Development of modular wrist, hand and finger orthesis by additive manufacturing
DOI:
https://doi.org/10.33448/rsd-v10i15.22707Keywords:
Orthosis; Additive manufacturing; Flexible Material; Modular; Low-cost.Abstract
Additive Manufacturing (AM) has been considered an innovative technology for the development of orthoses. Even so, the use of AM, utilizing low cost rigid and flexible material which can be used in different ways by the same user, to produce a modular orthosis has yet to be explored. Purpose: Develop a modular wrist, hand and finger orthosis that can be utilized as a functional or static orthosis, depending on the therapeutic objective. This being produced by low cost Additive Manufacturing, through a single anatomy acquisition process. Approach: Firstly, requirements for modularization and development were defined in a team with occupational therapists and mechanical engineers, After indirect anatomy acquisition of a volunteer, without disabilities, two parts of the same orthosis were modeled, one flexible (functional) and the other rigid (static). These were printed on PLA (rigid part) and flexible TPU (functional part) with an Open Source printer. In addition, fastening strips were also made in flexible TPU. Findings: Three parts of which make up the modular orthosis were produced. This can be used in two different ways; one being to maintain the static posture of the wrist, hand and fingers and the other to provide functionality of the hands, but with the correct positioning of the wrist and thumb. Originality: Even with low-cost material and an open source machine, it was possible to generate an innovative proposal with the use of AM as the orthosis manufacturing process.
References
Arakaki, V. C., Cardoso, M.C., Thinen, N.C., Imamura, M., & Battistella, L.R. (2012). Cerebral palsy - upper limbs: rehabilitation. Acta Fisiátrica, 19(2), 123–129. https://doi.org/10.5935/0104-7795.20120019
Baronio, G., Volonghi, P., & Signoroni, A. (2017). Concept and Design of a 3D Printed Support to Assist Hand Scanning for the Realization of Customized Orthosis. Applied Bionics and Biomechanics, 2017, Article 8171520. https://doi.org/10.1155/2017/8171520
Blaya, F., Pedro, P. S., Silva, J. L., D’Amato, R., Heras, E. S., & Juanes, J. A. (2018). Design of an Orthopedic Product by Using Additive Manufacturing Technology: The Arm Splint. Journal of Medical Systems, 42(3). https://doi.org/10.1007/s10916-018-0909-6
Chen, R. K., Jin, Y., Wensman, J., & Shih, A. (2016). Additive manufacturing of custom orthoses and prostheses-A review. Additive Manufacturing, 12(A), 77-89. https://doi.org/10.1016/j.addma.2016.04.002
Souza, M. A., Schmitz, C., Pinhel, M. M., Setti, J. A. P., & Nohama, P. (2017). Proposal of custom made wrist orthoses based on 3D modelling and 3D printing. Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society - EMBS, 3789–3792. https://doi.org/10.1109/EMBC.2017.8037682
Fernandez-Vicente, M., Escario Chust, A., & Conejero, A. (2017), Low cost digital fabrication approach for thumb orthoses, Rapid Prototyping Journal, 23(6), 1020-1031. https://doi.org/10.1108/RPJ-12-2015-0187
Jackman, M., Novak, I., & Lannin, N. (2014). Effectiveness of hand splints in children with cerebral palsy: a systematic review with meta-analysis. Developmental medicine and child neurology, 56(2), 138–147. https://doi.org/10.1111/dmcn.12205
Kelly, S., Paterson, A., & Bibb, R. (2015). A review of wrist splint designs for additive manufacture. RDPM 14: Rapid Design, Prototyping and Manufacture conference. Article 55901598.
Kim, H., & Jeong, S. Case study: Hybrid model for the customized wrist orthosis using 3D printing. J Mech Sci Technol. 29, 5151–5156. https://doi.org/10.1007/s12206-015-1115-9
Koutny, D., Palousek, D., Koutecky, T., Zatocilova, A., Rosicky, J., & Janda, M. (2012). 3D Digitalization of the Human Body for Use in Orthotics and Prosthetics. World Academy of Science, Engineering and Technology International Journal of Medical, Health, Biomedical, Bioengineering and Pharmaceutical Engineering, 6(12), 690–697.
Morris, C., Bowers, R., Ross, K., Stevens, P., & Phillips, D. (2011). Orthotic management of cerebral palsy: Recommendations from a consensus conference. NeuroRehabilitation, 28(1), 37–46. https://doi.org/10.3233/NRE-2011-0630
Palousek, D., Rosicky, J., Koutny, D., Stoklásek, P., & Navrat, T. (2013). Pilot study of the wrist orthosis design process. Rapid Prototyping Journal, 20(1), 27–32. https://doi.org/10.1108/RPJ-03-2012-0027
Paterson, A. M., Bibb, R., Campbell, R. I., & Bingham, G. (2015). Comparing additive manufacturing technologies for customised wrist splints. Rapid Prototyping Journal, 21(3), 230–243. https://doi.org/10.1108/RPJ-10-2013-0099
Paterson, A. M., Donnison, E., Bibb, R. J., & Ian Campbell, R. (2014). Computer-aided design to support fabrication of wrist splints using 3D printing: A feasibility study. Hand Therapy, 19(4), 102–113. https://doi.org/10.1177/1758998314544802
Paterson, A. M. J. et al. (2010). A review of existing anatomical data capture methods to support the mass customisation of wrist splints. Virtual and Physical Prototyping, 5 (4), 201-207.
Poier, P. H., Weigert, M. C., Rosenmann, G. C., de Carvalho, M. G. R., Ulbricht, L., & Foggiatto, J. A. (2021). The development of low-cost wrist, hand, and finger orthosis for children with cerebral palsy using additive manufacturing. Research on Biomedical Engineering, 37(3), 445–453. https://doi.org/10.1007/s42600-021-00157-0
Rosenmann G. C. et al. (2018). Development and evaluation of low-cost custom splint for spastic hand by additive manufacturing. Advances in Intelligent Systems and Computing. https://doi.org/10.1007/978-3-319-60582-1_70
Santos, A. (2018). Seleção do método de pesquisa: guia para pós-graduando em design e áreas afins. Curitiba: Insight.
Schwartz, D. A. (2020). Orthoses, Orthotic Fabrication, and Elastic Therapeutic Taping for the Pediatric Population. Solomon, J.W., O'Brien, J.C. (Ed.s), Pediatric Skills for Occupational Therapy Assistants, Elsevier, Missouri, St. Louis, 586 – 607.
Trujillo, L. G., & Amini, D. (2013). Creating a custom fabricated neoprene orthosis for optimal thumb positioning. Journal of Hand Therapy, 26(4), 365–368. https://doi.org/10.1016/j.jht.2013.05.008
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Copyright (c) 2021 Paloma Hohmann Poier; Rodrigo Pulido Arce; Gabriel Chemin Rosenmann; Maria Gabriela Reis Carvalho; Leandra Ulbricht; José Aguiomar Foggiatto
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