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  4. Design and fabrication of a custom molded splint for tetraplegics

Design and fabrication of a custom molded splint for tetraplegics

Journal of Clinical Orthopaedics and Trauma, 2023 · DOI: https://doi.org/10.1016/j.jcot.2023.102229 · Published: July 22, 2023

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study focuses on creating a custom writing device for people with cervical spinal cord injuries to help them write more easily. The device uses the natural gripping action of the hand, called tenodesis, to assist with holding a pen. The device was tested on a group of patients and compared to a standard writing splint. The results showed that the custom device helped patients write better and with less fatigue. The goal is to provide a more effective and less tiring way for individuals with tetraplegia to perform writing tasks, ultimately improving their independence and quality of life.

Study Duration
4 weeks
Participants
14 individuals with cervical spinal cord injury at C6-C7 level
Evidence Level
Not specified

Key Findings

  • 1
    The group using the custom molded writing device showed significantly better QUEST scores compared to the conventional design group.
  • 2
    Participants using the custom device could write for longer durations with less fatigue compared to those using the conventional splint.
  • 3
    The custom molded writing device, utilizing the tenodesis grasp, showed favorable results for rehabilitating writing skills in individuals with cervical spinal cord injuries.

Research Summary

This study aimed to develop and evaluate a custom molded writing device for individuals with cervical spinal cord injuries to improve their writing skills and reduce fatigue. Fourteen participants with C6-C7 level spinal cord injuries were divided into two groups: one using the custom device and the other using a standard writing splint. The effectiveness of the devices was assessed using the QUEST 2.0 questionnaire and handwriting quality. The results indicated that the custom molded writing device group performed significantly better in terms of QUEST scores and writing endurance, suggesting its potential for improving writing rehabilitation for individuals with cervical spinal cord injuries.

Practical Implications

Improved Hand Function

Custom molded writing devices can significantly improve hand function and writing skills in individuals with cervical spinal cord injuries.

Reduced Fatigue

The custom device reduces fatigue, allowing individuals to write for longer periods, enhancing their independence.

Personalized Rehabilitation

Customization is key; orthoses tailored to individual needs can optimize outcomes in hand rehabilitation.

Study Limitations

  • 1
    Small sample size limits generalizability to a larger population.
  • 2
    The study focused solely on patients with spinal cord injuries, excluding other diagnoses causing upper extremity paralysis.
  • 3
    The age range of participants (20-45 years) was limited; future studies should include a broader age range.

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