Exploring real world use of partial hand prostheses

探索部分手假肢的现实世界使用

• 批准号: 2473640
• 金额: --
• 依托单位: University of Strathclyde
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2020
• 资助国家: 英国
• 起止时间: 2020 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2473640
• 关键词: Exploring; real; world; use; partial

Research problem In Scotland around 400 partial hand amputations are performed every year yet very few are referred to prosthetic centres for prosthetic treatment. Until recently there were limited prosthetic options available for partial hand prosthetic restoration. Presentation after partial hand amputation surgery varies considerably according to the surgical technique, extent of removal, scarring etc. As a result there is no standard presentation and no standard treatment. There has recently been an increase in products available for this patient group. Devices can be categorised into 5 areas; Cosmetic - primary purpose is to restore the form of the missing body segment and may be shaped and coloured to match the remaining hand. These devices can be used passively and normally have no moving parts. An example of a cosmetic partial hand prosthesis would be a high definition silicone digit/s. Positional - a mechanical set-up where digits can be positioned manually. These devices, often mechanical in appearance, can be used to assist with grasp activities. Body Powered mechanical - mechanical device using body movement from other segments e.g. wrist flexion to activate movement. These devices, often mechanical in appearance, can be used to assist with grasp activities. Externally powered - mechanical digits powered externally, normally by batteries housed above the wrist. Movement is controlled using switches such as myoelectrodes or micro switches housed within the socket. Different grasp patterns may be possible. Assistive device - a activity specific device. The design of these vary depending on the presentation of the hand, need to the user, and activity where assistance is required. Examples include straps with connectors for cutlery, devices for helping hold/steer bicycle, musical instrument holders etc. Assuming that the patient has an intact hand on their other side, the functional loss experienced by a person who has had a partial hand amputation may be low, however they may struggle with fine motor, precision and bimanual activities. Our experience has shown that the outcome measurement tools that are currently available are not sensitive enough to capture the degree of functional loss that a person with partial hand experiences and the advantages that they demonstrate when using a prosthetic device. Psychological impact of a partial hand absence is also significant and for some individuals should be used as a measure for success when considering partial hand prosthetic treatment. Aims To develop an outcome measurement tool for assessing the real world use of partial hand prostheses and assistive devices. Areas which may be explored are when is the device worn, what activities are conducted whilst the device is being worn, how does the user feel when wearing the device. Comparisons may be made against similar activities whilst not wearing a device.

研究问题 在苏格兰，每年约有 400 例手部截肢手术，但很少有人被转至假肢中心进行假肢治疗。直到最近，可用于部分手部假肢修复的假肢选择仍然有限。手部部分截肢手术后的表现因手术技术、切除范围、疤痕等的不同而有很大差异。因此，没有标准的表现，也没有标准的治疗。最近，针对该患者群体的产品有所增加。设备可分为 5 个区域；美容 - 主要目的是恢复缺失的身体部位的形状，并且可以进行形状和颜色以匹配剩余的手。这些设备可以被动使用，通常没有移动部件。美容性部分手假体的一个例子是高清硅胶手指。位置 - 一种可以手动定位数字的机械设置。这些设备通常具有机械外观，可用于辅助抓握活动。身体动力机械 - 利用其他部分（例如身体）的身体运动的机械装置。手腕弯曲以激活运动。这些设备通常具有机械外观，可用于辅助抓握活动。外部供电 - 机械数字从外部供电，通常由安装在手腕上方的电池供电。使用诸如肌电极或插座内的微型开关之类的开关来控制运动。不同的抓握模式是可能的。辅助装置 - 特定于活动的装置。这些的设计根据手的表现、用户的需要以及需要​​帮助的活动而有所不同。例如，带有餐具连接器的带子、帮助固定/转向自行车的装置、乐器支架等。假设患者另一侧的手完好无损，那么部分手部截肢的人所经历的功能损失可能较低，但他们可能会在精细运动、精确度和双手活动方面遇到困难。我们的经验表明，目前可用的结果测量工具不够灵敏，无法捕捉部分手部经历的功能丧失程度以及他们在使用假肢装置时表现出的优势。 部分手部缺失对心理的影响也很重要，对于某些人来说，在考虑部分手部假肢治疗时应将其作为成功的衡量标准。 目标 开发一种结果测量工具，用于评估部分手假肢和辅助装置在现实世界中的使用情况。可以探索的领域包括何时佩戴设备、佩戴设备时进行哪些活动、用户佩戴设备时的感受如何。可以与不佩戴设备时的类似活动进行比较。