clinical poster pdf
DESCRIPTION
Academic poster describing the importance of garment-based exoskeletons in the development of disabled infants and toddlers.TRANSCRIPT
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In order to obtain the best results from the intervention studies being conducted
through the Pediatric Mobility Lab, I
propose that a new prototype be
developed, combining and improving upon
the first two Playskin designs. I propose we
use the initial design with modifications
based on observations involving the
function of the second version. A zipper,
rather than buttons, in the front would allow
for greater ease of access. I would suggest
using the same vinyl bundle casings sewn
into the garment, as seen in the original
Playskin, but having one slot along the
length of the external oblique, splitting into
two casings at the axilla, and continuing as
two along the medial and posterior triceps.
This will allow for lift in the proper
directions, both superior in the sagittal
plane, and medially in the transverse plane.
This configuration will allow for greater lift,
better distribution of force, and proper
position for optimal sensory stimulation. I
would also suggest making the torso out of
a woven fabric for comfort and fashion,
while making the sleeves out of a knit fabric
for function. This design, in theory, will
combine the function of the original
Playskin with the comfort and safety of the
second version.
As a part of the lab I have had two distinctly
different roles. My fist experience presented
itself in the form of a Senior Design course
as a part of the Biomedical Engineering
curriculum. We were given a problem
statement and asked to offer a solution in a
short 12 week period. That is where the
black modification of the WREX, or Playskin,
was developed.
Second was this Clinical Immersion. I was given the opportunity to spend more time
with Dr. Galloway and, especially, Dr.
Michele Lobo in an attempt to gain a better
understanding of what the lab does, how
research is performed, and how an
engineering division would benefit the lab as
a whole. I was also able to continue my work
with the Playskin and work with fashion
expert Martha Hall on a second version.
This second version was made as a direct result of instructions given to us by Dr. Lobo.
The idea was to take the Playskin, and pair it
down into separate adjustable pieces. We
were able to create a working prototype, as
shown below, and test it on a young boy with
Arthrogryposis in order to gain insight on
how it differed from the original Playskin.
From that test fitting, we were able to formulate an idea for what the lab could
pursue as a Playskin 3.0, taking the positive
aspects from both of the first two versions
and eliminating some of the negative
aspects.
Currently, the lab has developed an intervention
study that focuses on the upper extremity
movement of children with, and without, the
Wilmington Robotic Exoskeleton (WREX).
This exoskeleton, originally developed at the A.I.
duPont Hospital for Children, has proven
effective, though bulky, intimidating, and
possibly unsafe for the user.
The Pediatric Mobility Lab has done intervention
studies where this shows effective, but had a goal
of making it less obtrusive. Therefore, they
worked with the College of Engineering to
develop a garment based system that provides
similar function but offers it with the advantage
of being low profile.
The main reason for doing this was to allow for
greater torso and leg mobility where applicable,
as well as allowing the wearer to interact with
other children without scaring them or potentially
injuring them.
The Pediatric Mobility Lab at the University of Delaware is comprised of a
team of researchers who aim to
understand the development of pre-term
and injured infants compared to that of full
term infants. Through observation and film
study, researchers can analyze and
interpret data in order to gain an
understanding of why infants develop
differently based on their birth term,
congenital disease, or pre-birth injury.
Background
Researchers and therapists working in the Pediatric Mobility Lab have thorough
knowledge of the growth and development
of young children. Children with congenital
disease, pre-term birth, or early life injury
are at a high risk of developing disabilities.
The development of human babies relies
greatly on movement, interaction, and
sensory intake. Children with disabilities
often find themselves behind the curve
when it comes to learning and growing.
The labs principle aim is to develop a method of helping kids at risk develop
more normally. To do that, they need
devices and intervention
Goal
My Experience Current Methods My Proposed Solution
Dr. Cole Galloway Senior Lab Adviser Dr. Michele Lobo Research Scientist Martha Hall Expert Fashion Consultant Peter Popper Consulting Engineer Steve Cope Consulting Engineer Kevin Chang Creator of Original Playskin John Koshy - Creator of Original Playskin Mike Olaya - Creator of Original Playskin
Acknowledgements
The Pediatric Mobility Lab at the University of Delaware
Rob Oblender with Dr. Cole Galloway and Dr. Michele Lobo