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Customized Power Wheelchair Joysticks Made by Three-Dimensional Printing Technology: A Pilot Study on the Environmental Adaptation Effects for Severe Quadriplegia

Author

Listed:
  • Hee Dong Shin

    (Department of Physical Medicine and Rehabilitation, Veterans Health Service Medical Center, Seoul 05368, Korea)

  • Da Hyun Ahn

    (Department of Physical Medicine and Rehabilitation, Veterans Health Service Medical Center, Seoul 05368, Korea)

  • Hyun Ah Lee

    (Department of Physical Medicine and Rehabilitation, Veterans Health Service Medical Center, Seoul 05368, Korea)

  • Yun Kyung Lee

    (Department of Physical Medicine and Rehabilitation, Veterans Health Service Medical Center, Seoul 05368, Korea)

  • Hee Seung Yang

    (Department of Physical Medicine and Rehabilitation, Veterans Health Service Medical Center, Seoul 05368, Korea)

  • Min Jo

    (Veterans Health Service Medical Center, Veterans Medical Research Institute, 53 Jinhwangdo-ro, 61-gil Gangdong-gu, Seoul 05368, Korea)

  • Seul Bin Na Lee

    (Veterans Health Service Medical Center, Veterans Medical Research Institute, 53 Jinhwangdo-ro, 61-gil Gangdong-gu, Seoul 05368, Korea)

  • Gwan Su Park

    (Center of Prosthetics and Orthotics, Veterans Health Service Medical Center, Seoul 05368, Korea)

  • Yun Sub Hwang

    (Center of Prosthetics and Orthotics, Veterans Health Service Medical Center, Seoul 05368, Korea)

  • Woo Sob Sim

    (Center of Prosthetics and Orthotics, Veterans Health Service Medical Center, Seoul 05368, Korea)

  • Sung-Jun Park

    (Department of Mechanical Engineering, Korea National University of Transportation, 50 Daehak-ro, Cungju 380702, Korea)

Abstract

Background: Power wheelchair joysticks are often available as standardized ready-made products for patients with severe hand dysfunction. However, standardized joysticks have limitations in accommodating the individualized features of hand dysfunctions. Three-dimensional (3D) printing technology has facilitated active research on the development of joysticks that can overcome such limitations. Methods: Four subjects participated in the study to evaluate driving abilities and satisfaction after using the customized joystick for two weeks. Modified power-mobility indoor driving assessment (PIDA), National Aeronautics and Space Administration task load index (NASA-TLX), and psychosocial impact of assistive devices scale (PIADS; Korean version) were employed for evaluation. Results: In patients 1–3, the modified PIDA scores had the highest values in the pre-test and post-test. In patient 4, the modified PIDA score had a higher value in the post-test (mean value = 4) compared to the pre-test (mean value = 3.33). In all patients, the modified PIDA time was lower in the post-test compared to the pre-test. The NASA-TLX and PIADS values indicate that greater satisfaction was achieved through the usage of customized joysticks in the post-test. Conclusions: All patients can improve their power wheelchair driving abilities and achieve greater satisfaction. Clinical Relevance: Three-dimensional printed customized power wheelchair joysticks can offer enhanced driving abilities and satisfaction to patients with limited hand function owing to severe spinal cord injury.

Suggested Citation

  • Hee Dong Shin & Da Hyun Ahn & Hyun Ah Lee & Yun Kyung Lee & Hee Seung Yang & Min Jo & Seul Bin Na Lee & Gwan Su Park & Yun Sub Hwang & Woo Sob Sim & Sung-Jun Park, 2021. "Customized Power Wheelchair Joysticks Made by Three-Dimensional Printing Technology: A Pilot Study on the Environmental Adaptation Effects for Severe Quadriplegia," IJERPH, MDPI, vol. 18(14), pages 1-11, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:14:p:7464-:d:593714
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    References listed on IDEAS

    as
    1. Weller, Christian & Kleer, Robin & Piller, Frank T., 2015. "Economic implications of 3D printing: Market structure models in light of additive manufacturing revisited," International Journal of Production Economics, Elsevier, vol. 164(C), pages 43-56.
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