NCT05302141

Brief Summary

Our study is aimed to evaluate the effect of 3D printing assistive device on hand function for patients with neural injury.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
31

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Mar 2022

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 20, 2022

Completed
1 day until next milestone

Study Start

First participant enrolled

March 21, 2022

Completed
10 days until next milestone

First Posted

Study publicly available on registry

March 31, 2022

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 20, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 20, 2022

Completed
Last Updated

April 28, 2023

Status Verified

February 1, 2022

Enrollment Period

6 months

First QC Date

March 20, 2022

Last Update Submit

April 27, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • Active joint range of motion of shoulder and elbow

    use a goniometer to measure the active joint movements of the shoulder and elbow, including shoulder flexion, abduction, external rotation , internal rotation, and elbow flexion angle.

    Change from Baseline at 2 weeks and 4 weeks

Secondary Outcomes (7)

  • Box and block test (BBT)

    Change from Baseline at 2 weeks and 4 weeks

  • Grip power

    Change from Baseline at 2 weeks and 4 weeks

  • Hand function tasks

    Change from Baseline at 2 weeks and 4 weeks

  • Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH)

    Change from Baseline at 4 weeks

  • General Health Questionnaire (GHQ-12)

    Change from Baseline at 4 weeks

  • +2 more secondary outcomes

Study Arms (2)

3D printing assistive device group

EXPERIMENTAL

experimental (3D printing assistive device) groups for 4 weeks of treatment (thirty minutes a time, twice a week).

Behavioral: Wear 3D printing assistive device

universal cuff groups

ACTIVE COMPARATOR

control (universal cuff) groups for 4 weeks of treatment (thirty minutes a time, twice a week).

Behavioral: Wear universal cuff device

Interventions

Wear 3D printing aids and engage in functional tasks, including eating, typing, and writing. At home: use daily, 30 minutes each time; Treatment room: 30 minutes twice a week

3D printing assistive device group

Wear universal cuff aids and engage in functional tasks, including eating, typing, and writing. At home: use daily, 30 minutes each time; Treatment room: 30 minutes twice a week

universal cuff groups

Eligibility Criteria

Age20 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • The medical record shows the diagnosis of central or peripheral nerve injury, and the onset is more than three months
  • Able to understand wearing operation instructions and have the ability to give informed consent
  • Able to control shoulder lifting and bending elbows, but difficult to grasp tools

You may not qualify if:

  • Older than 75 years old and younger than 20 years old
  • Severe visual or hearing impairment
  • Suffering from other neurological, cardiopulmonary, or musculoskeletal diseases that affect the subject to perform the actions required by this test.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Taipei Medical University Shuang Ho Hospital

New Taipei City, Taiwan

Location

Related Publications (43)

  • Amaral DS, Duarte ALBP, Barros SS, Cavalcanti SV, Ranzolin A, Leite VMM, Dantas AT, Oliveira ASCRC, Santos PS, Silva JCA, Marques CDL. Assistive devices: an effective strategy in non-pharmacological treatment for hand osteoarthritis-randomized clinical trial. Rheumatol Int. 2018 Mar;38(3):343-351. doi: 10.1007/s00296-017-3892-1. Epub 2017 Nov 28.

    PMID: 29185087BACKGROUND
  • Armour BS, Courtney-Long EA, Fox MH, Fredine H, Cahill A. Prevalence and Causes of Paralysis-United States, 2013. Am J Public Health. 2016 Oct;106(10):1855-7. doi: 10.2105/AJPH.2016.303270. Epub 2016 Aug 23.

    PMID: 27552260BACKGROUND
  • Baronio G, Harran S, Signoroni A. A Critical Analysis of a Hand Orthosis Reverse Engineering and 3D Printing Process. Appl Bionics Biomech. 2016;2016:8347478. doi: 10.1155/2016/8347478. Epub 2016 Aug 9.

