The Upper Limb Orthosis in the Rehabilitation of Stroke Patients: The Role of 3D Printing.

3D printing Healthcare 4.0 disability neurologic disease stroke

Journal

Bioengineering (Basel, Switzerland)
ISSN: 2306-5354
Titre abrégé: Bioengineering (Basel)
Pays: Switzerland
ID NLM: 101676056

Informations de publication

Date de publication:
27 Oct 2023
Historique:
received: 21 09 2023
revised: 22 10 2023
accepted: 24 10 2023
medline: 25 11 2023
pubmed: 25 11 2023
entrez: 25 11 2023
Statut: epublish

Résumé

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.

Identifiants

pubmed: 38002380
pii: bioengineering10111256
doi: 10.3390/bioengineering10111256
pmc: PMC10669460
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Subventions

Organisme : National Recovery and Resilience Plan (NRRP), Mission 4 Component 2 Investment 1.5-Call for tender No. 3277 of 30/12/2021 of Italian Ministry of University and Research funded by the Eu-ropean Union-NextGenerationEU
ID : . Award Number: Project code ECS00000033, Concession Decree No. 1052 of 23/06/2022 adopted by the Italian Ministry of University and Research, CUP D93C22000460001, "Ecosystem for Sus-tainable Transition in Emilia-Romagna" (Ecosister).

