为烧伤引起的部分手部截肢者设计的运动模拟机器人手指假肢:病例报告。

IF 1.5 4区 医学 Q3 CRITICAL CARE MEDICINE Journal of Burn Care & Research Pub Date : 2024-10-24 DOI:10.1093/jbcr/irae194
So Young Joo, Yoon Soo Cho, Jisu Seo, Yurim Seo, Sangho Yi, Cheong Hoon Seo
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引用次数: 0

摘要

烧伤往往会导致严重的手部并发症,包括关节挛缩和神经损伤,有时甚至会导致截肢。尽管早期进行了治疗,但增生性疤痕经常阻碍手部功能的恢复,厚厚的凸起疤痕阻碍了肌电图(EMG)的传感。一种很有前景的解决方案是根据患者的个体需求量身定制运动模拟机器人手指假肢。通过利用健全手指运动捕捉技术的多功能性,机器人手指假体可以同时模仿健全手指的运动,其延迟时间比通过增生疤痕的肌电图传感机制更短。本病例研究评估了一个定制的三维打印机器人手指假体对一名因电烧伤而失去左二指的 24 岁男子的临床疗效。尽管接受了再造手术,但患者的手部灵活性仍然很差。采用带有手指运动捕捉装置的个性化机器人手指假体后,患者的握力和日常工作表现都有了显著改善。这种创新方法具有定制化、减少手指运动的延迟时间以及低成本制造的经济性等优势,表明它有可能在烧伤导致的截肢者中得到更广泛的应用。
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Motion-mimicking Robotic Finger Prosthesis for Burn-induced Partial Hand Amputee: A Case Report.

Burn injuries often result in severe hand complications, including joint contractures and nerve damage, sometimes leading to amputation. Despite early treatment, hypertrophic scarring frequently hampers hand function recovery, and the thick raised scar blocks electromyography (EMG) sensing. A promising solution involves motion-mimicking robotic finger prostheses tailored to individual patient requirements. By utilizing the versatility of motion-capturing technology on a sound finger, a robotic finger prosthesis can mimic the movement of a sound finger simultaneously with less latency than EMG-based sensory mechanisms through hypertrophic scars. This case study evaluated the clinical efficacy of a customized three-dimensional printed robotic finger prosthesis in a 24-year-old man who sustained left second finger loss due to electrical burns. Despite undergoing reconstructive surgery, the patient struggled with manual dexterity. Following the adoption of a personalized robotic finger prosthesis with a finger motion-capturing device, significant improvements in grip strength and daily task performance were observed. This innovative approach has advantages such as customization, reduced latency time for finger movements, and affordability from low-cost manufacturing, suggesting its potential for broader adoption among burn-induced amputees.

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来源期刊
CiteScore
2.60
自引率
21.40%
发文量
535
审稿时长
4-8 weeks
期刊介绍: Journal of Burn Care & Research provides the latest information on advances in burn prevention, research, education, delivery of acute care, and research to all members of the burn care team. As the official publication of the American Burn Association, this is the only U.S. journal devoted exclusively to the treatment and research of patients with burns. Original, peer-reviewed articles present the latest information on surgical procedures, acute care, reconstruction, burn prevention, and research and education. Other topics include physical therapy/occupational therapy, nutrition, current events in the evolving healthcare debate, and reports on the newest computer software for diagnostics and treatment. The Journal serves all burn care specialists, from physicians, nurses, and physical and occupational therapists to psychologists, counselors, and researchers.
期刊最新文献
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