Functional Assessment of 3D-Printed Multifunction Assistive Hand Device for Chronic Stroke Patients

Patients with chronic stroke often have difficulty opening their hands and performing grasping movements. Several passive hand orthoses for assisting hand rehabilitation have been developed and demonstrated to be clinically effective. However, current devices have several limitations, such as suppor...

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Main Authors: Zih-Hua Chen, Yun-Lin Yang, Kuang-Wei Lin, Pi-Chang Sun, Chen-Sheng Chen
Format: Article
Language:English
Published: IEEE 2022-01-01
Series:IEEE Transactions on Neural Systems and Rehabilitation Engineering
Subjects:
Online Access:https://ieeexplore.ieee.org/document/9771199/
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author Zih-Hua Chen
Yun-Lin Yang
Kuang-Wei Lin
Pi-Chang Sun
Chen-Sheng Chen
author_facet Zih-Hua Chen
Yun-Lin Yang
Kuang-Wei Lin
Pi-Chang Sun
Chen-Sheng Chen
author_sort Zih-Hua Chen
collection DOAJ
description Patients with chronic stroke often have difficulty opening their hands and performing grasping movements. Several passive hand orthoses for assisting hand rehabilitation have been developed and demonstrated to be clinically effective. However, current devices have several limitations, such as supporting only a single grasping motion and using an abnormal grasping posture. Therefore, this study developed a three-dimensional (3D)-printed multifunctional hand device (3DP-MFHD) to solve these problems and evaluated the feasibility of using the device during home rehabilitation. Six participants were enrolled, and each of them was provided with the 3DP-MFHD. In addition to a task-oriented training course, the participants were asked to train at home for 4 weeks for at least 5 days per week and 40 min per day. The results revealed that hand grip force increased by 36.1%, lateral pinch force increased by 17.6%, and the Action Research Arm Test score increased by 54.1%. The 3DP-MFHD is a promising means to facilitate hand rehabilitation and improve hand strength and function in patients with chronic stroke. The 3DP-MFHD can be used as part of home rehabilitation.
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spelling doaj.art-ce03be31df1f429ca7cd28751c01271a2023-06-13T20:06:46ZengIEEEIEEE Transactions on Neural Systems and Rehabilitation Engineering1558-02102022-01-01301261126610.1109/TNSRE.2022.31730349771199Functional Assessment of 3D-Printed Multifunction Assistive Hand Device for Chronic Stroke PatientsZih-Hua Chen0Yun-Lin Yang1Kuang-Wei Lin2https://orcid.org/0000-0002-1842-8908Pi-Chang Sun3Chen-Sheng Chen4https://orcid.org/0000-0003-3351-7279Department of Physical Therapy and Assistive Technology, National Yang Ming Chiao Tung University, Taipei, TaiwanDepartment of Physical Therapy and Assistive Technology, National Yang Ming Chiao Tung University, Taipei, TaiwanDepartment of Physical Therapy and Assistive Technology, National Yang Ming Chiao Tung University, Taipei, TaiwanSchool of Medicine, National Yang Ming Chiao Tung University, Taipei, TaiwanDepartment of Physical Therapy and Assistive Technology, National Yang Ming Chiao Tung University, Taipei, TaiwanPatients with chronic stroke often have difficulty opening their hands and performing grasping movements. Several passive hand orthoses for assisting hand rehabilitation have been developed and demonstrated to be clinically effective. However, current devices have several limitations, such as supporting only a single grasping motion and using an abnormal grasping posture. Therefore, this study developed a three-dimensional (3D)-printed multifunctional hand device (3DP-MFHD) to solve these problems and evaluated the feasibility of using the device during home rehabilitation. Six participants were enrolled, and each of them was provided with the 3DP-MFHD. In addition to a task-oriented training course, the participants were asked to train at home for 4 weeks for at least 5 days per week and 40 min per day. The results revealed that hand grip force increased by 36.1%, lateral pinch force increased by 17.6%, and the Action Research Arm Test score increased by 54.1%. The 3DP-MFHD is a promising means to facilitate hand rehabilitation and improve hand strength and function in patients with chronic stroke. The 3DP-MFHD can be used as part of home rehabilitation.https://ieeexplore.ieee.org/document/9771199/3D printingchronic strokehand functionhand orthosishome rehabilitation
spellingShingle Zih-Hua Chen
Yun-Lin Yang
Kuang-Wei Lin
Pi-Chang Sun
Chen-Sheng Chen
Functional Assessment of 3D-Printed Multifunction Assistive Hand Device for Chronic Stroke Patients
IEEE Transactions on Neural Systems and Rehabilitation Engineering
3D printing
chronic stroke
hand function
hand orthosis
home rehabilitation
title Functional Assessment of 3D-Printed Multifunction Assistive Hand Device for Chronic Stroke Patients
title_full Functional Assessment of 3D-Printed Multifunction Assistive Hand Device for Chronic Stroke Patients
title_fullStr Functional Assessment of 3D-Printed Multifunction Assistive Hand Device for Chronic Stroke Patients
title_full_unstemmed Functional Assessment of 3D-Printed Multifunction Assistive Hand Device for Chronic Stroke Patients
title_short Functional Assessment of 3D-Printed Multifunction Assistive Hand Device for Chronic Stroke Patients
title_sort functional assessment of 3d printed multifunction assistive hand device for chronic stroke patients
topic 3D printing
chronic stroke
hand function
hand orthosis
home rehabilitation
url https://ieeexplore.ieee.org/document/9771199/
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