting treatment. The continuous use of unventilated standard cast immobilization severely affects patient's satisfaction and compliance and markedly increases the rates of various complications. Three-dimensional (3D) printing for casts has advantages of lightweight, ventilated, proper-fit, and esthetic improvements. In this work, this novel 3D-printed cast has been applied to individuals with stable ankle fractures, and its effectiveness can be successfully validated with finite element analysis and a pilot study. A 30% reduction of the volume was chosen as the optimal result in topology optimization. Both 3D-printed casts and conventional casts showed significant ankle function improvement after immobilization for 6 weeks (p = 0.000). The 3D-printed casts were superior to the traditional casts in Olerud-Molander Ankle Scores (OMAS), with the mean difference of 8.3 ± 8.57 OMAS points (95% CI -10.8 to 27.5; p = 0.354) for 6 weeks, implying that the 3D-printed casts possibly maintain the equal clinical efficacy as the traditional casts. The statistically significant difference between groups from the 3D-printed cast and the traditional one observed in C-QUEST 2.0 was 11.3 ± 1.5 points (95% CI 8.0-14.6; p = 0.000), indicating that the 3D-printed cast possesses outperforming satisfaction and compliance and has great potential in practical applications. There were no severe complications in the 3D-printed casts, but more moderate complications were observed in the traditional casts.
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Affiliation(s)
- Pengcheng Lu
- Department
of Rehabilitation Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou 510280, China
- Rehabilitation
Medical School, Southern Medical University, Guangzhou 510280, China
| | - Zhengwen Liao
- Department
of Rehabilitation Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou 510280, China
- Rehabilitation
Medical School, Southern Medical University, Guangzhou 510280, China
| | - Qing Zeng
- Department
of Rehabilitation Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou 510280, China
- Rehabilitation
Medical School, Southern Medical University, Guangzhou 510280, China
| | - Huan Chen
- Department
of Rehabilitation Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou 510280, China
- Rehabilitation
Medical School, Southern Medical University, Guangzhou 510280, China
| | - Weichun Huang
- School
of Chemistry and Chemical Engineering, Nantong
University, Nantong 226019, China
| | - Zhen Liu
- Department
of Rehabilitation Medicine, The First People’s
Hospital of Foshan, Foshan 528000, China
| | - Yanjun Chen
- Guangdong
Medical Innovation Platform for Translation of 3D Printing Application,
Department of Medical Radiology, The Third
Affiliated Hospital of Southern Medical University, Guangzhou 510515, China
| | - Jing Zhong
- Guangdong
Engineering Research Center for Translation of Medical 3D Printing
Application, Guangdong Provincial Key Laboratory of Medical Biomechanics,
School of Basic Medical Sciences, Southern
Medical University, Guangzhou 510515, China
| | - Guozhi Huang
- Department
of Rehabilitation Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou 510280, China
- Rehabilitation
Medical School, Southern Medical University, Guangzhou 510280, China
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In-hospital professional production of patient-specific 3D-printed devices for hand and wrist rehabilitation. HAND SURGERY & REHABILITATION 2020; 40:126-133. [PMID: 33309787 DOI: 10.1016/j.hansur.2020.10.016] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/29/2020] [Revised: 10/17/2020] [Accepted: 10/21/2020] [Indexed: 11/24/2022]
Abstract
The reported use of 3D printing in hand and wrist rehabilitation has been mostly limited to feasibility studies and case series so far. Some of the reasons are the lack of purpose-built scanning applications, complicated digital design software, and lengthy and error-prone printing processes. We propose a multidisciplinary workflow for in-hospital mass production of patient-specific 3D-printed devices for hand and wrist rehabilitation.
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