TY - JOUR
T1 - Research and Development of a 3D-Printed Dynamic Finger Flexion Orthosis for Finger Extension Stiffness—A Preliminary Study
AU - Yu, June Tzu
AU - Huang, Yi Chao
AU - Chen, Chen Sheng
N1 - Publisher Copyright:
© 2024 by the authors.
PY - 2024/4
Y1 - 2024/4
N2 - Finger extension stiffness is a common post-traumatic complication that results in the hand’s functional impairment. In clinical practice, a dynamic splint enables the patient to stretch the affected finger independently. However, current dynamic splints have drawbacks, such as limited stretching efficacy, and interfere with the hand’s functional activities. Therefore, this study aimed to develop a dynamic finger flexion orthosis capable of stretching each finger joint using additive manufacturing (AM) technology, thereby enabling hand functional activity, and analyze the clinical improvement in the range of motion (ROM). One subject with a hand fracture was recruited while undergoing a 7-week home-based rehabilitation program for the orthosis. The outcome measurements included the total active motion (TAM), the tip-to-finger distance (TPD), and the score on the Disability of Arm, Shoulder, and Hand (DASH) questionnaire. The results show that the TAM of the participant’s fingers increased by 72.7 degrees on average, the TPD decreased by 3.5 cm on average, and the DASH score decreased to 9.5 points. The 7-week home-based rehabilitation program for the orthosis resulted in a 53.6% increase in the TAM on average. The developed orthosis improved hand function and enabled a more complete ROM in finger flexion.
AB - Finger extension stiffness is a common post-traumatic complication that results in the hand’s functional impairment. In clinical practice, a dynamic splint enables the patient to stretch the affected finger independently. However, current dynamic splints have drawbacks, such as limited stretching efficacy, and interfere with the hand’s functional activities. Therefore, this study aimed to develop a dynamic finger flexion orthosis capable of stretching each finger joint using additive manufacturing (AM) technology, thereby enabling hand functional activity, and analyze the clinical improvement in the range of motion (ROM). One subject with a hand fracture was recruited while undergoing a 7-week home-based rehabilitation program for the orthosis. The outcome measurements included the total active motion (TAM), the tip-to-finger distance (TPD), and the score on the Disability of Arm, Shoulder, and Hand (DASH) questionnaire. The results show that the TAM of the participant’s fingers increased by 72.7 degrees on average, the TPD decreased by 3.5 cm on average, and the DASH score decreased to 9.5 points. The 7-week home-based rehabilitation program for the orthosis resulted in a 53.6% increase in the TAM on average. The developed orthosis improved hand function and enabled a more complete ROM in finger flexion.
KW - additive manufacturing
KW - dynamic hand orthosis
KW - finger extension stiffness
KW - hand functional activity
KW - post-operative rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=85191547876&partnerID=8YFLogxK
U2 - 10.3390/bioengineering11040339
DO - 10.3390/bioengineering11040339
M3 - Article
AN - SCOPUS:85191547876
SN - 2306-5354
VL - 11
JO - Bioengineering
JF - Bioengineering
IS - 4
M1 - 339
ER -