    PMID: 27594781BACKGROUND
  • Basteris A, Nijenhuis SM, Stienen AH, Buurke JH, Prange GB, Amirabdollahian F. Training modalities in robot-mediated upper limb rehabilitation in stroke: a framework for classification based on a systematic review. J Neuroeng Rehabil. 2014 Jul 10;11:111. doi: 10.1186/1743-0003-11-111.

    PMID: 25012864BACKGROUND
  • Bethoux F. Spasticity Management After Stroke. Phys Med Rehabil Clin N Am. 2015 Nov;26(4):625-39. doi: 10.1016/j.pmr.2015.07.003. Epub 2015 Sep 26.

    PMID: 26522902BACKGROUND
  • Cazon, A., Aizpurua, J., Paterson, A., Bibb, R., Campbell, R. I. J. V., & Prototyping, P. (2014). Customised design and manufacture of protective face masks combining a practitioner-friendly modelling approach and low-cost devices for digitising and additive manufacturing: This paper analyses the viability of replacing conventional practice with AM method to make customized protective face masks. 9(4), 251-261.

    BACKGROUND
  • Chae DS, Kim DH, Kang KY, Kim DY, Park SW, Park SJ, Kim JH. The functional effect of 3D-printing individualized orthosis for patients with peripheral nerve injuries: Three case reports. Medicine (Baltimore). 2020 Apr;99(16):e19791. doi: 10.1097/MD.0000000000019791.

    PMID: 32311991BACKGROUND
  • Chen HM, Chen CC, Hsueh IP, Huang SL, Hsieh CL. Test-retest reproducibility and smallest real difference of 5 hand function tests in patients with stroke. Neurorehabil Neural Repair. 2009 Jun;23(5):435-40. doi: 10.1177/1545968308331146. Epub 2009 Mar 4.

    PMID: 19261767BACKGROUND
  • Sanchez-Lopez Mdel P, Dresch V. The 12-Item General Health Questionnaire (GHQ-12): reliability, external validity and factor structure in the Spanish population. Psicothema. 2008 Nov;20(4):839-43.

    PMID: 18940092BACKGROUND
  • Diment LE, Thompson MS, Bergmann JH. Three-dimensional printed upper-limb prostheses lack randomised controlled trials: A systematic review. Prosthet Orthot Int. 2018 Feb;42(1):7-13. doi: 10.1177/0309364617704803. Epub 2017 Jun 24.

    PMID: 28649911BACKGROUND
  • Fitzpatrick, A. P., Mohanned, M. I., Collins, P. K., & Gibson, I. (2017). Design of a patient specific, 3D printed arm cast. KnE Engineering, 135-142.

    BACKGROUND
  • Funch A, Kruse NB, la Cour K, Peoples H, Waehrens EE, Brandt A. The association between having assistive devices and activities of daily living ability and health-related quality of life: An exploratory cross-sectional study among people with advanced cancer. Eur J Cancer Care (Engl). 2019 May;28(3):e13002. doi: 10.1111/ecc.13002. Epub 2019 Feb 10.

    PMID: 30740805BACKGROUND
  • Gerhardt JJ, Rondinelli RD. Goniometric techniques for range-of-motion assessment. Phys Med Rehabil Clin N Am. 2001 Aug;12(3):507-27.

    PMID: 11478185BACKGROUND
  • Hamilton GF, McDonald C, Chenier TC. Measurement of grip strength: validity and reliability of the sphygmomanometer and jamar grip dynamometer. J Orthop Sports Phys Ther. 1992;16(5):215-9. doi: 10.2519/jospt.1992.16.5.215.

    PMID: 18796752BACKGROUND
  • Harman, D., & Craigie, S. J. E. G. M. (2011). Gerotechnology series: Toileting aids. 2(5), 314-318.

    BACKGROUND
  • Hepherd, R. J. E. G. M. (2011). Aids for bathing and showering. 2(3), 190-193.

    BACKGROUND
  • Hunzeker, M., & Ozelie, R. (2021). A Cost-Effective Analysis of 3D Printing Applications in Occupational Therapy Practice. The Open Journal of Occupational Therapy, 9(1), 1-12.

