The influence of passive wrist joints on the functionality of prosthetic hands.

BACKGROUND

The addition of a passive wrist to a single degree of freedom prosthesis has an effect on its functionality. The amount of impact is undetermined.

OBJECTIVES

To measure the grasping function of a commercial single degree of freedom hands with and without two forms of passive wrist flexor.

STUDY DESIGN

Form-board and timed tasks.

METHOD

Repeated measures with a single subject using a validated assessment tool. The test measured the function of one conventional, single axis, powered hand controlled by the same myocontroller format. It was used in conjunction with a passive three position wrist flexor, a wrist with compliance in the flex/extend and radial/ulnar deviation and compared with a hand without these axes.

RESULTS

The overall functional score of the hand alone was 80 out of 100. The use of a wrist flexion unit resulted in a higher score (83) and the compliant wrist achieved a score of 79. The addition of a wrist allowed improved performance in Power, Lateral and Tips grips for both wrist designs, in addition the Extension grip was improved with the compliant wrist.

CONCLUSION

Wrist flexion had a positive impact on the functional score. It enabled some tasks to be performed quicker and with less difficulty.