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

Abstract:

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. CLINICAL RELEVANCE:Persons with partial hand amputation in developing countries lack access to affordable functional prostheses, hindering their ability to participate in the community. 3D-printed prostheses can provide a low-cost solution that is adaptable to different amputation configurations.

journal_name

Prosthet Orthot Int

authors

Alturkistani R,A K,Devasahayam S,Thomas R,Colombini EL,Cifuentes CA,Homer-Vanniasinkam S,Wurdemann HA,Moazen M

doi

10.1177/0309364620905220

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

92-98

issue

2

eissn

0309-3646

issn

1746-1553

journal_volume

44

pub_type

杂志文章
  • Significance of recumbent curvature in prediction of in-orthosis correction for adolescent idiopathic scoliosis.

    abstract:BACKGROUND::Prediction of in-orthosis curvature at pre-orthosis stage is valuable for the treatment planning for adolescent idiopathic scoliosis, while the position of spinal curvature assessment that is effective for this prediction is still unknown. OBJECTIVES::To compare the spinal curvatures in different body posi...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364618798172

    authors: He C,To MK,Chan CK,Wong MS

    更新日期:2019-04-01 00:00:00

  • Traumatic amputation of the upper limb: the use of body-powered prostheses and employment consequences.

    abstract::Forty three patients with unilateral traumatic amputations were reviewed as to the use of prostheses and employment consequences of the amputation. Seventeen of 19 below-elbow amputees, and 12 of 24 above-elbow amputees used their prostheses. Non-users compared to users of prostheses were characterized by: 1) Higher l...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093648809079390

    authors: Stürup J,Thyregod HC,Jensen JS,Retpen JB,Boberg G,Rasmussen E,Jensen S

    更新日期:1988-04-01 00:00:00

  • New walking aid for primary mobilization of an infant with deficiency of all four limbs.

    abstract::The authors report on a new device for the primary mobilization of a boy with severe deficiencies of all four limbs. This device allows independent mobility. ...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093649409164671

    authors: Balogh S,Gönczy T,Bujdosó R,Kullmann L

    更新日期:1994-04-01 00:00:00

  • Effect of prosthetic ankle units on the gait of persons with bilateral trans-femoral amputations.

    abstract::In able-bodied individuals, the ankle joint functions to provide shock absorption, aid in foot clearance during the swing phase, and provides a rocker mechanism during stance phase to facilitate forward progression of the body. Prosthetic ankles currently used by persons with lower limb amputations provide considerabl...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1080/02699200701847244

    authors: McNealy LL,Gard SA

    更新日期:2008-03-01 00:00:00

  • Gastrocnemius operating length with ankle foot orthoses in cerebral palsy.

    abstract:BACKGROUND:Many individuals with cerebral palsy wear ankle foot orthoses during daily life. Orthoses influence joint motion, but how they impact muscle remains unclear. In particular, the gastrocnemius is commonly stiff in cerebral palsy. Understanding whether orthoses stretch or shorten this muscle during daily life m...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364616665731

    authors: Choi H,Wren TAL,Steele KM

    更新日期:2017-06-01 00:00:00

  • Effects of alignment on the roll-over shapes of prosthetic feet.

    abstract::Recent work suggests that a prosthetic ankle-foot component's roll-over shape - the effective rocker it conforms to between initial contact and opposite initial contact (the 'roll-over' interval of walking) - is closely linked to its final alignment in the prosthesis (as determined by a skilled prosthetist using heuri...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1080/03093640802366158

    authors: Hansen A

    更新日期:2008-12-01 00:00:00

  • Comparison of prosthetic outcomes between adolescent transtibial and transfemoral amputees after Sichuan earthquake using Step Activity Monitor and Prosthesis Evaluation Questionnaire.