    BACKGROUND
  • Janson R, Burkhart K, Firchau C, Hicks K, Pittman M, Yopps M, Hatfield S, Garabrant A. Three-dimensional printed assistive devices for addressing occupational performance issues of the hand: A case report. J Hand Ther. 2020 Apr-Jun;33(2):164-169. doi: 10.1016/j.jht.2020.03.025. Epub 2020 May 16.

    PMID: 32423845BACKGROUND
  • Jumani, M., Shaikh, S., & Shah, S. A. J. S. I. (2014). RAPID MANUFACTURING TECHNIQUE FOR FABRICATION OF CUSTOM-MADE FOOT ORTHOSES. 26(1).

    BACKGROUND
  • Keller M, Guebeli A, Thieringer F, Honigmann P. Overview of In-Hospital 3D Printing and Practical Applications in Hand Surgery. Biomed Res Int. 2021 Mar 26;2021:4650245. doi: 10.1155/2021/4650245. eCollection 2021.

    PMID: 33855068BACKGROUND
  • Lee KH, Kim DK, Cha YH, Kwon JY, Kim DH, Kim SJ. Personalized assistive device manufactured by 3D modelling and printing techniques. Disabil Rehabil Assist Technol. 2019 Jul;14(5):526-531. doi: 10.1080/17483107.2018.1494217. Epub 2018 Oct 14.

    PMID: 30318956BACKGROUND
  • Liang HW, Wang HK, Yao G, Horng YS, Hou SM. Psychometric evaluation of the Taiwan version of the Disability of the Arm, Shoulder, and Hand (DASH) questionnaire. J Formos Med Assoc. 2004 Oct;103(10):773-9.

    PMID: 15490028BACKGROUND
  • Long TM, Woolverton M, Perry DF, Thomas MJ. Training needs of pediatric occupational therapists in assistive technology. Am J Occup Ther. 2007 May-Jun;61(3):345-54. doi: 10.5014/ajot.61.3.345.

    PMID: 17569392BACKGROUND
  • Lubbes, E. (2016). Investigation and Assessment of Upper-Limb Prosthetic Care and Business Model Design for 3D-Printed Prostheses in the Netherlands.

    BACKGROUND
  • Ma HI, Hwang WJ, Tsai PL, Hsu YW. The effect of eating utensil weight on functional arm movement in people with Parkinson's disease: a controlled clinical trial. Clin Rehabil. 2009 Dec;23(12):1086-92. doi: 10.1177/0269215509342334.

    PMID: 19906764BACKGROUND
  • Marque P, Gasq D, Castel-Lacanal E, De Boissezon X, Loubinoux I. Post-stroke hemiplegia rehabilitation: evolution of the concepts. Ann Phys Rehabil Med. 2014 Nov;57(8):520-529. doi: 10.1016/j.rehab.2014.08.004. Epub 2014 Aug 23.

    PMID: 25282582BACKGROUND
  • Martin, L. M. J. A. J. o. O. T. (1988). Clinical Mechanics of the Hand. 42(3), 199-199.

    BACKGROUND
  • McDonald SS, Levine D, Richards J, Aguilar L. Effectiveness of adaptive silverware on range of motion of the hand. PeerJ. 2016 Feb 15;4:e1667. doi: 10.7717/peerj.1667. eCollection 2016.

    PMID: 26893960BACKGROUND
  • Nam HS, Seo CH, Joo SY, Kim DH, Park DS. The Application of Three-Dimensional Printed Finger Splints for Post Hand Burn Patients: A Case Series Investigation. Ann Rehabil Med. 2018 Aug;42(4):634-638. doi: 10.5535/arm.2018.42.4.634. Epub 2018 Aug 31.

    PMID: 30180536BACKGROUND
  • Nordin N, Xie SQ, Wunsche B. Assessment of movement quality in robot- assisted upper limb rehabilitation after stroke: a review. J Neuroeng Rehabil. 2014 Sep 12;11:137. doi: 10.1186/1743-0003-11-137.

