Comparison of the effects of self-made three-dimensional printed assistant tableware and traditional universal cuff assistant tableware in patients with upper limb dysfunction after burn injury

Luo Hao; Chen Pei; Xie Weiguo

doi:10.3760/cma.j.cn501120-20220103-00004

Volume 38 Issue 12

Dec. 2022

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Article Navigation > CHINESE JOURNAL OF BURNS AND WOUNDS > 2022 > 38(12): 1110-1116

Luo H,Chen P,Xie WG.Comparison of the effects of self-made three-dimensional printed assistant tableware and traditional universal cuff assistant tableware in patients with upper limb dysfunction after burn injury[J].Chin J Burns Wounds,2022,38(12):1110-1116.DOI: 10.3760/cma.j.cn501120-20220103-00004.

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Comparison of the effects of self-made three-dimensional printed assistant tableware and traditional universal cuff assistant tableware in patients with upper limb dysfunction after burn injury

doi: 10.3760/cma.j.cn501120-20220103-00004

Department of Burns, Tongren Hospital of Wuhan UniversityWuhan Third Hospital, Wuhan 430060, China

Funds:

Special Trauma Repair Program of Scientific and Technological Action Plan for Treatment and Prevention of Serious Diseases 2018-ZX-01S-001

Scientific Research Project of Health Commission of Hubei Province of China WJ2019M003

Scientific Research Project of Health Commission of Wuhan WG19B02

Scientific Research Project of Wuhan Municipal Health and Family Planning Commission WG18Q10

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Corresponding author: Xie Weiguo, Email: wgxie@hotmail.com
Received Date: 2022-01-03

Abstract

Abstract

Objective To compare the effects of self-made three-dimensional (3D) printed assistant tableware (hereinafter referred to as 3D assistive device) and traditional universal cuff assistant tableware (hereinafter referred to as universal cuff) on the voluntary eating function of patients with upper limb dysfunction after burns. Methods The prospective self-control study was conducted. From March 2020 to June 2021, 18 patients with upper limb dysfunction after moderate to severe burns who met the inclusion criteria were admitted to Tongren Hospital of Wuhan University & Wuhan Third Hospital, including 15 males and 3 females, aged 21-58 (42±11) years. After using the 3D software and 3D printer to customize 3D assistive devices for patients, the patients were instructed to eat with the 3D assistive devices and the universal cuff on alternate days for 14 consecutive days, each for 7 days. During this time, the patients could also be fed by someone else without using the assistive device. The number of times the patients ate regular meals with each assistive device and the proportion of them to the total number of regular meals ate during the 7 days to which they belonged were counted. After the total use of two assistive devices for 14 days (hereinafter referred to as after use of 14 days), the amount and time of transferring liquid using the two assistive devices of patients were measured; the patients' feeding items in the modified Barthel index (MBI) were scored respectively when eating without the assistive device, with the 3D assistive device, or with the universal cuff; the satisfaction degree of feeding when eating without the assistive device, with the 3D assistive device, or with the universal cuff was evaluated using the 5-grade Likert scale. Data were statistically analyzed with paired sample t test, Wilcoxon signed rank sum test, and chi-square test. Results The number of the patients ate regular meals with the 3D assistive device during the 7 days was (18.1±2.0) times, which was significantly more than (4.0±2.0) times with the universal cuff (t=53.72, P<0.01). The proportion of the number of the patients ate regular meals with the 3D assistive device to the total number of regular meals ate during the 7 days to which it belonged was 72.4% (325/449), which was significantly higher than 16.7% (72/431) with the universal cuff (χ²=257.36, P<0.01). After use of 14 days, the patients' time and amount of transferring liquid using the 3D assistive device were respectively significantly shorter and more than using the universal cuff (with t values of 2.49 and 7.52, respectively, P<0.05 or P<0.01). The patients' MBI feeding scores when eating with the 3D assistive device and with the universal cuff were close (P>0.05), which were both significantly higher than the score when eating without the assistive device (with Z values of 3.90 and 3.86, respectively, P<0.01).The patients' satisfaction scores of feeding when eating with the 3D assistive device and with the universal cuff were close (P>0.05), which were both significantly higher than the score when eating without the assistive device (with Z values of 3.61 and 3.00, respectively, P<0.01). Conclusions Both the 3D assistive device and the universal cuff can compensate the limb function of patients with upper limb dysfunction after burns and improve their self-feeding ability, but the 3D assistive device has more advantages in improving patients' willingness to eat and the efficiency of food transfer.
- Burns,
- Rehabilitation,
- Printing, three-dimensional,
- Activities of daily living,
- Self-help devices

