A custom, functional and lifelike passive prosthetic hand for infants and small toddlers: Clinical note
Prosthetics and Orthotics International
Background and Aim: For infants and small toddlers with congenital upper limb deficiencies, terminal devices mainly provide either cosmesis or functionality. We report a clinical note about fitting a child with a low-cost passive hand targeting both functionality and cosmesis. Technique: An elastomeric, alloy-wire-reinforced hand was fabricated using additive manufacturing to allow independent positioning of the digits. A clinical pilot in-home evaluation was conducted on a child with upper limb loss. Discussion: The fabricated hand met the functional requirements but required a cover for cosmesis due to a poor surface finish associated with the fabrication technique. The participant child was comfortable using the prosthesis for various tasks. The parents were satisfied with the hand’s function and cosmesis when covered with a cosmetic glove. This work demonstrated a new design and process that may in the future improve the utilization of prosthetic hands to promote early prosthesis use and a child’s development. Clinical relevance: Early prosthesis use is important for infants and toddlers. Additive manufacturing may enable the fabrication of custom passive prosthetic hands that provide both cosmesis and functionality.
Holland Bloorview Kids Rehabilitation Hospital Foundation
additive manufacturing, biomechanics, hand, Prosthetic design, prosthetic hand, prosthetics, rehabilitation, rehabilitation of prostheses users, testing of prosthetic and orthotic components, upper limb prosthetics
Arezoo Eshraghi, Jaeeun Yoo, James Klein, Ian Mckenzie, Gabrielle Sebaldt, Matthew Leineweber, Lisa Artero, Sandra Ramdial, and Jan Andrysek. "A custom, functional and lifelike passive prosthetic hand for infants and small toddlers: Clinical note" Prosthetics and Orthotics International (2020): 180-184. https://doi.org/10.1177/0309364620909276