Biomechanics of Human Body Motion - Rutgers University School of
Transcription
Biomechanics of Human Body Motion - Rutgers University School of
1 Biomechanics of Human Body Motion: Engineering a Glove for Hand Motor Disabilities Ezra Brooks, Justin Perez, Ilse Sweldens, Annie Wang, Lucy Zhang Mentor: Catherine Connolly RTA: Eamon Collins Abstract Using SolidWorks, a threedimensional engineering design program, a glove was created to help people with fine motor skill impairments maintain a desired hand position. The glove, in order to hold the hand in the specified position, is rigid, but it features locking mechanisms on the finger joints that enable users to adjust it into whichever hand position is needed. Poor fine motor abilities are highly prevalent due to a range of neurological and physical disorders. The glove was designed to assist patients in basic hand functions such as writing; the prototype model is dimensioned to fit the hand of a child at the age where writing skills are developing. The glove’s locking mechanism allows for patients to achieve easily adjustable hand positions. SolidWorks was used not only to design the glove, but also to create an animation of the assembly of the device, to produce engineering drawings, and to simulate the effects of forces on the pieces. 1. Introduction Hand motility is a crucial aspect of human function and occupies a significant portion of the brain’s processes Hands are capable of touching, grasping, feeling, manipulating, and more. However, many people are unable to fully utilize their hands due to disabilities; 22% of children in second grade have dysgraphia, the inability to write properly.1 The following chart depicts the normal progression of motor skill development for young children. Conversely, children with impaired physical abilities have delayed development. \ Figure 1: Development of children including fine motor2 Dysgraphia results from flawed motor and information processing skills such as visual-spatial and language processing. Symptoms include illegible 2 handwriting and awkward pencil grip and position. Issues with writing and other fine motor skills can affect people of all ages, and can result from various conditions. Dyspraxia is a neurological disorder throughout the brain that inhibits motor skill development.3 Autism spectrum disorders and attention deficit hyperactive disorder can also lead to motor skill defects. Parkinson’s disease creates tremors that can greatly inhibit hand motion.2 Cerebral palsy, a physical disability that affects movement and posture, can weaken muscle control, muscle coordination, and balance.4 From a purely physical perspective, the primary cause of fine motor control problems is a lack or overabundance of muscle mass.5 Children in particular may have low muscle mass and thus struggle to maintain control over something as simple as a pencil or scissors. Genetic and environmental factors are also causes of these motor skill impairments. Further, premature children of substance abusers are at high risk for this condition. Likewise, people who have undergone certain types of surgery frequently have trouble regaining physical coordination, resulting in difficulty controlling the fine motor skills of their hands. A glove that stabilizes the hands would mitigate the effects of these disorders, improving the hand function for people with impaired fine motor skills. By supporting the hand with a specially designed glove, patients should be able to improve hand motility, rendering activities such as writing and holding utensils easier. In addition, wearing the glove for an extended period of time would allow muscle memory to develop, so the patient would be able to instinctively be able to remember the correct positioning for holding pencils, or utensils. 2. Fine Motor Skills and Hand Data 2.1 Fine Motor Skills and Children’s Writing Ability Fine motor skills affect a person’s ability to hold, to pick up, or to move objects. Often, impaired fine motor skills result in a social stigma, as young children are unable to perform basic tasks. Problems related to fine motor skills are common, as about 20% of children are affected with dysgraphia, the inability to write correctly, legibly, or, in some cases, at all.6 These skills develop slowly as children age, but can often be overcome with practice. However, if unaddressed, these problems may develop into chronic diseases that can cause many difficulties later in life. Currently, the side effects of impaired fine motors skills are difficult to alleviate. Children who struggle with writing are given rubber pencil grips and larger pencils that help students assume the proper writing position. However, these methods merely skirt the issue, without addressing the actual problem, the improvement of fine motor skills. The children will still struggle to use normal pencils in the future, as this is not a permanent fix. For others with disabilities such as autism or cerebral palsy, trainers and aides often use a hand-overhand7 method in which they guide the patients hand into forming proper grips and 3 motions to grab and use items. This method is not entirely effective because the trainer’s grip is not entirely rigid and it cannot be used when the trainer is unavailable. Another attempted solution is the