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Custom, rapid prototype thumb prosthesis for partial-hand amputation : A case report

SWARTZ AQ; TURNER K; MILLER L; KUIKEN T
PROSTHET ORTHOT INT , 2018, vol. 42, n° 2, p. 187-190
Doc n°: 186860
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1177/0309364617706421
Descripteurs : DD844 - AMPUTATION TRAUMATIQUE / MAIN-DOIGTS, EC15 - PROTHESE DE MEMBRE SUPERIEUR

The purpose of this article was to develop a custom
voluntary-closing, body-powered thumb mechanism for a partial-hand amputee who
had amputations of the index finger and thumb on the left, non-dominant hand.
Case description and methods: The prosthesis model was manufactured using rapid
prototype technology and was developed to provide greater force and
functionality, and to decrease overall size compared to traditional hand
prostheses. Findings and outcomes: Following device iterations and occupational
therapy sessions, the patient achieved higher functionality in performing daily
tasks such as cooking and cleaning, and in completing the Box and Blocks test,
though some limitations still precluded full acceptance of the device.
CONCLUSION: This case study represents a unique approach in the development of
custom-made devices that may increase prostheses acceptance rates among
partial-hand amputees. Clinical relevance Many partial-hand amputees report
experiencing trouble in finding a device that fits their needs. This study
highlights the potential of using rapid prototyping technology to design a
prosthesis that meets a user's specific desires.

Langue : ANGLAIS

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