PMID- 37800426
OWN - NLM
STAT- MEDLINE
DCOM- 20231102
LR  - 20231102
IS  - 1812-2078 (Electronic)
IS  - 1812-2027 (Linking)
VI  - 21
IP  - 81
DP  - 2023 Jan-Mar
TI  - Outcome of Three Dimensional Printed Functional Prostheses for Children with 
      Upper Limb Deficiency in Nepal.
PG  - 52-57
AB  - Background Children with congenital and traumatic upper limb amputation are 
      undervalued in a low and middle-income country (LMIC) like Nepal. The use of a 
      prosthetic hand can give them a feeling of self-reliance to perform their daily 
      activities. However, prosthesis require periodic maintenance and replacement 
      which could be a financial burden to some families. The e-Nable community has 
      designed and developed three dimension printed prosthetic hands for children 
      under 19 years old, and distributed them free of cost. Objective To explore the 
      functionality of the three dimension printed prosthetic hands using 
      semi-structured questionnaires and assess a series of daily tasks after three 
      months prosthetic use. Method This descriptive cross-sectional study was 
      conducted from July 2019 to June 2020, after receiving an ethical clearance from 
      the Nepal Health Research Council (Registration number: 582/2019). Seventy six 
      children (5-18 years old) who met the inclusion criteria were enrolled in this 
      study. Data were collected using semistructured questionnaires, and observational 
      methods to identify the benefits and drawbacks of the three dimensional 
      prosthetic hands. Mean, standard deviation, and percentage were used to interpret 
      the data. Result All participants could only lift light objects such as tray, 
      tennis ball or a bottle of water. They had difficulty with those task that 
      required complex movement and with lifting heavy objects. Moreover, only 
      47(61.8%) participants were completely satisfied with the prosthetic hand and the 
      major reasons for dissatisfaction were tear of the rubber band or cord, and 
      broken parts. Conclusion Participant were able to complete certain tasks using 
      the e-Nable community three dimensional printed prosthetic hands.
FAU - Shrestha, S
AU  - Shrestha S
AD  - Department of Orthopaedics and Trauma, KIST Medical College and Teaching 
      Hospital. Imadol, Lalitpur, Nepal.
FAU - Gautam, S
AU  - Gautam S
AD  - M. Sc. Medical Microbiology, Tribhuvan University, Kirtipur, Nepal.
LA  - eng
PT  - Journal Article
PL  - Nepal
TA  - Kathmandu Univ Med J (KUMJ)
JT  - Kathmandu University medical journal (KUMJ)
JID - 101215359
SB  - IM
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - Humans
MH  - Cross-Sectional Studies
MH  - Nepal
MH  - *Printing, Three-Dimensional
MH  - Prosthesis Design
MH  - *Upper Extremity/surgery
EDAT- 2023/10/06 06:43
MHDA- 2023/11/01 12:43
CRDT- 2023/10/06 05:52
PHST- 2023/11/01 12:43 [medline]
PHST- 2023/10/06 06:43 [pubmed]
PHST- 2023/10/06 05:52 [entrez]
PST - ppublish
SO  - Kathmandu Univ Med J (KUMJ). 2023 Jan-Mar;21(81):52-57.