Houston-Hicks Michele, Lura Derek J, Highsmith M Jason
Physical Therapy Center, University of South Florida Morsani College of Medicine, Tampa, FL, USA.
Department of Bioengineering and Software Engineering, Florida Gulf Coast University, Ft. Myers, FL, USA.
Technol Innov. 2016 Sep;18(2-3):207-210. doi: 10.21300/18.2-3.2016.207.
Cerebral Palsy (CP) is the leading cause of childhood motor disability, with a global incidence of 1.6 to 2.5/1,000 live births. Approximately 23% of children with CP are dependent upon assistive technologies. Some children with developmental disabilities have self-injurious behaviors such as finger biting but also have therapeutic needs. The purpose of this technical note is to describe design considerations for a protective glove and finger covering that maintains finger dexterity for children who exhibit finger and hand chewing (dermatophagia) and require therapeutic range of motion and may benefit from sensory stimulation resulting from constant contact between glove and skin. Protecting Little and Adolescent Youth (PLAY) Hands are protective gloves for children with developmental disorders such as CP who injure themselves by biting their hands due to pain or sensory issues. PLAY Hands will be cosmetically appealing gloves that provide therapeutic warmth, tactile sensory feedback, range of motion for donning/ doffing, and protection to maximize function and quality of life for families of children with developmental disorders. The technology is either a per-finger protective orthosis or an entire glove solution designed from durable 3D-printed biodegradable/bioabsorbable materials such as thermoplastics. PLAY Hands represent a series of protective hand wear interventions in the areas of self-mutilating behavior, kinematics, and sensation. They will be made available in a range of protective iterations from single- or multi-digit finger orthoses to a basic glove design to a more structurally robust and protective iteration. To improve the quality of life for patients and caregivers, they are conceptualized to be cosmetically appealing, protective, and therapeutic.
脑瘫（CP）是儿童运动残疾的主要原因，全球发病率为每1000例活产中有1.6至2.5例。约23%的脑瘫儿童依赖辅助技术。一些发育障碍儿童有自伤行为，如咬手指，但也有治疗需求。本技术说明的目的是描述一种防护手套和手指套的设计考虑因素，该手套和手指套能保持手指灵活性，适用于那些有咬手指和手部行为（噬皮症）、需要治疗性活动范围且可能受益于手套与皮肤持续接触产生的感觉刺激的儿童。保护儿童和青少年手部（PLAY）手套是为患有发育障碍（如脑瘫）的儿童设计的防护手套，这些儿童因疼痛或感觉问题而咬手自残。PLAY手套将是外观吸引人的手套，能提供治疗性温暖、触觉感官反馈、穿戴/脱下的活动范围，并提供保护，以最大限度地提高发育障碍儿童家庭的功能和生活质量。该技术要么是每个手指的保护性矫形器，要么是由耐用的3D打印可生物降解/可生物吸收材料（如热塑性塑料）设计的完整手套解决方案。PLAY手套代表了在自残行为、运动学和感觉方面的一系列防护手部穿戴干预措施。它们将有一系列防护版本可供选择，从单指或多指手指矫形器到基本手套设计，再到结构更坚固、保护性更强的版本。为了提高患者和护理人员的生活质量，它们在概念上被设计成外观吸引人、具有保护性和治疗性。
