DOI QR코드

DOI QR Code

3D 프린팅을 사용해 제작한 새로운 손 보조기 적용 사례연구

A case study on the application of new hand splint using 3D printing

  • 신수정 (중원대학교 작업치료학과) ;
  • 안조근 (중원대학교 산업디자인학과) ;
  • 박경영 (중원대학교 작업치료학과)
  • Shin, Su-Jung (Department of Occupational Therapy, Jungwon University) ;
  • Ahn, Cho-Keun (Department of Industrial Design, Jungwon University) ;
  • Park, Kyoung-Young (Department of Occupational Therapy, Jungwon University)
  • 투고 : 2017.02.24
  • 심사 : 2017.03.25
  • 발행 : 2017.04.28

초록

본 연구의 목적은 손을 기능적 자세로 만들어주는 새로운 디자인의 보조기를 환자에게 적용하여 손기능에 어떠한 영향을 주는지 알아보고자 하는 것이었다. 새로운 보조기는 엄지와 검지의 샅공간(web space)을 넓히는 새로운 디자인이다. 보조기 착용 후 환자는 엄지 벌림의 자세를 유지할 수 있었고 작은 물건 잡기가 가능하게 되었다. 환자는 손 기능에서 향상을 보였고 Box and Block 검사의 수행이 가능해져 1분에 8개의 블록을 옮길 수 있게 되었다. 그러나 물건에 손바닥의 접촉이 요구는 잡기는 이전보다 더 어려웠고 일상에서 착용시 물이 닿으면 고정되지 못한다는 단점 또한 있었다. 본 연구는 3D 프린팅을 이용한 첫 보조기 적용 연구라는 점에서 의미가 있으며 앞으로 작업치료분야에서 3D 프린팅을 통해 다양한 환자 맞춤형 보조기가 개발될 수 있을 것이라 기대한다.

The purpose of this study was to investigate the effect of a new designed splint on the hand function. A new design splint that enlarges the area between thumb and index finger was manufactured using 3D printing. After wearing a new splint the patient was possible to open thumb and hold a small object. She showed improvement in overall hand function and could move eight blocks in box and block test. But grasping a cup without a handle has become more difficult than before. Also there is a disadvantage that it could not be fixed by water. This study is meaningful in that it is the first splint application study using 3D printing. In the future, we expect that various patient-specific splints will be developed through 3D printing in the field of occupational therapy.

키워드

참고문헌

  1. C. Adrienne and C. Manigandan, “Inpatient occupational therapists hand-splinting practice for clients with stroke: a cross-sectional survey from Ireland,” Journal of Neurosciences in Rural Practice, Vol. 2, No. 2, pp. 141-149, 2011. DOI: 10.4103/0976-3147.83579
  2. N. A. Lannin and R. D. Herbert, "Is hand splinting effective for adults following stroke? A systematic review and methodological critique of published research," Clinical Rehabilitation, Vol. 17, pp. 807-816, 2003. DOI: 10.1191/0269215503cr682oa
  3. S. R. Ten Berge, A. M. Boonstra, P. U. Dijkstra, M. Hadders-Algra, N. Haga and C. G. Maathuis, “A systematic evaluation of the effect of thumb opponens splints on hand function in children with unilateral spastic cerebral palsy,” Clinical Rehabilitation, Vol. 26, No. 4, pp. 362-371, 2012. DOI: 10.1177/0269215511411936
  4. J. C. Wilton and T. A. Dival, Hand Splinting Principles of Design and Fabrication, WB Saunders Company Ltd, pp. 146-167, 1997.
  5. P. Tack, J. Victor, P. Gemmel and L. Annemans, "3D-printing techniques in a medical setting: a systematic literature review," Biomedical Engineering Online, Vol. 15, No. 1, pp. 115, 2016. DOI: 10.1186/s12938-016-0236-4
  6. K. H. Lee, S. J. Kim, Y. H. Cha, J. L. Kim, D. K. Kim and S. J. Kim, "Three-dimensional printed prosthesis demonstrates functional improvement in a patient with an amputated thumb: A technical note," Prosthetics and Orthotics International, 2016, DOI: 10.1177/0309364616679315
  7. C. E. Dombroski, M. E. R. Balsdon and A. Froats, "The use of a low cost 3D scanning and printing tool in the manufacture of custom-made foot orthoses: a preliminary study," BMC Research Note, Vol. 10, No. 7, pp. 443, 2014, DOI: 10.1186/1756-0500-7-443
  8. K. F. Gretsch, H. D. Lather, K. V. Peddada, C. R. Deeken, L. B. Wall and C. A. Goldfarb, “Development of novel 3D-printed robotic prosthetic for transradial amputees,” Prosthetics and Orthotics International, Vol. 40, No. 3, pp. 400-403, 2016. DOI: 10.1177/0309364615579317
  9. K. C. Chung, M. S. Pillsbury, M. R. Walters and R. A. Hayward, “Reliability and validity testing of the Michigan Hand Outcomes Questionnaire,” Journal of Hand Surgery, Vol. 23, No. 4, pp. 575-587, 1998. DOI: 10.1016/S0363-5023(98)80042-7
  10. C. H. Seo, Scar quality and hand function after moist exposed burn ointment and skin graft treatment in full thickness burn injury, The Graduate School, Yonsei University, 2005.
  11. V. Mathiowetz, G. Volland, N. Kashman and K. Weber, "Adult norms for the Box and Block Test of manual dexterity," American Journal of Occupational Therapy, Vol. 39, No. 6, pp. 386-391, 1985. https://doi.org/10.5014/ajot.39.6.386
  12. F. S. Cromwell, Occupational therapist's manual for basic skill assessment: Primary prevocational evaluation. Altadena, 1976.
  13. E. Taub, G. Uswatte and R. Pidikiti, "Constraint-induced movement therapy: A new family of techniques with broad application to physical rehabilitation-a clinical review," Journal of Rehabilitation Research and Development, Vol. 36, No. 3, pp. 237-251, 1999.

피인용 문헌

  1. A Systematic Review of Manufacturing Method for Splint Using 3D Printing Technology vol.26, pp.2, 2018, https://doi.org/10.14519/jksot.2018.26.2.01