Highlights
- •A home exercise program using a 3D printed hand can improve functional outcomes.
- •Improvements in patient outcomes in functional mobility and sensory integration.
- •3D printed prosthetic hand usage to help improve activities of daily living.
Abstract
Introduction and Purpose
The purpose of this study was to evaluate the outcomes of utilizing a 3D prosthetic
device with a home exercise program. This case study was intended to see if the application
of a home exercise program utilizing a 3D printed prosthetic hand resulted in increased
range of motion, strength, coordination, sensory integration, and perceived function
of the upper extremity.
Study Design
Case Study
Methods
This study outlines one rehabilitation protocol for a 6-year-old boy with right congenital
upper limb deficiency. A 4-week home rehabilitation protocol was utilized with a 3D
printed prosthetic hand. Pre-assessment measurements were taken of range of motion,
strength testing, BOT-2 coordination, and a sensory questionnaire. The home program
included ROM exercises, body-powered use of the 3D printed device, strengthening without
the device and sensory integration exercises. The frequency of the protocol was 3
times per week for 30 minutes with adult supervision.
Results
Improvements were seen in range of motion, strength, coordination, and sensory integration.
Results demonstrated improved right upper extremity strength with all movements except
radial deviation. Range of motion improved with passive and active wrist flexion,
extension, and forearm pronation. Sensory integration questionnaires showed decreased
sensory sensitivities. A structured home exercise program with and without a 3D printed
hand improved upper extremity function in this population.
Discussion
Evaluating the outcomes of a home rehabilitation protocol for a child using a 3D printed
hand was successful. The studies evidence will help guide treatment and clinical decision
making for future studies.
Keywords
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Article info
Publication history
Published online: November 16, 2022
Accepted:
October 20,
2022
Received in revised form:
October 19,
2022
Received:
December 15,
2021
Publication stage
In Press Corrected ProofIdentification
Copyright
Published by Elsevier Inc.
