Cargando…

A multiarticulate pediatric prosthetic hand for clinical and research applications

Although beginning to emerge, multiarticulate upper limb prostheses for children remain sparse despite the continued advancement of mechatronic technologies that have benefited adults with upper limb amputations. Upper limb prosthesis research is primarily focused on adults, even though rates of ped...

Descripción completa

Detalles Bibliográficos
Autores principales: Battraw, Marcus A., Young, Peyton R., Joiner, Wilsaan M., Schofield, Jonathon S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9651148/
https://www.ncbi.nlm.nih.gov/pubmed/36388251
http://dx.doi.org/10.3389/frobt.2022.1000159
_version_ 1784828181861105664
author Battraw, Marcus A.
Young, Peyton R.
Joiner, Wilsaan M.
Schofield, Jonathon S.
author_facet Battraw, Marcus A.
Young, Peyton R.
Joiner, Wilsaan M.
Schofield, Jonathon S.
author_sort Battraw, Marcus A.
collection PubMed
description Although beginning to emerge, multiarticulate upper limb prostheses for children remain sparse despite the continued advancement of mechatronic technologies that have benefited adults with upper limb amputations. Upper limb prosthesis research is primarily focused on adults, even though rates of pediatric prosthetic abandonment far surpass those seen in adults. The implicit goal of a prosthesis is to provide effective functionality while promoting healthy social interaction. Yet most current pediatric devices offer a single degree of freedom open/close grasping function, a stark departure from the multiple grasp configurations provided in advanced adult devices. Although comparable child-sized devices are on the clinical horizon, understanding how to effectively translate these technologies to the pediatric population is vital. This includes exploring grasping movements that may provide the most functional benefits and techniques to control the newly available dexterity. Currently, no dexterous pediatric research platforms exist that offer open access to hardware and programming to facilitate the investigation and provision of multi-grasp function. Our objective was to deliver a child-sized multi-grasp prosthesis that may serve as a robust research platform. In anticipation of an open-source release, we performed a comprehensive set of benchtop and functional tests with common household objects to quantify the performance of our device. This work discusses and evaluates our pediatric-sized multiarticulate prosthetic hand that provides 6 degrees of actuation, weighs 177 g and was designed specifically for ease of implementation in a research or clinical-research setting. Through the benchtop and validated functional tests, the pediatric hand produced grasping forces ranging from 0.424–7.216 N and was found to be comparable to the functional capabilities of similar adult devices. As mechatronic technologies advance and multiarticulate prostheses continue to evolve, translating many of these emerging technologies may help provide children with more useful and functional prosthesis options. Effective translation will inevitably require a solid scientific foundation to inform how best to prescribe advanced prosthetic devices and control systems for children. This work begins addressing these current gaps by providing a much-needed research platform with supporting data to facilitate its use in laboratory and clinical research settings.
format Online
Article
Text
id pubmed-9651148
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-96511482022-11-15 A multiarticulate pediatric prosthetic hand for clinical and research applications Battraw, Marcus A. Young, Peyton R. Joiner, Wilsaan M. Schofield, Jonathon S. Front Robot AI Robotics and AI Although beginning to emerge, multiarticulate upper limb prostheses for children remain sparse despite the continued advancement of mechatronic technologies that have benefited adults with upper limb amputations. Upper limb prosthesis research is primarily focused on adults, even though rates of pediatric prosthetic abandonment far surpass those seen in adults. The implicit goal of a prosthesis is to provide effective functionality while promoting healthy social interaction. Yet most current pediatric devices offer a single degree of freedom open/close grasping function, a stark departure from the multiple grasp configurations provided in advanced adult devices. Although comparable child-sized devices are on the clinical horizon, understanding how to effectively translate these technologies to the pediatric population is vital. This includes exploring grasping movements that may provide the most functional benefits and techniques to control the newly available dexterity. Currently, no dexterous pediatric research platforms exist that offer open access to hardware and programming to facilitate the investigation and provision of multi-grasp function. Our objective was to deliver a child-sized multi-grasp prosthesis that may serve as a robust research platform. In anticipation of an open-source release, we performed a comprehensive set of benchtop and functional tests with common household objects to quantify the performance of our device. This work discusses and evaluates our pediatric-sized multiarticulate prosthetic hand that provides 6 degrees of actuation, weighs 177 g and was designed specifically for ease of implementation in a research or clinical-research setting. Through the benchtop and validated functional tests, the pediatric hand produced grasping forces ranging from 0.424–7.216 N and was found to be comparable to the functional capabilities of similar adult devices. As mechatronic technologies advance and multiarticulate prostheses continue to evolve, translating many of these emerging technologies may help provide children with more useful and functional prosthesis options. Effective translation will inevitably require a solid scientific foundation to inform how best to prescribe advanced prosthetic devices and control systems for children. This work begins addressing these current gaps by providing a much-needed research platform with supporting data to facilitate its use in laboratory and clinical research settings. Frontiers Media S.A. 2022-10-28 /pmc/articles/PMC9651148/ /pubmed/36388251 http://dx.doi.org/10.3389/frobt.2022.1000159 Text en Copyright © 2022 Battraw, Young, Joiner and Schofield. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Robotics and AI
Battraw, Marcus A.
Young, Peyton R.
Joiner, Wilsaan M.
Schofield, Jonathon S.
A multiarticulate pediatric prosthetic hand for clinical and research applications
title A multiarticulate pediatric prosthetic hand for clinical and research applications
title_full A multiarticulate pediatric prosthetic hand for clinical and research applications
title_fullStr A multiarticulate pediatric prosthetic hand for clinical and research applications
title_full_unstemmed A multiarticulate pediatric prosthetic hand for clinical and research applications
title_short A multiarticulate pediatric prosthetic hand for clinical and research applications
title_sort multiarticulate pediatric prosthetic hand for clinical and research applications
topic Robotics and AI
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9651148/
https://www.ncbi.nlm.nih.gov/pubmed/36388251
http://dx.doi.org/10.3389/frobt.2022.1000159
work_keys_str_mv AT battrawmarcusa amultiarticulatepediatricprosthetichandforclinicalandresearchapplications
AT youngpeytonr amultiarticulatepediatricprosthetichandforclinicalandresearchapplications
AT joinerwilsaanm amultiarticulatepediatricprosthetichandforclinicalandresearchapplications
AT schofieldjonathons amultiarticulatepediatricprosthetichandforclinicalandresearchapplications
AT battrawmarcusa multiarticulatepediatricprosthetichandforclinicalandresearchapplications
AT youngpeytonr multiarticulatepediatricprosthetichandforclinicalandresearchapplications
AT joinerwilsaanm multiarticulatepediatricprosthetichandforclinicalandresearchapplications
AT schofieldjonathons multiarticulatepediatricprosthetichandforclinicalandresearchapplications