Assessment of dexterity, motor coordination and impact on quality of life in patients using assistive technology: a case study

Authors

DOI:

https://doi.org/10.33448/rsd-v9i6.3470

Keywords:

Physical therapy specialty; Self-help devices; Amputation; Quality oflLife.

Abstract

Introduction: Amputations are considered as total or partial withdrawal, having traumatic or congenital etiological causes, which end up impacting the individual's body acceptance and social relationships. The prostheses already existing in the scope of assistive technology, and new models, started to have an extensive acquisition value, becoming laborious to be acquired. As a result of this factor, companies such as e –NABLE together with health and engineering professionals aim to manufacture low cost upper limb prostheses, through additive manufacturing. Objective: perform an assessment of dexterity, motor coordination and impact on quality of life, in a patient using assistive technology. Methodology: The present study was characterized as a case study of a patient with transradial congenital amputation, who, through the 3D Hands project, received a low-cost prosthesis, where this research had as objective through the procedures and tests reported to assess dexterity, motor coordination and quality of life. Results and Discussion: It was observed that the use of the “Cyborg Beast” prosthesis was not satisfactory for the patient with congenital transradial amputation, with no expected tests being applied. However, since the patient had a lower score in the domain for emotional aspects, in the SF-36 Questionnaire, performed before the attempt at fitting. Conclusion: The importance of developing prosthetic models that serve this population was explained, as well as more studies that address motor coordination, manual dexterity and quality of life.

Author Biographies

Isabela Victória Fontes Arizi, Centro Universitário UNINASSAU

Graduando em Fisioterapia pela UNINASSAU /JP-PB.

Weslley Barbosa Sales, Centro Universitário UNINASSAU/ JP-PB

Departamento de Fisioterapia

Renata Ramos Tomaz, Centro Universitário UNINASSAU

Fisioterapeuta, Professora da UNINASSAU/JP-PB e Doutora pelo programa de Fisioterapia da UFRN.

References

Adorno, M. L. G. R., & Brasil-Neto, J. P. (2013). Avaliação da qualidade de vida com o instrumento SF-36 em lombalgia crônica. Acta Ortopédica Brasileira, 21(4), 202–207. https://doi.org/10.1590/s1413-78522013000400004

Biffi, R. F., Aramaki, A. L., Silva e Dutra, F. C. M., Garavello, I., & Cavalcanti, A. (2017). Levantamento dos problemas do dia a dia de um grupo de amputados e dos dispositivos de auxílio que utilizam. Revista de Terapia Ocupacional Da Universidade de São Paulo, 28(1), 46. https://doi.org/10.11606/issn.2238-6149.v28i1p46-53

Cristina, A., Morlin, G., Delattre, A. M., Walker, E., Cacho, A., & Dagmar, T. (2006). Concordância e tradução para o português do Teste de Habilidade Motora do Membro Superior - THMMS Reliability and Translation to Portuguese of the Arm Motor Ability Test – AMAT. 2006, 3–6.

Hebert, J. S., & Lewicke, J. (2012). Measure Prosthetic Function. 49(8), 1163–1174.

Kontson, K., Ian, M., Myklebust, B., & Civillico, E. (2017). Targeted box and blocks test: Normative data and comparison to standard tests. PLoS ONE, 12(5), 1–15. https://doi.org/10.5636/jgg.45.331

Lee, K. H., Kim, S. J., Cha, Y. H., Kim, J. L., Kim, D. K., & Kim, S. J. (2018). Three-dimensional printed prosthesis demonstrates functional improvement in a patient with an amputated thumb: A technical note. Prosthetics and Orthotics International, 42(1), 107–111. https://doi.org/10.1177/0309364616679315

Lopes, J. R. J., CRUZ, L. M. de S., & Sarmanho, A. P. S. (2018). Impressora 3D no desenvolvimento de pesquisas com próteses. Rev. Interinst. Bras. Ter. Ocup. Rio de Janeiro. 2018. V, 2(2), 398–413.

Luz, S. C. T. da, Oliveira, T. P. de, Andrade, M. C. de, Ávila, A. O. V., & Rosa, F. J. B. de la. (2010). Adaptação à prótese híbrida de extremidade superior: estudo termográfico de um caso. Fisioterapia e Pesquisa, 17(2), 173–177. https://doi.org/10.1590/s1809-29502010000200014

Oña, E. D., García, J. A., Raffe, W., Jardón, A., & Balaguer, C. (2019). Assessment of manual dexterity in VR: Towards a fully automated version of the box and blocks test. Studies in Health Technology and Informatics, 266, 57–62. https://doi.org/10.3233/SHTI190773

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. [e-book]. Santa Maria. Ed. UAB/NTE/UFSM. Disponível em: https://repositorio. ufsm. br/bitstream/handle/1/15824/Lic_Computacao_Metodologia Pesquisa-Cientifica. pdf. Acesso em: 28 março 2020.

Rosa, R. G., & Lopes, C. A. (2018). Processo de fabricação de próteses mecânicas através de manufatura aditiva. Revista Científica Da FHO, 6(1), 73–82. http://www.uniararas.br/revistacientifica/_documentos/art.015-2018.pdf

Volpato, N. (2017). Manufatura aditiva: tecnologias e aplicações da impressão 3D (1st ed.).

Xu, G., Gao, L., Tao, K., Wan, S., Lin, Y., Xiong, A., Bin, K., & Zeng, H. (2017). Three-dimensional-printed upper limb prosthesis for a child with traumatic amputation of right wrist: A case report. Medicine (United States), 96(52), 1–5.

Zuniga, J., Katsavelis, D., Peck, J., Stollberg, J., Petrykowski, M., Carson, A., & Fernandez, C. (2015). Cyborg beast: A low-cost 3d-printed prosthetic hand for children with upper-limb differences. BMC Research Notes, 8(1). https://doi.org/10.1186/s13104-015-0971-9

Published

19/04/2020

How to Cite

ARIZI, I. V. F.; SALES, W. B.; TOMAZ, R. R. Assessment of dexterity, motor coordination and impact on quality of life in patients using assistive technology: a case study. Research, Society and Development, [S. l.], v. 9, n. 6, p. e104963470, 2020. DOI: 10.33448/rsd-v9i6.3470. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/3470. Acesso em: 20 dec. 2024.

Issue

Section

Health Sciences