Email this article Evaluation of the results of functional prosthetics in children with congenital defects of the hand and fingers
- Authors: Kruglov A.V.1,2, Shvedovchenko I.V.3
-
Affiliations:
- North-West Scientific-Practical Center of Rehabilitation and Prosthetics “Ortetika”
- Prosthetic and Orthopedic Center “Scoliologic.ru”
- Federal Scientific Center of Rehabilitation of the disabled named after G.A. Albrecht of the Ministry of Labor and Social Protection of the Russian Federation
- Issue: Vol 7, No 2 (2019)
- Pages: 33-40
- Section: Original Study Article
- URL: https://bakhtiniada.ru/turner/article/view/11277
- DOI: https://doi.org/10.17816/PTORS7233-40
- ID: 11277
Cite item
Abstract
Background. Evaluation of the result of functional prosthetics in patients with different upper limb defects is a topical problem of modern prosthetics. Providing patients with non-functional hand stumps with functional prostheses is not wide-scale and refers to atypical and experimental prosthetics. While new functional prosthetic hands appear, there is no algorithm for evaluating the results of prosthetics.
Aim. This study aimed to evaluate the result of functional prosthetics in children with congenital defects of the hand and fingers by active prostheses.
Materials and methods. We observed 67 children with congenital hand defects, of which 22 were included in the experimental prosthetics group. Bench test station was used for an objective assessment of the residual function of the hand. The booth imitated the tasks of an international competition for the users of Cybathlon rehabilitation equipment and allowed users to perform a series of tests, for each of which a certain number of evaluation points were awarded. Samples at the stand were supplemented with a subjective assessment of the function of the hand using the DASH questionnaire validated in Russia.
Results. The best subjective assessment of the supply of an active prosthetic hand was determined in the patients with underdeveloped hand similar to the truncation of the hand proximal to the metacarpophalangeal joints. The lowest functionality score of the active prosthetic hand was obtained in cases of ectrodactyly and hypoplasia of 1–5 fingers, which was associated with a high residual functionality of the hand.
Conclusions. In addition to training functions, the developed bench test station serves a diagnostic function as it evaluates the results of functional prosthetics in patients with upper limb defects in different levels, including defects on the hand and fingers. The results of the study on the station correlate with the results of the DASH questionnaire.
Full Text
##article.viewOnOriginalSite##About the authors
Anton V. Kruglov
North-West Scientific-Practical Center of Rehabilitation and Prosthetics “Ortetika”; Prosthetic and Orthopedic Center “Scoliologic.ru”
Author for correspondence.
Email: kruglov@scoliologic.ru
ORCID iD: 0000-0002-3811-5773
SPIN-code: 3312-5350
https://www.instagram.com/kruglov_scoliologic/
MD, Orthopedic and Trauma Surgeon; the Head of Upper Limb Prosthetic Department
Russian Federation, 195253, Saint-Petersburg, Stasovoiy street, 1, Lit BIgor V. Shvedovchenko
Federal Scientific Center of Rehabilitation of the disabled named after G.A. Albrecht of the Ministry of Labor and Social Protection of the Russian Federation
Email: schwed.i@mail.ru
ORCID iD: 0000-0003-4618-328X
SPIN-code: 3326-0488
MD, PhD, D.Sc., Professor, Scientific supervisor
Russian Federation, 50, Bestughevskaya street, Sankt-Petersburg, 195067References
- Xu K, Liu H, Zhang Z, Zhu X. Wrist-powered partial hand prosthesis using a continuum whiffle tree mechanism: A case study. IEEE Trans Neural Syst Rehabil Eng. 2018;26(3):609-618. https://doi.org/10.1109/TNSRE.2018.2800162.
- Ibrahim AM, Jose RR, Rabie AN, et al. Three-dimensional printing in developing countries. Plast Reconstr Surg Glob Open. 2015;3(7):e443. https://doi.org/10.1097/GOX.0000000000000298.
- Hoy MB. 3D printing: making things at the library. Med Ref Serv Q. 2013;32(1):94-99. https://doi.org/10.1080/02763869.2013.749139.
- Gerstle TL, Ibrahim AM, Kim PS, et al. A plastic surgery application in evolution: three-dimensional printing. Plast Reconstr Surg. 2014;133(2):446-451. https://doi.org/10.1097/01.prs.0000436844.92623.d3.
- Агейкин А.В. 3D-моделировaние и 3D-принтинг как новый этап в развитии сосудистого протезирования // Огарев-Online. – 2017. – № 7. – С. 3. [Ageykin AV. 3D modeling and 3D printing as a new stage in the development of vascular prosthetics. Ogarev-online. 2017;(7):3. (In Russ.)]
- Zuniga J, Katsavelis D, Peck J, et al. Cyborg beast: a low-cost 3D-printed prosthetic hand for children with upper-limb differences. BMC Res Notes. 2015;8:10. https://doi.org/10.1186/s13104-015-0971-9.
- thingiverse.com [Internet]. Zuniga JM. Cyborg Beast [cited 2019 May 20]. Available from: http://www.thingiverse.com/thing:261462.
- Руководство по протезированию и ортезированию / Под ред. М.А. Дымочки, А.И. Суховеровой, Б.Г. Спивака. – 3-е изд. – М., 2016. [Rukovodstvo po protezirovaniyu i ortezirovaniyu. Ed. by M.A. Dyimochka, A.I. Suhoverova, B.G. Spivak. 3rd ed. Moscow; 2016. (In Russ.)]
- Физическая и реабилитационная медицина: национальное руководство / Под ред. Г.Н. Пономаренко. – М.: ГЭОТАР-Медиа, 2016. [Fizicheskaya i reabilitatsionnaya meditsina: natsional’noe rukovodstvo. Ed. by G.N. Ponomarenko. Moscow: GEOTAR-Media; 2016. (In Russ.)
- Gordon AM, Magill RA. Motor learning: Application of principles to pediatric rehabilitation. In: Physical therapy for children. Ed. by S.K. Campbell. 3rd ed. Philadelphia: Saunders; 2011. P. 157.
- bbc.com [Internet]. Lewington L. Cybathlon: Battle of the bionic athletes [cited 2019 May 20]. Available from: http://www.bbc.com/news/technology-37605984.
Supplementary files