    abstract:BACKGROUND:The devastating earthquake in Sichuan in 2008 has left many adolescent amputees. However, little research has been focused on the adolescent amputees who have high potential to return to premorbid activity level. OBJECTIVES:To investigate daily step activities and prosthesis-related quality of life of the a...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364614556837

    authors: Chu CK,Wong MS

    更新日期:2016-02-01 00:00:00

  • Is there any relationship between orthotic usage and functional activities in children with neuromuscular disorders?

    abstract:BACKGROUND:Contractures of Achilles tendons and gastrocnemius muscle deteriorate the performance in daily living activities of patients with neuromuscular diseases. Ankle-foot orthoses help to prevent the progression of deformities and to obtain optimal position of the joints to support standing and walking. OBJECTIVE...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364613486915

    authors: Alemdaroğlu İ,Gür G,Bek N,Yilmaz ÖT,Yakut Y,Uygur F,Karaduman A

    更新日期:2014-02-01 00:00:00

  • Taxonomy of clinical encounters during the first 90 days post-delivery of an initial lower limb prosthesis.

    abstract:BACKGROUND:The incidence and etiology of prosthetic services utilization is poorly understood during the first 90 days post-delivery of the initial lower limb prosthesis. This period is of critical importance, as prevailing policy dictates limits on the reimbursement for certain services provided during this time perio...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364618774053

    authors: Lee DJ,Wininger M,Mahler D,Parisi M

    更新日期:2018-10-01 00:00:00

  • The use of flexible polyurethane foam in orthotics.

    abstract::The casting of flexible polyurethane foam into a wide range of customised shapes has been found to offer a relatively straightforward solution to a number of problems associated with providing support for the physically handicapped. This note describes the techniques used for the production of such supports and report...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093648409145359

    authors: Taylor AG

    更新日期:1984-08-01 00:00:00

  • Foot clearance strategy for step-over-step stair climbing in transfemoral amputees.

    abstract:BACKGROUND AND AIM:Stair ascent is a particularly challenging task for transfemoral amputees. The aim of this clinical note was to describe the kinematic features of foot clearance in transfemoral amputee who can ascend stairs using a step-over-step strategy. TECHNIQUE:The marker trajectories of the first metatarsopha...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364613497049

    authors: Hobara H,Kobayashi Y,Nakamura T,Yamasaki N,Ogata T

    更新日期:2014-08-01 00:00:00

  • Rasch analysis of the Locomotor Capabilities Index-5 in people with lower limb amputation.

    abstract::The aim of this study was to perform a Rasch analysis on the 5-level ordinal scale version of the Locomotor Capabilities Index (LCI-5), in order to investigate rating scale quality and conduct reliability and validity assessments. A questionnaire was mailed to 144 subjects who had undergone lower limb amputation (LLA)...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1080/03093640701253952

    authors: Franchignoni F,Giordano A,Ferriero G,Muñoz S,Orlandini D,Amoresano A

    更新日期:2007-12-01 00:00:00

  • Preliminary experiences with modified SACH feet manufactured and used in a tropical developing world setting.

    abstract::In a prospective study of polypropylene (PP) prostheses for trans-tibial amputees four different modified SACH feet were used. These are identified as: 1. BAVI from the national manufacturer of componentry in BaVi; 2. HCMC a design initiated by the International Committee of the Red Cross (ICRC) together with the Army...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093649909071641

    authors: Jensen JS,Heim S

    更新日期:1999-12-01 00:00:00

  • Custom skiing and trekking adaptations for a trans-tibial and trans-radial quadrilateral amputee.

    abstract::A keen skier who is a trans-tibial and trans-radial quadrilateral amputee sought an improved adaptation for skiing from the Rehabilitation Engineering Service in Edinburgh. The unpredictable nature of the bending moments and loads that can be imposed on the prostheses during skiing raised concern about the suitability...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093640409167927

    authors: Farley R,Mitchell F,Griffiths M

    更新日期:2004-04-01 00:00:00

  • Interface pressures and shear stresses: sagittal plane angular alignment effects in three trans-tibial amputee case studies.

