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  4. Design of a 3D-printed, open-source wrist-driven orthosis for individuals with spinal cord injury

Design of a 3D-printed, open-source wrist-driven orthosis for individuals with spinal cord injury

PLoS ONE, 2018 · DOI: https://doi.org/10.1371/journal.pone.0193106 · Published: February 22, 2018

Spinal Cord InjuryAssistive TechnologyBiomedical

Simple Explanation

This study focuses on creating a better wrist-driven orthosis (WDO) for people with spinal cord injuries using 3D printing. Traditional WDOs can be heavy, uncomfortable, and hard to get, so the researchers aimed to make them more accessible and customizable. The new 3D-printed WDO is cheaper to make (around $15) and takes less time to assemble (about 1.5 hours). It also allows for easier customization to fit individual users. The design of the 3D-printed WDO is available for free online, so anyone can use it and improve upon it. User testing showed varying improvements in hand function, with some participants experiencing increased grasp strength and improved ability to perform tasks.

Study Duration
Not specified
Participants
3 SCI users, 6 P&O students
Evidence Level
Level IV, case series

Key Findings

  • 1
    The 3D-printed WDO reduced hands-on assembly time to approximately 1.5 hours and the material costs to $15 compared to current fabrication methods.
  • 2
    Varying improvements in users’ hand function were observed during functional tests, such as the Jebsen Taylor Hand Function Test.
  • 3
    Two users had a significant increase in grasp strength with the WDO (13–122% increase), while the other participant was able to perform a pinching grasp for the first time.

Research Summary

This study presents the design and evaluation of a 3D-printed, open-source wrist-driven orthosis (WDO) for individuals with spinal cord injury (SCI). The aim was to improve the accessibility, customizability, and function of WDOs by leveraging 3D-printing technology. The 3D-printed WDO demonstrated reduced fabrication time and material costs compared to traditional methods. User testing showed mixed results, with some participants experiencing improvements in hand function and grasp strength. The open-source design of the WDO aims to encourage further innovation and development in the field of hand orthoses, potentially leading to improved outcomes for individuals with SCI and other disabilities.

Practical Implications

Improved Accessibility

The open-source design and reduced fabrication costs of the 3D-printed WDO can make assistive devices more accessible to individuals with SCI, particularly in low-resource settings.

Enhanced Customization

3D-printing allows for greater customization of WDOs to fit individual user needs, potentially improving comfort, function, and device acceptance.

Stimulated Innovation

The open-source nature of the project can foster collaborative innovation and accelerate the development of new and improved hand orthoses.

Study Limitations

  • 1
    Functional heterogeneity of the user population
  • 2
    Subjectivity of reported device scores
  • 3
    Lack of traditional WDOs for functional comparison

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