Publication:
Affordable passive 3D-printed prosthesis for persons with partial hand amputation

Thumbnail Image
Files

Files

Affordable passive 3D-printed prosthesis.pdf (855.86 KB)
View Statistics
Reference Managers
Mendeley
Indexers
Google Scholar CORE
QR Code
QR Code
Authors

Authors

Alturkistani, Raghad
A., Kevin
Devasahayam, Suresh
Thomas, Raji
Colombini, Esther L.
Cifuentes, Carlos A.
Homer Vanniasinkam, Shervanthi
Wurdemann, Helge A.
Moazen, Mehran
Abstract (Spanish)
Antecedentes y objetivo: Las amputaciones parciales de la mano son comunes en los países en desarrollo y tienen un impacto negativo en la calidad de vida de los pacientes y sus familias. La singularidad de cada amputación parcial de la mano, junto con la relativamente Los altos costos de las prótesis dificultan el suministro de soluciones protésicas adecuadas en los países en desarrollo. Actual Las soluciones suelen tener plazos de entrega largos y requieren un alto nivel de experiencia para producirse. El objetivo de este estudio fue diseñar y desarrollar una prótesis parcial de mano asequible y específica para cada paciente en los países en desarrollo. Técnica: La prótesis fue diseñada para un paciente con amputación transmetacarpiana (es decir, tres dedos amputados y palma parcial). El diseño final fue pasivo, controlado por la mano contralateral y utilizó la flexibilidad avanzada propiedades del poliuretano termoplástico en un diseño similar a un guante cuya fabricación cuesta aproximadamente 20 dólares. Cuantitativo y se realizaron pruebas cualitativas para evaluar el rendimiento del dispositivo después de que el paciente utilizó el diseño final. A Se realizó una evaluación cualitativa para recopilar los comentarios del paciente después de una serie de pruebas de taxonomía de comprensión. A La evaluación cuantitativa se realizó mediante una prueba de agarre y elevación para medir la capacidad de carga máxima de la prótesis. Discusión: Este estudio demostró que la prótesis mejoró las capacidades de manejo manual del paciente, principalmente en el forma de estabilidad de agarre. La prótesis era liviana y el paciente podía ponérsela y quitársela de forma independiente. Las limitaciones incluyen la necesidad de utilizar la mano contralateral para lograr el agarre y una fuerza de agarre baja.
Abstract (English)
Background and Aim: Partial hand amputations are common in developing countries and have a negative impact on patients and their families’ quality of life. The uniqueness of each partial hand amputation, coupled with the relatively high costs of prostheses, makes it challenging to provide suitable prosthetic solutions in developing countries. Current solutions often have long lead times and require a high level of expertise to produce. The aim of this study was to design and develop an affordable patient-specific partial hand prosthesis for developing countries. Technique: The prosthesis was designed for a patient with transmetacarpal amputation (i.e. three amputated fingers and partial palm). The final design was passive, controlled by the contralateral hand, and utilized the advanced flexibility properties of thermoplastic polyurethane in a glove-like design that costs approximately 20 USD to fabricate. Quantitative and qualitative tests were conducted to assess performance of the device after the patient used the final design. A qualitative assessment was performed to gather the patient’s feedback following a series of tests of grasp taxonomy. A quantitative assessment was performed through a grasp and lift test to measure the prosthesis’ maximum load capacity. Discussion: This study showed that the prosthesis enhanced the patient’s manual handling capabilities, mainly in the form of grasp stability. The prosthesis was light weight and could be donned and doffed by the patient independently. Limitations include the need to use the contralateral hand to achieve grasping and low grasp strength.
Extent
7 páginas
URI: https://repositorio.escuelaing.edu.co/handle/001/3314
Collections

Collections

AA. Gibiome
References

World Health Organization. Guidelines for training personnel in developing countries for prosthetics and orthotics services. World Health Organization, 2005, https://apps. who.int/iris/handle/10665/43127 (accessed 22 September 2019).

Marino M, Pattni S, Greenberg M, et al. Access to prosthetic devices in developing countries: pathways and challenges. In: 2015 IEEE global humanitarian technology conference (GHTC), Seattle, WA, 8–11 October 2015, pp. 45–51. New York: IEEE.

Phillips B, Zingalis G, Ritter S, et al. A review of current upper-limb prostheses for resource constrained settings. In: 2015 IEEE global humanitarian technology conference (GHTC), Seattle, WA, 8–11 October 2015, pp. 52–58. New York: IEEE.

Imbinto I, Peccia C, Controzzi M, et al. Treatment of the partial hand amputation: an engineering perspective. IEEE Rev Biomed Eng 2016; 9: 32–48.

O’Keeffe B. Prosthetic rehabilitation of the upper limb amputee. Indian J Plast Surg 2011; 44(2): 246–252

Ottobock. Body-powered prosthetic solutions, https:// www.ottobockus.com/prosthetics/upper-limb-prosthetics/solution-overview/body-powered-prosthetic-solutions/ (accessed 1 July 2018).

Didrick Medical Inc. X-Finger models, http://www.xfinger.com/x-finger-models.html (accessed 1 July 2018).

Smith DG, Michael JW and Bowker JH. Atlas of amputations and limb deficiencies: surgical, prosthetic and rehabilitation principles. 3rd ed. Rosemont, IL: American Academy of Orthopaedic Surgeons, 2004.

Enabling The Future. Enabling the future – a global network of passionate volunteers using 3D printing to give the world a helping hand, http://enablingthefuture.org/ (accessed 1 July 2018).

Diment LE, Thompson MS and Bergmann JH. Threedimensional printed upper-limb prostheses lack randomised controlled trials: a systematic review. Prosthet Orthot Int 2018; 42(1): 7–13.

Diment LE, Thompson MS and Bergmann JH. Threedimensional printed upper-limb prostheses lack randomised controlled trials: a systematic review. Prosthet Orthot Int 2018; 42(1): 7–13.

Sayuk A. Design and implementation of a low cost hand for prosthetic applications. Master’s Thesis, University of Coimbra, Coimbra, 2015.

Feix T, Romero J, Schmiedmayer H, et al. The GRASP taxonomy of human grasp types. IEEE Trans Hum-Mach Sys 2016; 46(1): 66–77

National Institute of Standards and Technology. Grasping performance metrics and test methods, https://www.nist.gov/el/ intelligent-systems-division-73500/robotic-grasping-and-manipulation-assembly/grasping (2018, accessed 1 September 2018).

Zuniga J, Katsavelis D, Peck J, et al. Cyborg beast: a lowcost 3d-printed prosthetic hand for children with upper-limb differences. BMC Res Notes 2015; 8: 10.