PDF(Pubmed)
Abstract：
Stroke represents the third cause of long-term disability in the world. About 80% of stroke patients have an impairment of bio-motor functions and over half fail to regain arm functionality, resulting in motor movement control disorder with serious loss in terms of social independence. Therefore, rehabilitation plays a key role in the reduction of patient disabilities, and 3D printing (3DP) has showed interesting improvements in related fields, thanks to the possibility to produce customized, eco-sustainable and cost-effective orthoses. This study investigated the clinical use of 3DP orthosis in rehabilitation compared to the traditional ones, focusing on the correlation between 3DP technology, therapy and outcomes. We screened 138 articles from PubMed, Scopus and Web of Science, selecting the 10 articles fulfilling the inclusion criteria, which were subsequently examined for the systematic review. The results showed that 3DP provides substantial advantages in terms of upper limb orthosis designed on the patient\'s needs. Moreover, seven research activities used biodegradable/recyclable materials, underlining the great potential of validated 3DP solutions in a clinical rehabilitation setting. The aim of this study was to highlight how 3DP could overcome the limitations of standard medical devices in order to support clinicians, bioengineers and innovation managers during the implementation of Healthcare 4.0.
摘要：
中风是世界上第三个长期残疾的原因。大约80％的中风患者有生物运动功能受损，超过一半的患者无法恢复手臂功能，导致运动控制障碍，严重丧失社会独立性。因此,康复在减少患者残疾方面起着关键作用，3D打印（3DP）在相关领域显示出有趣的改进，由于生产定制的可能性，生态可持续和成本有效的矫形器。这项研究调查了3DP矫形器在康复中的临床使用与传统矫形器相比，关注3DP技术之间的相关性，治疗和结果。我们筛选了来自PubMed的138篇文章，Scopus和WebofScience,选择符合纳入标准的10篇文章，随后对其进行了系统审查。结果表明，3DP提供了大量的优势，在上肢矫形器设计的病人的需要。此外，七项研究活动使用可生物降解/可回收材料，强调经过验证的3DP解决方案在临床康复环境中的巨大潜力。这项研究的目的是强调3DP如何克服标准医疗设备的局限性，以支持临床医生。实施医疗保健4.0期间的生物工程师和创新经理。