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References

[1]	BacheSE, O'ConnorEF, TheodorakopoulouE, et al. The Hand Burn Severity (HABS) score: a simple tool for stratifying severity of hand burns[J]. Burns, 2017, 43(1):93-99. DOI: 10.1016/j.burns.2016.07.011.
[2]	施加加,沈爱明,孙莹,等.群体特重度烧伤患者伤后恢复期作业活动障碍的横断面调查[J].中华烧伤杂志,2018,34(9):624-628.DOI: 10.3760/cma.j.issn.1009-2587.2018.09.012.
[3]	詹晓欢,高峻青,付记乐.支具在手部深度烧伤治疗中的应用研究[J].实用手外科杂志,2018,32(1):86-89.DOI: 10.3969/j.issn.1671-2722.2018.01.029.
[4]	TangD, Li-TsangCWP, AuRKC, et al. Predictors of functional independence, quality of life, and return to work in patients with burn injuries in mainland China[J/OL].Burns Trauma, 2016,4:32[2022-01-03]. https://pubmed.ncbi.nlm.nih.gov/27826591/.DOI: 10.1186/s41038-016-0058-4.
[5]	陈柳媚,李琳,吴晓蕾,等.烧伤患者康复治疗阶段生活质量与伤残接受度变化及影响因素[J].中华烧伤杂志,2019,35(11):804-810.DOI: 10.3760/cma.j.issn.1009-2587.2019.11.007.
[6]	李欣.手烧伤瘢痕挛缩的预防和治疗研究新进展[J].中国保健营养,2020,30(20):77.
[7]	吕国忠,许瓅文.重视大面积烧伤早期康复预防后期严重并发症[J].中华烧伤杂志,2017,33(5):257-259.DOI: 10.3760/cma.j.issn.1009-2587.2017.05.001.
[8]	胡航帆,周娅,陈茉弦,等.3D打印在假肢矫形器领域中的应用与发展[J].中国康复医学杂志,2020,35(2):233-237.DOI: 10.3969/j.issn.1001-1242.2020.02.024.
[9]	中华医学会医学工程学分会数字骨科学组,国际矫形与创伤外科学会(SICOT)中国部数字骨科学组.3D打印骨科手术导板技术标准专家共识[J].中华创伤骨科杂志,2019,21(1):6-9.DOI: 10.3760/cma.j.issn.1671-7600.2019.01.001.
[10]	IshackS, LipnerSR. A review of 3-dimensional skin bioprinting techniques: applications, approaches, and trends[J]. Dermatol Surg, 2020,46(12):1500-1505.DOI: 10.1097/DSS.0000000000002378.
[11]	VisscherDO, SlaaST, JaspersME, et al. 3D printing of patient-specific neck splints for the treatment of post-burn neck contractures[J/OL]. Burns Trauma, 2018, 6:15[2022-01-03]. https://pubmed.ncbi.nlm.nih.gov/29930950/.DOI: 10.1186/s41038-018-0116-1.
[12]	KateJT, SmitG, BreedveldP. 3D-printed upper limb prostheses: a review[J]. Disabil Rehabil Assist Technol, 2017, 12(3):300-314. DOI: 10.1080/17483107.2016.1253117.
[13]	罗皓,谢卫国,张伟,等.采用三维打印技术设计制作一例烧伤患儿索控假手及其应用[J].中华烧伤杂志,2018,34(8):526-528.DOI: 10.3760/cma.j.issn.1009-2587.2018.08.009.
[14]	徐荣健,李宗安,朱莉娅,等. 3D打印产业及技术发展趋势概述[J]. 机械设计与制造工程,2016,45(3):11-16. DOI: 10.3969/j.issn.2095-509X.2016.03.002.
[15]	张烨. 3D打印假肢定制工厂自动化生产控制系统分析[J]. 自动化应用,2019(4):18-19. DOI: 10.19769/j.zdhy.2019.04.008.
[16]	刘根林,李建军,周红俊,等.肌力定量检查方法研究进展[J].中国康复理论与实践,2017,23(7):766-769.DOI: 10.3969/j.issn.1006-9771.2017.07.005.
[17]	黄跃生. 烧伤外科学[M]. 北京:科学技术文献出版社, 2010:14-15.
[18]	中国临床瘢痕防治专家共识制定小组.中国临床瘢痕防治专家共识[J/CD].中华损伤与修复杂志:电子版,2017,12(6):401-406.DOI: 10.3877/cma.j.issn.1673-9450.2017.06.001.
[19]	茹天峰,李菲虹,陈佩,等. 关节活动训练系统治疗深度烧伤后关节功能障碍的临床效果[J]. 中华烧伤杂志,2017,33(5):267-271. DOI: 10.3760/cma.j.issn.1009-2587.2017.05.003.