Références

J Mech Behav Biomed Mater. 2022 Oct;134:105416
pubmed: 36037707
Materials (Basel). 2022 Mar 14;15(6):
pubmed: 35329594
J Surg Educ. 2016 May-Jun;73(3):518-23
pubmed: 26861582
Materials (Basel). 2020 Oct 08;13(19):
pubmed: 33050040
Acta Biomed. 2020 Jan 21;91(3):e2020064
pubmed: 32921760
PM R. 2016 Dec;8(12):1201-1212
pubmed: 27424769
Bioinspir Biomim. 2018 Aug 24;13(6):066001
pubmed: 30088477
Nanomedicine. 2021 Oct;37:102426
pubmed: 34175454
J Mech Behav Biomed Mater. 2018 Nov;87:50-58
pubmed: 30032023
J Mech Behav Biomed Mater. 2022 Oct;134:105407
pubmed: 35988524
Ann Phys Rehabil Med. 2022 Sep;65(5):101602
pubmed: 34757009
Hand Surg Rehabil. 2021 Apr;40(2):126-133
pubmed: 33309787
Anat Rec (Hoboken). 2019 Jun;302(6):912-916
pubmed: 30417979
Neurol Sci. 2017 Sep;38(9):1561-1569
pubmed: 28540536
J Hand Ther. 2016 Jan-Mar;29(1):51-7; quiz 57
pubmed: 26847320
J Rehabil Med Clin Commun. 2021 Feb 12;4:1000048
pubmed: 33884150
Polymers (Basel). 2022 Oct 01;14(19):
pubmed: 36236066
PLoS Med. 2009 Jul 21;6(7):e1000097
pubmed: 19621072
Polymers (Basel). 2023 Mar 17;15(6):
pubmed: 36987285
PLoS One. 2018 Oct 4;13(10):e0204774
pubmed: 30286144
Nanomaterials (Basel). 2020 Dec 21;10(12):
pubmed: 33371307
Prog Mater Sci. 2018 Apr;93:45-111
pubmed: 31406390
IEEE Trans Neural Syst Rehabil Eng. 2022;30:1261-1266
pubmed: 35533167
PLoS One. 2021 Nov 18;16(11):e0260271
pubmed: 34793566
J Hand Ther. 2023 Jan-Mar;36(1):166-178
pubmed: 34819255
Med Eng Phys. 2023 Feb;112:103955
pubmed: 36842778
J Control Release. 2021 Jan 10;329:743-757
pubmed: 33031881
Int J Pharm X. 2023 Feb 08;5:100166
pubmed: 36880028
Pharmaceutics. 2022 Mar 08;14(3):
pubmed: 35335965
J Clin Med. 2021 Sep 30;10(19):
pubmed: 34640564
Biomed Eng Online. 2018 Jun 26;17(1):92
pubmed: 29941033
Biomedicines. 2022 Dec 12;10(12):
pubmed: 36551978
Curr Opin Biotechnol. 2016 Aug;40:103-112
pubmed: 27043763
Materials (Basel). 2021 Jan 03;14(1):
pubmed: 33401601
J Thorac Dis. 2018 Jul;10(Suppl 20):S2363-S2375
pubmed: 30123576
Eur Radiol. 2019 Mar;29(3):1384-1390
pubmed: 30116957
Materials (Basel). 2020 Jan 09;13(2):
pubmed: 31936429
Polymers (Basel). 2021 Feb 18;13(4):
pubmed: 33670792
Pharmaceutics. 2022 Nov 24;14(12):
pubmed: 36559082
Nat Biotechnol. 2014 Aug;32(8):773-85
pubmed: 25093879
J Mech Behav Biomed Mater. 2018 Nov;87:240-255
pubmed: 30096512
Assist Technol. 2023 Nov 2;35(6):513-522
pubmed: 36780423
J Mech Behav Biomed Mater. 2023 Jul;143:105930
pubmed: 37267735
J Mech Behav Biomed Mater. 2022 Oct;134:105418
pubmed: 36007489
Int Orthop. 2021 Sep;45(9):2337-2346
pubmed: 34117504
Int J Mol Sci. 2020 Aug 12;21(16):
pubmed: 32806758
Prosthet Orthot Int. 2018 Dec;42(6):636-643
pubmed: 30009672
Appl Bionics Biomech. 2017;2017:9610468
pubmed: 28827977
J Sports Sci. 2019 Oct;37(19):2191-2197
pubmed: 31156031
Front Bioeng Biotechnol. 2023 Feb 02;11:895745
pubmed: 36815899
Macromol Rapid Commun. 2017 Dec;38(23):
pubmed: 28898498
Mol Pharm. 2021 Oct 4;18(10):3894-3908
pubmed: 34529431
Neurorehabil Neural Repair. 2008 Mar-Apr;22(2):111-21
pubmed: 17876068
Acta Biomater. 2021 Mar 1;122:26-49
pubmed: 33359299
Materials (Basel). 2020 Dec 07;13(23):
pubmed: 33297551
Materials (Basel). 2021 Jun 24;14(13):
pubmed: 34202765
Proc Inst Mech Eng H. 2017 Jun;231(6):487-498
pubmed: 28639519
Expert Rev Pharmacoecon Outcomes Res. 2016;16(1):23-32
pubmed: 26817398
J Clin Epidemiol. 2008 Apr;61(4):344-9
pubmed: 18313558
J Prosthet Dent. 2022 Aug;128(2):196-204
pubmed: 33573833
Sensors (Basel). 2019 Dec 13;19(24):
pubmed: 31847216
Expert Rev Neurother. 2014 Nov;14(11):1307-14
pubmed: 25331417
Proc Inst Mech Eng H. 2022 May;236(5):613-627
pubmed: 35068234
Sensors (Basel). 2023 Feb 03;23(3):
pubmed: 36772757
Int J Mol Sci. 2023 Apr 01;24(7):
pubmed: 37047568
Lancet Neurol. 2009 Aug;8(8):741-54
pubmed: 19608100
Environ Sci Pollut Res Int. 2021 Mar;28(10):12321-12333
pubmed: 32888147
Proc Inst Mech Eng H. 2017 Sep;231(9):881-897
pubmed: 28689470
Disabil Rehabil Assist Technol. 2021 Feb;16(2):209-213
pubmed: 31385727
J Biomech. 2017 Jul 26;60:157-161
pubmed: 28687150
Bioengineering (Basel). 2022 Jun 09;9(6):
pubmed: 35735492
J Neuroeng Rehabil. 2021 Apr 26;18(1):71
pubmed: 33902646
Annu Int Conf IEEE Eng Med Biol Soc. 2019 Jul;2019:1476-1479
pubmed: 31946172
J Mech Behav Biomed Mater. 2020 May;105:103707
pubmed: 32090897
Med Sci Monit. 2019 Sep 24;25:7175-7181
pubmed: 31549689
Nat Commun. 2023 Jan 13;14(1):210
pubmed: 36639727
Front Neurol. 2023 Feb 17;14:1108320
pubmed: 36873455
Lancet Neurol. 2019 May;18(5):439-458
pubmed: 30871944
Clin Rehabil. 2020 Feb;34(2):194-204
pubmed: 31686529
Materials (Basel). 2023 Jan 06;16(2):
pubmed: 36676322
NeuroRehabilitation. 2011;28(1):29-36
pubmed: 21335675
IEEE Trans Neural Syst Rehabil Eng. 2019 Jun;27(6):1246-1252
pubmed: 31071047
Biomed Mater. 2022 Oct 13;17(6):
pubmed: 36179679
J Foot Ankle Res. 2022 May 19;15(1):38
pubmed: 35585544
IEEE Int Conf Rehabil Robot. 2019 Jun;2019:65-70
pubmed: 31374608
Trends Pharmacol Sci. 2018 May;39(5):440-451
pubmed: 29534837
Macromol Biosci. 2022 Oct;22(10):e2200039
pubmed: 35488769
Pak J Med Sci. 2021 May-Jun;37(3):740-745
pubmed: 34104158
Polymers (Basel). 2021 Apr 12;13(8):
pubmed: 33921369
Ann Palliat Med. 2020 Nov;9(6):4262-4270
pubmed: 33040564

Auteurs

Andrea Demeco (A)

Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.

Ruben Foresti (R)

Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.
Center of Excellence for Toxicological Research (CERT), University of Parma, 43126 Parma, Italy.
Italian National Research Council, Institute of Materials for Electronics and Magnetism (CNR-IMEM), 43124 Parma, Italy.

Antonio Frizziero (A)

Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.

Nicola Daracchi (N)

Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.

Francesco Renzi (F)

Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.

Margherita Rovellini (M)

Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.

Antonello Salerno (A)

Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.

Chiara Martini (C)

Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.

Laura Pelizzari (L)

AUSL Piacenza, Neurorehabilitation and Spinal Unit, Department of Rehabilitative Medicine, 29121 Piacenza, Italy.

Cosimo Costantino (C)

Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.

Classifications MeSH