weighted glove.8 These gloves provide stability and target fitness, but make basic hand motions more difficult largely due to the added weight that requires greater hand strength to achieve the same functionality as one who does not use the gloves. Children are given toys and worksheets that focus on fine hand movements, mainly line tracing. These methods focus on training, but do not give the basic structure or technique necessary to easily learn fine motor skills. Therapeutic weighted gloves contain weights on the top of the hand. However, these weights must be adjusted when the hand position is changed, resulting in both inconvenience and potential pain. Figure 2: A weighted glove9 The other problem is the lack of proper writing technique. Most people do not hold the pencil in the optimal position for writing efficiently and clearly. The pencil is supposed to be held between the thumb and index fingers alone. 7 Further, the pencil should be moved through the use of shoulder, back, and forearm muscles, as opposed to the fingers. This problem is caused by the lack of good instruction of writing techniques as well as the lack of a good guide for how to hold a pencil. 2.2 Conditions Related to Poor Fine Motor Skills Many diseases that impede motor development are neurological. For example, dysgraphia often overlaps with other learning disabilities such as cerebral palsy and autism. Brain surgery also creates side effects that affect motility. To prepare for surgical procedures, surgeons often use anesthesia, which generally alters pain perception, aids muscle relaxation, and induces a state of unconscious throughout the body. Motor skills can be temporarily impaired after anesthesia.10 Similar side effects are also common after cancer treatment such as chemotherapy. Cerebral palsy is also a consequence of damage to parts of the brain that manage motor movement, rendering the brain incapable of sending the appropriate signal to muscles to make them move properly. The specific damaged sections of the brain determine the type of cerebral palsy that the individual develops. Severely afflicted individuals may have uncontrollable hand motions. For diseases that do not affect the nervous system, muscle memory provides a physical method that can make the effects of temporary solutions permanent. Muscle memory is stored in the brain as a form of 4 procedural memory that improves ability through repetition. Muscle fibers maintain a long lasting structural change. 2.3 Anthropometric Data Anthropometric data describes average human body measurements and proportions for a population. In this study anthropometric hand data was utilized to ensure that the glove would fit the average child in need of fine motor skill aid. The standard deviation of the measurements is also included in Appendix A, and its small values show that the glove would fit the vast majority of children in need. Figure 4: Joints in the hand12 2.4 Joints Responsible for Writing Position The primary joints that determine the hand’s position while writing consist of the carpometacarpal, metacarpophalangeal (MCP as shown in the yellow arrow), and proximal interphalangeal (PIP as shown by the blue arrow) joints. The hand joints, wrist, and bone account for the body's support and flexibility to manipulate objects, rendering the stability of the joints as imperative. Figure 5: Primary hand muscles13 Figure 3: Hand Skeletal Structure11 5 3. The Design Process: Brainstorming, Drawing, and Modeling the Glove 3.1 Experimental Procedure In determining what biological disorder to target, general ideas were discussed based on common diseases as well as personal experiences. An article on a possible alternative to using drugs provided an example of a product that started as an ambitious idea and is still in the research and developmental processes. However, one of the main hindrances to the brainstorming process was the lack of technical and scientific knowledge, eliminating many possible ideas such as miniaturizing monitors and dialysis machines to fit inside the body. Once the glove idea was chosen, it had to be designed in more detail and drawn on graph paper with dimensions. The first step taken was to determine the target audience of the glove, which was deemed to be people with fine motor skills impairments. The glove focuses on the physical and mechanical aspects only, using a rigid yet dynamic adjustable brace to lock the fingers into specified positions. It was decided that the prototype glove would help young children with basic functions such as writing and holding utensils since these essential skills should, ideally, be learned and addressed at a younger age. The glove would also ultimately allow for more independence and confidence for patients with fine motor skill disabilities as well as provide enough support so that patients may be able to use muscle memory to correct their positions. Next, ideas were developed for the glove’s locking mechanism and structure, the most important components of the glove. Both the functionality of the glove and the appeal to the possible customers were considered in the design. A completely rigid glove with fixed fingers was considered at one point, but it would mean that the glove could only be used to help patients with one problem. In addition, it