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Three-dimensional printed assistive devices for addressing occupational performance issues of the hand: A case report
Robin Janson1, Katie Burkhart1, Cassandra Firchau1
1Department of Occupational Therapy, School of Health and Human Sciences, Indiana University, Indianapolis, IN, USA.
Study Design:
This is a case report.
Introduction:
Persons with rheumatoid arthritis frequently use assistive devices as a compensatory strategy to enhance occupational performance when client factors such as hand weakness, pain, and/or limited range of motion interfere with activity performance. Computer-aided design software and 3D printers are increasingly being used to design and make assistive devices.
Purpose Of The Study:
This case report describes a client-centered approach in the selection, three-dimensional (3D) printing, and evaluation of outcomes for three assistive devices to enhance occupational performance in a subject with rheumatoid arthritis.
Methods:
Outcome measures used in this study included the Patient-Specific Functional Scale, Numeric Pain Rating Scale, and Quebec User Evaluation of Satisfaction with Assistive Technology V2.0. Activity analysis along with the subject input informed a client-centered approach in the selection, color, and design modifications of 3D printed assistive devices made for the study.
Results:
The subject reported decreased pain, improved occupational performance, and satisfaction with use of 3D printed assistive devices to open plastic beverage bottles, unlock/lock doors, and write.
Discussion:
3D printing offers therapists a means to design and make assistive devices that can be cost-effective, customizable, and client-centered.
Conclusion:
Assistive devices made with 3D printing resulted in positive outcomes in a subject with rheumatoid arthritis.