    PMID: 25217124BACKGROUND
  • Phillips, B., Zingalis, G., Ritter, S., & Mehta, K. (2015). A review of current upper-limb prostheses for resource constrained settings. Paper presented at the 2015 IEEE global humanitarian technology conference (GHTC).

    BACKGROUND
  • Portnova AA, Mukherjee G, Peters KM, Yamane A, Steele KM. Design of a 3D-printed, open-source wrist-driven orthosis for individuals with spinal cord injury. PLoS One. 2018 Feb 22;13(2):e0193106. doi: 10.1371/journal.pone.0193106. eCollection 2018.

    PMID: 29470557BACKGROUND
  • Radomski, M. V., & Latham, C. A. T. (2014). Occupational therapy for physical dysfunction(7 th ed): Lippincott Williams & Wilkins.

    BACKGROUND
  • Roda-Sales A, Vergara M, Sancho-Bru JL, Gracia-Ibanez V, Jarque-Bou NJ. Effect on hand kinematics when using assistive devices during activities of daily living. PeerJ. 2019 Oct 8;7:e7806. doi: 10.7717/peerj.7806. eCollection 2019.

    PMID: 31608177BACKGROUND
  • Sari MI, Sahin I, Gokce H, Oksuz C. Ring orthosis design and production by rapid prototyping approach. J Hand Ther. 2020 Apr-Jun;33(2):170-173. doi: 10.1016/j.jht.2019.02.003. Epub 2019 Apr 10.

    PMID: 30981658BACKGROUND
  • Saunders, R., Astifidis, R., Burke, S. L., CHT, M., Higgins, J., & McClinton, M. A. (2015). Hand and upper extremity rehabilitation: a practical guide: Elsevier Health Sciences.

    BACKGROUND
  • Skymne C, Dahlin-Ivanoff S, Claesson L, Eklund K. Getting used to assistive devices: ambivalent experiences by frail elderly persons. Scand J Occup Ther. 2012 Mar;19(2):194-203. doi: 10.3109/11038128.2011.569757. Epub 2011 May 2.

    PMID: 21534712BACKGROUND
  • Somers, M. F. (2001). Spinal cord injury: functional rehabilitation: Prentice Hall.

    BACKGROUND
  • Stowe, S., Hopes, J., & Mulley, G. J. E. g. m. (2010). Gerotechnology series: 2. Walking aids. 1(2), 122-127.

    BACKGROUND
  • Takla, M. K., Mahmoud, E. A., & Abd El-Latif, N. J. B. o. F. o. P. T. (2018). Jebsen Taylor Hand Function test: Gender, dominance, and age differences in healthy Egyptian population. 23(2), 85-93.

    BACKGROUND
  • Thibaut A, Chatelle C, Ziegler E, Bruno MA, Laureys S, Gosseries O. Spasticity after stroke: physiology, assessment and treatment. Brain Inj. 2013;27(10):1093-105. doi: 10.3109/02699052.2013.804202. Epub 2013 Jul 25.

    PMID: 23885710BACKGROUND
  • Toth, L., Schiffer, A., Nyitrai, M., Pentek, A., Told, R., & Maroti, P. (2020). Developing an anti-spastic orthosis for daily home-use of stroke patients using smart memory alloys and 3D printing technologies. Materials & Design, 195, 109029.

    BACKGROUND
  • Yoo HJ, Lee S, Kim J, Park C, Lee B. Development of 3D-printed myoelectric hand orthosis for patients with spinal cord injury. J Neuroeng Rehabil. 2019 Dec 30;16(1):162. doi: 10.1186/s12984-019-0633-6.

    PMID: 31888695BACKGROUND

Study Officials

  • Hsinchieh Lee, master

    Taipei Medical University Shuang Ho Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 20, 2022

First Posted

March 31, 2022

Study Start

March 21, 2022

Primary Completion

September 20, 2022

Study Completion

September 20, 2022

Last Updated

April 28, 2023

Record last verified: 2022-02

Data Sharing

IPD Sharing
Will not share

Locations