would be difficult for people to fit their hands into a glove already in the proper writing position. For the locking mechanism, the first general idea was to allow movement for all the joints. A couple of ideas were considered, many taken from moving joint parts on knee braces, but they were all variations of the same basic mechanism: a locking mechanism that kept the fingers in a position through interlocking gears placed at finger joints. Figure 6: The initial hand-drawn sketch A rigid yet flexible structure was ideal for the glove frame because it would keep the hand in place but still allow for some mobility of the joints and fingers to avoid cramping and general discomfort. Modeling the plastic pieces after the bone structure of the hand was done because it would be more helpful as a guiding device as it would simulate an actual human hand. The attempt to use a type of hard plastic as opposed to rigid metal aimed to make the glove more lightweight. A problem that was later addressed was the movement of the 6 thumb, which usually requires more mobility and dexterity than the other fingers do. It was debated whether or not a piece specific to the thumb should be designed to allow for maximum rotational and mobile functionalities, but it was challenging to incorporate all the additional parts into the design considering the added weight as well as placement and design possibilities. However, because the positioning of the thumb is similar when writing and eating, it was decided that the thumb’s PIP would be kept entirely rigid with a solid plastic ring. Although the glove was intended to target children and patients of all ages, the prototype was chosen to be modeled for a seven to eight year old child, mostly for convenience for 3D printing. Hand anthropometric data for children aged 7.58.5 from a study in Britain was used to devise finger measurements for modeling, as shown in the charts Table 1 in Appendix A. Because the anthropometric data only included measurements for the first three fingers and the lengths and diameters of those, there was a lack of data on the ring finger and pinkie and distance between finger joints. As a result, detailed measurements were taken of each group member’s hands, and the ratios of the lengths of distances between joints were calculated and averaged to compensate for the lack of researched data. According to the data chart in Appendix A, Part 1 refers to the length of the hand starting at the wrist and ending at the knuckles. Part 2 of each finger refers to the distance between the knuckle and the middle joint. Part 3 is the distance between the middle joint and the last joint, where the glove will end in a velcro-adjustable strap. As the brainstorming progressed, the basic functions of SolidWorks were learned in preparation for the modeling of the glove design later on. Two-dimensional functions, such as sketching shapes, creating dimensions, and assigning constraints, were essential for defining and constructing the various shapes necessary for the glove design. The four major 3D features, extrusion, loft, revolve, and sweep, could be manipulated to create the three-dimensional figures from the 2D sketches. After these skills were mastered, the assembly feature was learned. The gearbox that was created had parts that were fully constrained along with parts that were intentionally partially defined to allow for motion. The assembly feature allows for the different parts, made separately for precision and efficiency, to be attached to each other to construct a complete model. After discussion of the locking mechanism, thumb mechanism, and dimensions with the project mentor, modeling the device on SolidWorks began. At the beginning, everyone experimented with creating new parts on SolidWorks to test the easiest and best ways to construct the different parts including the locking gears as well as the thumb and wrist pieces. Once the more complicated pieces were created, the remaining tasks were split among the group members due to the limited time available and the amount of work left. Some group members continued to work to refine and complete the existing parts while others created rudimentary models and worked on the engineering drawings, 7 analysis reports, and animation of the 3D model in SolidWorks. 3.2 Physical Device Description of the Figure 7: A 3D Model of the glove The glove has a fingerless fabric piece covered by rigid plastic supports. The plastic used is ABSplus-P43014, a production-grade thermoplastic used with Dimension 3D Printers. The supports begin at a plastic wrist brace and follow the skeletal structure of the hand, with one support for finger including the thumb. The supports ends anterior to the distal interphalangeal joint, leaving the fingertips free for comfort and grip. They end in a slit for a Velcro band to wrap around the finger. At the two joints, the metacarpophalangeal and proximal interphalangeal joints, there is a gear shell Figure 8: Index finger brace 1. that allows rotation of the finger joint, but can provide rigidity at any angle of rotation. For the most effective application, the gloves are adaptable to different hand conformations, but are rigid in the selected one to provide the support and structure necessary for improving fine motor skills. In order to