Carpal tunnel splint

VibroAesthetics :

 

Project ideas:

1.Wearable muscle movement sensing neck device for paralytic patients.

2. Wearable wrist movement/health sensing device for Carpal Tunnel Syndrome.

Why?: Because both my wrist and neck hurts a lot.

 

Final project:

Wearable wrist movement/health sensing device for Carpal Tunnel Syndrome.

Why? : because wrist needed immediate attention.

 

What is Carpal Tunnel Syndrome:

Repetitive wrist strain injuries are one of the nation’s most common occupational health problems, costing businesses $2.8 billion annually according to the 2003 Liberty Mutual Workplace Safety Index. Many repetitive strain injuries stem from the use of conventional computer keyboards, mice, musical instruments etc.

The carpal tunnel is an anatomical compartment located at the base of the palm.

Nine flexor tendons and the median nerve pass through the carpal tunnel that is surrounded on three sides by the carpal bones that form an arch.

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The median nerve provides feeling or sensation to the thumb, index finger, long finger, and half of the ring finger. At the level of the wrist, the median nerve supplies the muscles at the base of the thumb that allow it to abduct, or move away from the fingers, out of the plane of the palm. The carpal tunnel is located at the middle third of the base of the palm.

AP-Median-Nerve---IMG_3272

 

This tunnel is normally narrow, so any swelling can pinch the nerve and cause pain, numbness, tingling or weakness. This is called carpal tunnel syndrome.

The Project:

The purpose of this project is to create a low-cost, easily configurable  conversational device that make the discussion of disability easier, less judgmental which  measures wrist health that utilizes vibrotactile feedback to convey information about wrist health to the body.

Experiments:

1. Just for an experimental purpose I started with the muscle wire as an actuator.

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Soon the idea of “it” being an autonomous device with actuators (Electroactive Polymers) which would by force changed the motion of user’s wrist didn’t made any sense.

2. Accelerometer experiment.

I tried to map x-axis & y -axis tilt with a dual-axis thermal accelerometer. Since it measures acceleration & rotation with a range of+-3g, I thought it will be the best to use to measure both wrist flexion and extension. But soon I realized that its measuring PRONATION & SUPINATION which is forearm motion, not a wrist motion.

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What do I have right now:

1. A glove… with an inertial measurement unit, four uni-flex sensors and two vibration motors mounted to provide feedback based on the position and repetitive action of the user’s hand in 2-dimensional space.

Flex sensors detects the degree of flexion-extension/radial and ulnar deviation . Arduino uno communicates with a computer wirelessly via Bluetooth with Processing and data is being saved into . csv format. Which I will visualize.

2. It calibrates itself to know the neutral position of the user.

3. Since I am an artist at heart..I couldn’t let go the aesthetician in me.

Physical disability can be an uncomfortable subject often veiled in a sense of taboo. Most people address it through a mix of denial, awkwardness and nervous self-derision. But it doesn’t have to be. I designed a brace which can be worn as a fashion accessory.

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I wanted this vital heath device to transform into conversation pieces that make the discussion of disability easier, less judgmental and more open.

While I am far from suggesting that such a thing would “celebrate” disability per se, but I  do believe there’s a way to honor our bodies and their idiosyncrasies without shame and stigma.

I was too motivated by Graham Pullin’s Design Meets Disability. Where he talks about how fashion is making wearers look good to others and feel better about themselves against  traditional priority for design for disability to attract as little attention as possible. The approach has been less about projecting a positive image than about trying not to project an image at all.

Eyewear is one market in which fashion and disability overlap. On the rare occasions that the words design and disability are mentioned in the same breath, glasses are often referred to as the exemplar of a product that addresses a disability, yet with little or no social stigma attached. This positive image for disability has been achieved without invisibility.

Things I need to do:

1. Make a Silicon dragon skin splint with acupressure healing.

2. Use bead library for wrist health music.

3. Data viz

Progress as of 4/9/13 – Conducting Interviews and Receiving Feedback on System

This weeks activities consisted of doing recruitment for interviews and feedback on my infant prototype system from parents, professors, medical professionals, and physical therapists.  So far I interviewed one medical doctor (pediatrician) and a parent about their experience of assessing development in infants and toddlers.