[20]	中华医学会烧伤外科学分会,中国医师协会烧伤科医师分会.烧伤康复治疗指南(2013版)[J].中华烧伤杂志,2013,29(6):497-504.DOI: 10.3760/cma.j.issn.1009-2587.2013.06.001.
[21]	谢卫国.瘢痕的激光及相关光电治疗前景值得期待[J].中华烧伤杂志,2018,34(9):598-602.DOI: 10.3760/cma.j.issn.1009-2587.2018.09.008.
[22]	中国老年医学学会烧创伤分会.烧伤后关节功能障碍的预防与康复治疗专家共识(2021版)[J/CD].中华损伤与修复杂志:电子版,2021,16(4):277-282.DOI: 10.3877/cma.j.issn.1673-9450.2021.04.001.
[23]	李奎成,唐丹,刘晓艳,等.国内Barthel指数和改良Barthel指数应用的回顾性研究[J].中国康复医学杂志,2009,24(8):737-740.DOI: 10.3969/j.issn.1001-1242.2009.08.019.
[24]	王赛华,孙莹,施加加.定制辅助餐具对特重度烧伤患者进食功能的影响[J].中华物理医学与康复杂志,2021,43(11):1029-1030.DOI: 10.3760/cma.j.issn.0254-1424.2021.11.017.
[25]	WangD, LiN, LuoM, et al. One visualization simulation operation system for distal femoral fracture[J]. Medicine(Baltimore), 2017, 96(32):e7770. DOI: 10.1097/MD.0000000000007770.
[26]	林柳兰,张凌峰.通过骨支架的数字化建模分析其力学性能与内部流场分布[J].医用生物力学,2017,32(3):248-255.DOI: 10.16156/j.1004-7220.2017.03.007.
[27]	严刚,谢丽华,李武全,等.透明面具治疗面部增生性瘢痕43例[J].中华烧伤杂志,2010,26(6):427-429.DOI: 10.3760/cma.j.issn.1009-2587.2010.06.007.
[28]	熊宝林,周大伟,徐静, 等.3D打印在假肢矫形器技术领域的应用前景初探[J].中国康复,2018,33(6):523-525.DOI: 10.3870/zgkf.2018.06.024.
[29]	UnkovskiyA, SpintzykS, BromJ, et al. Direct 3D printing of silicone facial prostheses: a preliminary experience in digital workflow[J]. J Prosthet Dent, 2018,120(2):303-308. DOI: 10.1016/j.prosdent.2017.11.007.
[30]	赵展,胡秀枋,徐秀林.手功能障碍者筷子辅具的改进设计[J].中国康复理论与实践,2021,27(11):1247-1252.DOI: 10.3969/j.issn.1006-9771.2021.11.002.
[31]	郑小军,俞高红. 熔融沉积成型三维打印参数最优组合的试验验证[J]. 机械制造,2019,57(2):82-85. DOI: 10.3969/j.issn.1000-4998.2019.02.023.
[32]	莫泉湖, 张学刚. 三维打印成型方向和层厚对成型精度的影响研究[J]. 机械设计与制造工程, 2017, 46(4):25-29. DOI: 10.3969/j.issn.2095-509X.2017.04.005.
[33]	李大伟, 戴宁, 姜晓通,等. 密度感知的3D打印内部支撑结构轻量化建模[J]. 计算机辅助设计与图形学学报, 2016,28(5):841-848. DOI: 10.3969/j.issn.1003-9775.2016.05.018.
[34]	姜晓通,郭保苏,彭庆金,等. 基于最小理论支撑体积的模型三维打印的打印方向分析[J]. 中国机械工程,2019,30(7):864-871. DOI: 10.3969/j.issn.1004-132X.2019.07.016.
[35]	张衡,罗彬,官建中,等.3D数字打印技术在创伤骨科临床应用中的研究进展[J].中华医学杂志,2017,97(29):2317-2320.DOI: 10.3760/cma.j.issn.0376-2491.2017.29.020.
[36]	黄楚红,黄文华,黄国志.3D打印技术在康复医学中的应用与研究进展[J].中国康复医学杂志,2020,35(1):95-99.DOI: 10.3969/j.issn.1001-1242.2020.01.020.

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Comparison of the effects of self-made three-dimensional printed assistant tableware and traditional universal cuff assistant tableware in patients with upper limb dysfunction after burn injury

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Comparison of the effects of self-made three-dimensional printed assistant tableware and traditional universal cuff assistant tableware in patients with upper limb dysfunction after burn injury

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