achieve this, the gloves have small gear knobs above the joints, which are shown in Appendix B. Within these knobs, two interlocking gears are layered next to each other vertically. These gears are rigid, but have inward teeth that allow interlocking. For the easiest modeling, these gears are 20-sided polygons. The left gear (assuming a right hand glove) has a central hole for a push button. This gear also has a circular ridge extrusion at its base that sits on an inverse ridge in the shell. The hole is filled with a cylinder connected to the right gear. This gear sits on a small spring. As the digit is moved, the right gear rotates, clicking into place, maintaining rigidity. In order to unlock the gears, the cylinder button is pushed in so the two gears’ teeth unlock allowing rotation back to normal hand position. The cylinder button must be pushed in to rotate the joint in either direction because the teeth are not sloped, ensuring full rigidity in any position. This mechanism sits slightly anterior to the top of the knuckle. 8 Figure 9: Shell The shell mechanism is a basic hollow cylinder with a hole for the button at one end and a rigid base with an extruded circle for the spring to sit in at the other end. The shell has two slits in it that allow the finger plastic pieces to connect to their gears by a thin connector piece. The slit on the left of the right hand is fitted to the small plastic connector, whereas the slit on the right extends down on the opposite side around 180˚ to allow for the joint to rotate with the bottom gear. The mechanism has a length of 7.5mm and a diameter of 5mm. Figure 10: Wrist and thumb brace However, the thumb requires a different approach. The distal phalanx of the thumb has an extremely minimal range of motion. Conversely, the remainder of the thumb is capable of a wider range motion, powered by several strong muscles, including the abductor pollicis brevis, the abductor pollicis, the first dorsal interosseous, the flexor pollicis brevis, and the opponens pollicis.15 To enable the thumb to adjust positions while still maintaining rigidity, a similar locking mechanism to the one described before is attached to the hard plastic structure around the wrist, right above the carpometacarpal joint. The original mechanism is simply rotated onto its side with the button facing upward, and the shell is mounted on the wrist brace. Furthermore, a hard piece of plastic is attached from above the extrinsic thumb muscle to above the intrinsic thumb muscles, restricting the thumb’s motion. This piece of plastic follows the thumb’s straight conformation to before the nailbed ensuring full thumb rigidity. Designing the glove structure on SolidWorks required slight revision of the original sketch. The actual skeletal structure that functions similar to braces was created such that the bottom portion has a rounded surface while the top surface is flat, as to simplify the addition of the locking mechanism on top. The gears in the locking mechanism have differing teeth, trapezoidal teeth on the gear closest to the cylinder and the rectangular teeth on the mobile gear. The differing types of teeth allow for the two gears to interlock precisely in the assembly function of SolidWorks. The shell in which the locking mechanism is contained required little alterations. The slits which allow for the plastic material to enter the shell and attach to the locking mechanism are also of differing lengths, one that allows for extensive range of finger motion and one simply to keep rigidity. The longer slit 9 permits the finger to bend a minimum of 90 degrees. glove, with a plastic buckle in the middle. A flap of the strip with Velcro on it goes through one side of the buckle so that the patient can adjust how much of the strap goes through the buckle and therefore how tight the strap will be. The portion of the strap that goes through the buckle comes into contact with the Velcro piece on the part of the strap sewn onto the rest of the glove. 3.3 Dimensions and Descriptions: Figure 11: Wrist component In order to ensure a certain degree of mobility and stability for the wrist, there is a rigid plastic brace over the top of the wrist that connects to all of the fingers. However, this brace is secured to the wrist using Velcro allowing adjustability and rigidity. The brace only covers the top half of the wrist. This is placed a little forward of the wrist joint to allow wrist motion, but still provide hand rigidity. Figure 12: Velcro strap model At the end of the glove at each finger, there is an adjustable strap with Velcro to allow for patients to change the straps for comfort according to their finger width. The strap is sewn to the rest of the The fingers are composed of three main structural parts: two springs, four gears, and two shells. Each structural part is curved to a radius of 9.5mm to match the curve of the fingers, as well as filleted along the top to a distance of 3mm to prevent sharp edges. Each part has a width of 10mm, but the pinky finger uses a 9mm wide part. The dimensions of the structural parts along the backs of the hands between the wrist and the MCP are 45.72mm on the pinky, 51.38mm on the ring finger, 52.83 on the middle finger, and 58.10mm on the index finger. The lengths of the parts between the next two joints, the