    abstract::Interface pressures and shear stresses at different sagittal plane angular alignment settings were measured on 3 trans-tibial amputee subjects ambulating with patellar-tendon-bearing total contact prostheses. Substantial socket-shank angular alignment modifications in the sagittal plane had minimal effect on stance ph...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093649909071607

    authors: Sanders JE,Daly CH

    更新日期:1999-04-01 00:00:00

  • Nordic clinical guidelines for orthotic treatment of osteoarthritis of the knee: A systematic review using the AGREE II instrument.

    abstract:BACKGROUND:High-quality clinical practice guidelines are necessary for effective use of resources both at an individual patient- and national-level. Nordic clinical practice guidelines recommendations for orthotic treatment of knee osteoarthritis vary and little is known about their quality. OBJECTIVES:The aim of the ...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364619857854

    authors: Jarl G,Hellstrand Tang U,Nordén E,Johannesson A,Rusaw DF

    更新日期:2019-10-01 00:00:00

  • Changes in the corticospinal tract after wearing prosthesis in bilateral transtibial amputation.

    abstract:BACKGROUND:After amputation, the brain is known to be reorganized especially in the primary motor cortex. We report a case to show changes in the corticospinal tract in a patient with serial bilateral transtibial amputations using diffusion tensor imaging. Case Description and Methods: A 78-year-old man had a transtibi...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章,评审

    doi:10.1177/0309364616684216

    authors: Lee SY,Kang SH,Kim DK,Seo KM,Ro HJ,Kim JK

    更新日期:2017-10-01 00:00:00

  • Long term comparison of some shock attenuating insoles.

    abstract::The effect of one years general use on the performance of four shock attenuating insoles is reported. Testing was carried out using the JP Biomechanics Shock Meter on twelve volunteers on a timed oval course at eight intervals during the year. The results show that two of the insoles perform well (Viscolas and PPT) al...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093649009080322

    authors: Pratt DJ

    更新日期:1990-08-01 00:00:00

  • The stump capping procedure to prevent or treat terminal osseous overgrowth.

    abstract::Terminal overgrowth in transverse deficiencies and in amputations, particularly of the humerus and tibia necessitate serial trimming procedures or re-amputation. Capping using an autogenous bone graft or a titanium and polyethylene endoprosthetic cap provides a satisfactory way of avoiding these re-amputations and all...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093649109164641

    authors: Pfeil J,Marquardt E,Holtz T,Niethard FU,Schneider E,Carstens C

    更新日期:1991-08-01 00:00:00

  • A newly developed socket design for a knee disarticulation amputee who is an active athlete.

    abstract::This case report describes a newly developed socket design for a world class knee disarticulation athlete. To meet the demands concerning especially the suspension of the prosthesis a new type of socket was developed. The socket is made from carbon fibres and polyaramid fibres and is designed with a slit in the socket...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1080/03093640208726624

    authors: Tingleff H,Jensen L

    更新日期:2002-04-01 00:00:00

  • Selection of an above or below-ankle orthosis for individuals with neuropathic partial foot amputation: a pilot study.

    abstract:BACKGROUND:Little evidence exists for the orthotic management for individuals diagnosed with diabetic neuropathy and partial foot amputation. OBJECTIVE:This pilot study examined differences in balance and pressure distribution while individuals wore foot orthoses inside shoes (BA) and this same orthosis combined with ...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0309364612437005

    authors: Spaulding SE,Chen T,Chou LS

    更新日期:2012-06-01 00:00:00

  • Clinical field testing of vulcanized rubber feet for trans-tibial amputees in tropical low-income countries.

    abstract::In a prospective, controlled study, 186 prosthetic rubber feet of different designs were fitted to amputees with trans-tibial prostheses. There were 158 amputees available for follow-up. The amputee compliance was good and 89% were satisfied with their device. After 18 months of use one VI-Solid rubber foot from VVAF ...

    journal_title:Prosthetics and orthotics international

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1080/03093640600794692

    authors: Steen Jensen J,Nilsen R,Zeffer J,Fisk J,Hartz C

    更新日期:2006-08-01 00:00:00

  • A model to facilitate implementation of the International Classification of Functioning, Disability and Health into prosthetics and orthotics.

