Tehniskās ortopēdijas 3D tehnoloģiju pielietojums individuālu hiperkorekcijas ortožu prototipu izgatavošanā agrīnai kontraktūru profilaksei apdeguma pacientiem
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Date
2023
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Pētījuma nosaukums: Tehniskās ortopēdijas 3D tehnoloģiju pielietojums individuālu hiperkorekcijas ortožu prototipu izgatavošanā agrīnai kontraktūru profilaksei apdeguma pacientiem.
Pētījuma mērķis: Izvērtēt 3D tehnoloģiju ceļā izgatavotu hiperkorekcijas ortožu prototipu lietojamību kontraktūru profilakses nodrošināšanai apdegumu pacientu akūtas ārstēšanas laikā.
Pētījuma metodes: Tika izvēlēta jaukta pētījuma metode. Pētījums tika veikts trīs daļās – daļēji strukturētas intervijas ar apdeguma jomas speciālistiem (1), hiperkorekcijas ortožu prototipēšana un tehniskā nodrošinājuma izvērtēšana (2), izstrādāto hipekrorekcijas ortožu prototipu pielietošana 20 brīvprātīgajiem dalībniekiem, kuri nav guvuši apdeguma traumu. Pētījuma laikā tika iegūti gan kvalitatīvi, gan kvantitatīvi dati, kas analīzes procesā tika sasaistīti.
Rezultāti: Tika secināts, ka apdegumu akūtas aprūpes procesā hiperkorekcijas ortozes, kas izgatavotas ar tehniskās ortopēdijas 3D tehnoloģijām, būtu noderīgas. Tām ir jābūt vieglām, viegli kopjamām un lietojamām tiešā saskarē ar ķermeni, ar sietveida dizainu, lai nodrošinātu gaisa piekļuvi. Pēc pieejamās literatūras izpētes un speciālistu interviju rezultātiem tika secināts, ka hiperkorekcijas ortozes visbiežāk nepieciešamas plaukstas, elkoņa un ceļa locītavām. Pārbaudot izstrādāto hiperkorekcijas ortožu prototipu lietojamību pirmajā etapā, 7 brīvprātīgo dalībnieku kopējais vērtējums 5 ballu sistēmā bija 2,63. Zemo vērtējumu ietekmēja divi faktori – ortožu neatbilstība izmēram un fiksācijas veids. Balstoties uz iegūtajiem rezultātiem, tika veikta prototipu izgatavošanas procesa un dizaina uzlabošana. Otrajā etapā, pēc ortožu prototipu uzlabošanas, 13 brīvprātīgo dalībnieku kopējais hiperkorekcijas ortožu prototipu lietojāmības novērtējums bija 4,01 (5 ballu sistēmā). Līdz ar to tiek secināts, ka veiktie uzlabojumi, kuru mērķis bija veicināt ortozes atbilstību izmēriem un uzlabot ortožu prototipu fiksācijas veidu, ir bijuši atbilstoši. Šiem uzlabojumiem sekojoši ir palielinājies kopējais hiperkorekcijas ortožu prototipu lietojamības novērtējums.
Secinājumi: Pētījuma rezultāti apliecina, ka izstrādātie hiperkorekcijas ortožu prototipi, izmantojot CAD/CAM ar 3D printēšanas metodi, ir pielietojami agrīnai kontraktūru profilaksei apdeguma pacientiem.
Title of the study: Application of technical orthopedics 3D technologies in the individual hypercorrection orthoses prototypes production for early prevention of contractures in burn patients Aim of the study: To evaluate the usability of prototypes of hypercorrection orthoses which are made by 3D technology for the prevention of contractures during the acute treatment of burn patients. Research methods: For the study was chosen a mixed research method. The study was created in three parts - semi-structured interviews with specialists in the field of burns (1), prototyping of hypercorrection orthoses and evaluation of technical support (2), application of the developed prototypes of hypercorrection orthoses to 20 volunteer participants without a burn injury. During the research, both qualitative and quantitative data were obtained, which were linked in the analysis process. Results: It was concluded that in the process of acute care of burns, hypercorrection orthoses, which is made using 3D technologies of technical orthopedics, would be useful. They should be lightweight, easy to care for and used in direct contact with the body, with a mesh design to allow air access. After researching the available literature and the results of specialist interviews, it was concluded that hypercorrection orthoses are most often needed for wrist, elbow and knee joints. Testing the usability of the developed hypercorrection orthoses prototypes in the first stage, the total score of 7 volunteer participants in a 5-point system was 2.63. The low ratings were influenced by two factors - orthosis not matching the size and the type of fixation. Based on the obtained results, the process and design of the prototypes were improved. In the second stage, after the improvement of the orthoses prototypes, the total evaluation of the usability of the hypercorrection orthoses prototypes by 13 volunteer participants was 4.01 (on a 5-point scale). Therefore, it is concluded that the improvements made, which aimed to promote the matching of the orthosis sizes and to improve the way of fixation of the orthosis prototypes, have been appropriate. Also, the overall evaluation of the usability of hypercorrection orthoses prototypes has increased. Conclusions: The results of the study confirm that the developed prototypes of hypercorrection orthoses, using CAD/CAM with 3D printing method, can be used for early prevention of contractures in burn patients.
Title of the study: Application of technical orthopedics 3D technologies in the individual hypercorrection orthoses prototypes production for early prevention of contractures in burn patients Aim of the study: To evaluate the usability of prototypes of hypercorrection orthoses which are made by 3D technology for the prevention of contractures during the acute treatment of burn patients. Research methods: For the study was chosen a mixed research method. The study was created in three parts - semi-structured interviews with specialists in the field of burns (1), prototyping of hypercorrection orthoses and evaluation of technical support (2), application of the developed prototypes of hypercorrection orthoses to 20 volunteer participants without a burn injury. During the research, both qualitative and quantitative data were obtained, which were linked in the analysis process. Results: It was concluded that in the process of acute care of burns, hypercorrection orthoses, which is made using 3D technologies of technical orthopedics, would be useful. They should be lightweight, easy to care for and used in direct contact with the body, with a mesh design to allow air access. After researching the available literature and the results of specialist interviews, it was concluded that hypercorrection orthoses are most often needed for wrist, elbow and knee joints. Testing the usability of the developed hypercorrection orthoses prototypes in the first stage, the total score of 7 volunteer participants in a 5-point system was 2.63. The low ratings were influenced by two factors - orthosis not matching the size and the type of fixation. Based on the obtained results, the process and design of the prototypes were improved. In the second stage, after the improvement of the orthoses prototypes, the total evaluation of the usability of the hypercorrection orthoses prototypes by 13 volunteer participants was 4.01 (on a 5-point scale). Therefore, it is concluded that the improvements made, which aimed to promote the matching of the orthosis sizes and to improve the way of fixation of the orthosis prototypes, have been appropriate. Also, the overall evaluation of the usability of hypercorrection orthoses prototypes has increased. Conclusions: The results of the study confirm that the developed prototypes of hypercorrection orthoses, using CAD/CAM with 3D printing method, can be used for early prevention of contractures in burn patients.
Description
Rehabilitācija
Rehabilitation
Veselības aprūpe
Health Care
Rehabilitation
Veselības aprūpe
Health Care
Keywords
Atslēgas vārdi: hiperkorekcijas ortozes, prototips, CAD/CAM, 3D printēšanana, akūti apdegumi, kontraktūras., Keywords: hypercorrection orthoses, prototype, CAD/CAM, 3D printing, acute burns, contractures.