MCP and the PIP, are 26.25 on the pinky 28.67 on the ring finger, 32.14mm on the middle finger, and 28.48mm on the index finger. Lastly, the lengths of the supports after the PIP before the DIP are 12.62mm on the pinky, 18.43mm on the ring finger, 21.50mm on the middle finger, and 17.12mm on the index finger. The thumb has one structural part, one spring, two gears, and one shell. The thumb’s shell, unlike the fingers’ shells, is positioned with its button facing up from the back of the palm. The side of the structural 10 part that touches the skin is curved with a radius of 9.50mm, and the other side of this part has a 3mm fillet. The part is 69.85mm long and 10.0mm wide, including the gears and the attachments. The thumb piece ends in a ring, unlike the others which end in Velcro straps, to ensure maximum rigidity. The ring has a diameter of 17mm and is 1mm wide. Located between the supports on the fingers are the shells containing the gears and springs. Figure 13: The spring. The shell is a cylinder with a length of 7.5mm and diameter of 5mm. The shell is 0.65mm thick, but has a ridge for the gear to fit into at one end that is only 0.25mm thick. 0.70mm from this side of the shell is located a 0.25mm slit that extends 180 degrees. 2.3mm from this side is another slit 1.75mm in width that extends 180°. This slit is directly opposite from the original slit. These slits allow the gears to connect to the finger supports and for the gears to rotate the finger pieces. The wider slit allows for the gear to remain connected to the finger support as the cylinder button is pushed in. Figure 14: The cylinder-button gear Within this shell are the two gears. The gears have a diameter of 4.25mm. Both gears are 20-sided polygons with each side being 0.592mm in length, designed to facilitate interlocking. The gear with the cylindrical button in the center uses rectangular gear teeth, which fit together with the gear with the hole in its center’s trapezoidal teeth. The gear with a 2mm hole in its center also has a ridge along its bottom plane that extrudes 0.50mm. This ridge is to keep the gear from shifting while in use as it sits on the shell’s inverse ridge. There are 10 teeth on both gears, and the trapezoidal teeth extend inward at 72 degrees for 0.50mm. The rectangular tooth gear has 0.45mm by 0.50 mm rectangles, with the .450mm being along the gear edge, allowing a small amount of room for the gears to be easier to interlock. This gear’s cylinder button is 2mm in diameter and extends out 4.50mm. The gear with the trapezoidal teeth also has a circular cut on its back that is 2mm in diameter and 0.750 mm deep. This cut houses the spring. The spring extends between the shell base and this circle cut. The spring is 2mm in diameter, 0.25mm in thickness, and has 7.5 revolutions. 11 Figure 15: Shell assembly 4. Results and Discussion The end product functions as a therapeutic glove with a skeletal structure that stabilizes hand mobility and position, facilitating typical hand movements for patients with fine motor skill impairments. The locking mechanism, which contains two mobile and interlocking gears, allows for movement of the joints as well as the function to lock the fingers in a defined, rigid position. In addition, each mechanism’s movement is constrained to a 0 to 70 degree range of movement to permit controlled hand motion. Finite Element Analysis (FEA) was also conducted on SolidWorks, using the Simulation feature. The purpose of the FEA is to identify the effects of various forces on the glove’s pieces. The first step taken was to draw out the hand and identify the different forces, such as stress, rotational, and torque, thought to be experienced by both the hand and the mechanisms attached to it. The simulations were performed with the structural piece between the index finger and the wrist. In the first simulation, the face touching the wrist piece was considered a fixed plane, and 1 N was applied to the sides of the gear’s teeth at the other end of the piece. This simulated when the finger attempts to bend while the button is not pressed and the gears are locked. In the second, the fixed plane was the same, but the force was a 1 N pull on the gear, making the piece experience tension. This replicated how the pieces are stretched when fingers bend. Instead of the ABSplus-P430 material used in the printing of the device, the simulation modeled the device with the features of standard ABS plastic. The ABSplus-P430 plastic has a Young’s modulus of 2320 mPa, and the simulation’s ABS has a similar Young’s modulus, at 2000 mPa. The simulation created strain and stress plots for the piece and revealed that the section that undergoes the most stress and strain is the connection between the main structural piece and the gear. This section is the one that is most at risk of breaking. 