Effects of 3D Printing Writing Assisitive Device on Feasibility in Patients With Nerve Injury
The Effectiveness of Different Angle of 3D Printing Writing Assisitive Device on Feasibility in Patients With Nerve Injury
1 other identifier
observational
30
1 country
1
Brief Summary
Injury to the central or peripheral nerves can lead to limited hand function and further affect the ability of writing. The use of assistive devices can assist writing performance. However, the habit of holding the pen and the ability of the individual case will affect the selection of aids and the efficiency of writing. The 3D printing aids can be individually designed and adjusted to different angles and types. There is no criterion for 3D printing aids decision, often using a case-by-case trial subjective way to confirm, matching takes more time. Aim: To compare the applicability and efficiency of different types of 3D-printed writing aids in nerve injury cases, and to explore which factors affect the choice of aids.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Nov 2022
Shorter than P25 for all trials
1 active site
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
July 27, 2022
CompletedFirst Posted
Study publicly available on registry
October 21, 2022
CompletedStudy Start
First participant enrolled
November 1, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2022
CompletedApril 28, 2023
April 1, 2023
2 months
July 27, 2022
April 26, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Writing task
The individual is asked to copy short sentences in four situations including no wearing aids, writing aids with three angles (5 degrees, 20 degrees, 30 degrees). Calculate the time and quality it takes to complete 10 words. To record its speed, quality (the legibility of the correct number of words, the size of the writing, the number of times it exceeds the line, whether the strength is sufficient and consistent).
From date of writing task until 4 situations complete, assessed up to 1 session. Each session lasting 60 minutes within one day.
Secondary Outcomes (1)
Assistive device satisfaction scale
From date of writing task until 4 situations complete, assessed up to 1 session. Each session lasting 60 minutes within one day.
Study Arms (1)
3D-printed writing aids group
Thirty subjects were recruited from outpatient rehabilitation of neurologically injured patients with limited hand function. Their basic information was recorded, including basic abilities and pen-holding posture, etc. Using three different angles of 3D printing writing aids, the writing efficiency and the satisfaction of the aids are evaluated by the writing task and the Satisfaction with Assistive Technology.
Interventions
Briefly explain how to wear assistive devices, confirm that the case understands how to operate, and conduct a writing task test. Situation includes no wearable assistive device,three pen placement designs with different angles (5 degrees, 20 degrees, and 30 degrees). Record the writing speed, legibility, posture, and satisfaction of the assistive device after each writing task, etc.
Eligibility Criteria
In cases of central or peripheral nerve injury, symptoms such as sensory paralysis, limited joint mobility, insufficient muscle strength, abnormal tension, unsmooth movements, and lack of segmental movement control may result, affecting the voluntary control of muscles, and showing weak and inaccurate movements. , slowing down, affecting their hand performance, which in turn affects writing tasks
You may qualify if:
- The medical record shows that the diagnosis is central or peripheral nerve injury, and the onset is more than three months
- The trunk is well controlled and can sit stable on the chair
- The affected hand can control the lifting of the shoulder and the bending of the elbow, and the forearm can be controlled.
- The affected hand is the dominant hand and has difficulty writing
You may not qualify if:
- Aged over 75 and under 20
- Cognition or visual perception impairment that affects their ability to copy
- Patients suffer from other diseases of the nervous, cardiopulmonary, and musculoskeletal systems that affect the subject's performance of the movements 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
Related Publications (20)
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: 27552260BACKGROUNDBaronio 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: 27594781BACKGROUNDBethoux 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: 26522902BACKGROUNDChang SH, Chen CL, Yu NY. Biomechanical analyses of prolonged handwriting in subjects with and without perceived discomfort. Hum Mov Sci. 2015 Oct;43:1-8. doi: 10.1016/j.humov.2015.06.008. Epub 2015 Jun 30.
PMID: 26141665BACKGROUNDDe Stefano, C., Fontanella, F., Impedovo, D., Pirlo, G., & di Freca, A. S. J. P. R. L. (2019). Handwriting analysis to support neurodegenerative diseases diagnosis: A review. 121, 37-45.
BACKGROUNDHunzeker, 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.
BACKGROUNDJanson 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: 32423845BACKGROUNDJumani, M., Shaikh, S., & Shah, S. A. J. S. I. (2014). RAPID MANUFACTURING TECHNIQUE FOR FABRICATION OF CUSTOM-MADE FOOT ORTHOSES. 26(1).
BACKGROUNDKuo LC, Hsu HM, Wu PT, Lin SC, Hsu HY, Jou IM. Impact of distal median neuropathy on handwriting performance for patients with carpal tunnel syndrome in office and administrative support occupations. J Occup Rehabil. 2014 Jun;24(2):332-43. doi: 10.1007/s10926-013-9471-8.
PMID: 23934582BACKGROUNDKushki A, Schwellnus H, Ilyas F, Chau T. Changes in kinetics and kinematics of handwriting during a prolonged writing task in children with and without dysgraphia. Res Dev Disabil. 2011 May-Jun;32(3):1058-64. doi: 10.1016/j.ridd.2011.01.026.
PMID: 21315553BACKGROUNDLee 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: 30318956BACKGROUNDLong 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: 17569392BACKGROUNDLubbes, E. (2016). Investigation and Assessment of Upper-Limb Prosthetic Care and Business Model Design for 3D-Printed Prostheses in the Netherlands.
BACKGROUNDMa 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: 19906764BACKGROUNDMarque 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: 25282582BACKGROUNDMartin, L. M. J. A. J. o. O. T. (1988). Clinical Mechanics of the Hand. 42(3), 199-199.
BACKGROUNDMcDonald 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: 26893960BACKGROUNDMeulenbroek, R. G., & Thomassen, A. J. J. P. R. (1992). Effects of handedness and arm position on stroke-direction preferences in drawing. 54(3), 194-201.
BACKGROUNDSkymne 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: 21534712BACKGROUNDWill, E. J. HANDWRITING, BIOMECHANICS AND SIGNIFICANCE: CONCEPTS IN HANDWRITING IDENTIFICATION.
BACKGROUND
Study Officials
- PRINCIPAL INVESTIGATOR
Hsinchieh Lee, Master
Taipei Medical University Shuang Ho Hospital
Study Design
- Study Type
- observational
- Observational Model
- CASE CROSSOVER
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
July 27, 2022
First Posted
October 21, 2022
Study Start
November 1, 2022
Primary Completion
December 31, 2022
Study Completion
December 31, 2022
Last Updated
April 28, 2023
Record last verified: 2023-04
Data Sharing
- IPD Sharing
- Will not share