Here are the questions I asked the pediatrician and will ask other medical professions in the near future:

What is your first and last name? *First Name and Last Name

What is your occupation? *Are you a doctor? Nurse? Physical Therapist? Other Specialist?

Pediatrician
What type of medical setting do you work in? *Do you work in a hospital, private practice, or other setting?

Health Clinic
What is the age range of the children that you usually work with? *

Infants through age 18
Have you ever worked with children that are developmentally delayed or had special needs?

Yes
Can you tell me an example of a child you saw that there were some concerns about their development and how you went about treating them?

A child not putting their legs on the table and bearing weight when held up by doctor. Ask parents to bring back within a month. If there are serious concerns then they are referred to a physical therapist, occupational therapist, or cognitive psychologist.
What type of questions do you usually ask parents with infants regarding their development when they come to see you?

ASQ -questionaire with the parent and fill it out
scoring out of 60
6 months – 30 or months
Evaluate kids with the exam –
Language Barriers, reading levels
Useful in a subset of patients
hold up a 4 months on the table6 months cannot put their feet on the table – bear feet really well
Multiple concerns or delays –reccomend to therapyBabies have to sleep on their back -not as much tummy time — motor skills are delayed. No exposure.
How do you evaluate childhood developmental progress cognitively? gross motor? fine motor? socioemotional? Do you use any special surveys, scales, technologies, and so on?
What kind of data could a parent provide to you that would help you better treat a child with developmental delays?

Ask the parents if the child is exhibiting these behaviors at home.
Do you know of any motion analysis or visualization tools that are exist that quantify infant development data?

Not currently.
Did you have the chance to look at my prototype? What did you think of it? What type of data do you think could be extracted from it? What kind of data would be helpful for you?

This could help potentially save doctors visits.Doctor should direct parents with specific tasks or areas to focus on
For more severe patients, they may have to come in, but for documentation for parents and doctors.Parent can upload a video and doctor can look at it and make an assessment.

Biomechanics of Expressivity: Visualization Work

Expressivity Visualization [front]

As I’ve noted previously, meaningfully visualizing my expressivity vectors has certain challenges. The dimensionality of the data is difficult to visualize from a single vantage point. A good sense of motion seems to be key even though it is somewhat abstracted from the full range of motion of an upper body. And, of course, as this is human expression, I have a desire for the humanness to come through in the visualized numbers.

In our last class period, Sanniti and I looked at several different options to better help visualize my output. In the end I settled on something incorporating spheres in a 3D volume.

The images at right are screenshots of a Processing sketch I used to work out the details. The viewing volume is navigable by mouse drags thanks to an available camera library. A library well suited to animating paths in space proved to be broken, so I was forced to abandon it. Position and size of the spheres are controlled by simple keyboard input. These screenshots represent a front and top view of the same arrangement of spheres. Note the small cubes that represent the location of the individuals being tracked.

Expressivity Visualization [top]

I first tried various schemes with elongated spheres (ellipsoids). These proved both unwieldy to generate and too similar to the simple (and underwhelming) pylon in 3D space I’ve been using for development. It seems a simple arrangement of spheres is much more compelling. Size maps to magnitude of expressivity. This naturally provides a sense of the energy of the gesturing. Though not quite depicted here, Processing sketch sandbox allowed me to play with scaling limits and position limits. The Kinect data allows me to discover the approximate size of individuals in front of the system. I can arbitrarily choose arm length (away from the free-floating markers in space) as a limit on scaling and placement of the spheres in space. Though I can’t yet see this in use, I believe it will provide a subtle amount of context that maps to human dimensions.

I also found that there’s just really no good way to absorb the dimensionality of the data at once (without far more time and work than I have available). But, being able to freely move and zoom the camera significantly aids in allowing a viewer to build up a mental model of what they are viewing on screen.