    abstract:BACKGROUND:The International Classification of Functioning, Disability and Health is a classification of human functioning and disability and is based on a biopsychosocial model of health. As such, International Classification of Functioning, Disability and Health seems suitable as a basis for constructing models defin...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364617729925

    authors: Jarl G,Ramstrand N

    更新日期:2018-10-01 00:00:00

  • The i-LIMB hand and the DMC plus hand compared: a case report.

    abstract::The i-LIMB hand is a novel upper limb myoelectric prosthetic hand with several joints in the fingers and thumb. This study aimed to determine whether this new device had more functionality than a more conventional myoelectric prosthetic hand with only a single joint between the thumb and two fingers. Therefore, a 45-y...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093641003767207

    authors: Otr OV,Reinders-Messelink HA,Bongers RM,Bouwsema H,Van Der Sluis CK

    更新日期:2010-06-01 00:00:00

  • Toileting self-care methods for bilateral high level upper limb amputees.

    abstract::One of the most important problems for the bilateral upper limb deficient patient is the inability to manage toileting activities. Dependence in this area precludes schooling or work. This paper surveys available clothing types and adaptations to facilitate doffing and donning clothing and devices for genital cleansin...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093648009103112

    authors: Friedmann L

    更新日期:1980-04-01 00:00:00

  • Laterality, gender and age differences in estimated frequency and actual registration of people with congenital upper limb absences.

    abstract::Initial analyses from a survey of people with unilateral upper limb congenital absence registered with the Cambridge Disablement Services Centre (DSC) indicated differences related to laterality and gender. A postal survey of all DSCs in the UK was conducted and support for these findings was provided from the analysi...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093649809164487

    authors: Fraser CM

    更新日期:1998-12-01 00:00:00

  • Development and characterisation of electromechanical muscles for driving trans-humeral myoelectric prostheses.

    abstract::Recently, attempts have been made to construct actuators with similar behaviour to natural muscles. However the results have been inadequate for application to practical prostheses. For example, muscle wire, which has too low an efficiency to be powered by batteries and McKibben muscles which require two power supplie...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1080/03093640208726652

    authors: Escudero AZ,Alvarez J,Leija L

    更新日期:2002-12-01 00:00:00

  • A CAD analysis programme for prosthetics and orthotics.

    abstract::A CAD (computer aided design) analysis software package (CADVIEW) was designed for use with prosthetic and orthotic CAD CAM (computer aided design/computer aided manufacture) systems. Using the Microsoft Windows 3.1 environment, CADVIEW provides a series of anatomical shape viewing and analysis tools. These tools incl...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093649409164393

    authors: Lemaire E

    更新日期:1994-08-01 00:00:00

  • Psoriasis and the effect of prosthetic fitting.

    abstract::This contribution presents the case histories of two patients who underwent limb amputation. One patient suffered from psoriasis prior to the surgery and the second developed psoriatic lesions post surgery. Both patients were provided with a prosthesis and despite the multiple cutaneous complications of the psoriasis ...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.3109/03093640309167979

    authors: Heim M,Warshavski M,Siev-Ner I

    更新日期:2003-04-01 00:00:00

  • Cost-effectiveness of bone-anchored prostheses using osseointegrated fixation: Myth or reality?

    abstract:BACKGROUND:In principle, lower limb bone-anchored prostheses could alleviate expenditure associated with typical socket manufacturing and residuum treatments due to socket-suspended prostheses. OBJECTIVE:This study reports (a) the incremental costs and (b) heath gain as well as (c) cost-effectiveness of bone-anchored ...

    journal_title:Prosthetics and orthotics international

    pub_type: 杂志文章

    doi:10.1177/0309364617740239

    authors: Frossard LA,Merlo G,Burkett B,Quincey T,Berg D

    更新日期:2018-06-01 00:00:00