12 von Mises (Nm2) - 166,608,720 - 124,956,552 - 83,304,384 - 41,652,212 - 39.2 Figures 16 and 17: Stress plot of the first index finger piece in isometric view von Mises (Nm2) - 166,608,720 - 124,956,552 - 83,304,384 - 41,652,212 - 39.2 Figure 18: Strain plot of the first index finger piece in isometric view Afterwards, the forces were applied to the parts in SolidWorks and analysis reports were generated. The locking mechanism and the brace attachments were tested for stress and strain. When bent, the attachments are stretched slightly by tensile force. When the brace on the finger returns to a straight position, it experiences compressive forces. These situations were simulated using forces first pulling then pushing each end of the brace piece. The locking mechanism was specifically analyzed for the torque which is exerted when the brace attachments rotate via the gear. In addition, force was applied to the center of the brace to test how the piece would handle collisions when the glove is in use. The simulation provided information on the stress and displacement of the piece in the various scenarios. In SolidWorks, items with miniscule dimensions such as the small locking mechanism components can be easily drawn and assembled together. However, these items are not so easily translated into the physical world. The initial plan to 3D print the parts did not work out as intended because the pieces were too small. The gears failed to interlock as they did in SolidWorks due to the 3D printer’s lack of precision and tolerances to properly print items as small as the parts involved in the finger locking mechanism. In the commercial world, there are printers that can print these parts with accuracy, but these printers are much more expensive and slower than the ones available to this research project. In the initial printing, the STL files had to be scaled to two times the parts’ original sizes in order to be printed using the available machine. As it stands, the gloves will take too long to print, cost too much, and have too much error if produced through traditional 3D printing. 5. Conclusion A glove to aid in fine motor skill treatment and improvement was created in SolidWorks, a three-dimensional computer aided design software. The glove utilizes an interlocking gear mechanism to provide rigidity to different finger joints. The rigid 13 parts are placed upon the back of the hand, and follow the basic bone structure to allow limited joint motion. The gears are covered by a shell but directly connected to a rigid finger part, providing the needed protection and practicality. One gear is spring mounted to allow for repeated locking and unlocking. The glove provides the support and correct hand conformations needed to aid in completing many tasks that require fine motor skills, such as eating and writing. The glove ends in adjustable Velcro straps before the distal interphalangeal joint, allowing for good finger contact and therefore grip. It is secured onto the hand using straps from the fingers and the wrist. The glove is limited by the gear teeth, as there are only ten, which may slightly restrict possible hand conformations. The glove is similarly compromised by the tiny connections between the gear and the finger piece. Although the FEA results show that the joint can handle strain, the connection is still miniscule and runs the risk of breaking under additional pressure. Furthermore, the locking system allows locking of different fingers at different times, which gives more control and versatility for position, but requires that each gear be locked individually, which may hinder quick conformational changes. The size of the locking mechanism may also prove difficult for patients with fine motor skills to use, as they may require the assistance of an aide. Lastly, due to the overall glove and shells’ small dimensions as well as limited available of affordable high quality 3D printing technology, the glove could not be printed to scale. If the glove were to become an actual product, more precise 3D printers would be necessary to mass produce the glove, especially since the glove would ideally be available in different sizes to fit patients with hands of all sizes. Thus, future designs should look into better locking mechanisms that make the glove more efficient. Additionally, studies should be done on the effect of this glove on children learning to write as well as people with fine motor skill problems. These studies will prove the effectiveness of the design. Acknowledgements The authors are grateful to Rutgers undergraduate student Catherine Connolly for her instruction on the use of SolidWorks and the development of biomedical devices, as well as Eamon Collins for his guidance throughout the project. In addition, this research would not be possible without the direction of Ilene Rosen, Dr. Noshir Langrana, and Dean Jean Patrick Antoine and the sponsorship of Rutgers University, The State of New Jersey, Morgan Stanley, Lockheed Martin, Silver Line Windows, South Jersey Industries, Inc., The Provident Bank Foundation, and Novo Nordisk. 14 References 1 Tracey le Roux, “Correct Pencil Grasp,” OT Mom Learning Activities, 2014, < http://www.ot-mom-learningactivities.com/correct-pencil-grasp.html> (19 July 2014). 2 Milestones of Childhood Development. July 23, 2014 <http://www.childhealthexplanation.com/milestones.html> (23 July 2014). 3 APDA National Young Onset Center, “Physicians Considering a Parkinson’s Disease Diagnosis Look for Evidence of the Cardinal Signs of Parkinson’s or Key Features of the Disease,” What You Should Know About Early Onset Parkinson’s Disease, 2014, < http://www.youngparkinsons.org/what-youshould-know-about-early-onset-parkinsonsdisease/symptoms/motor-symptoms> (21 July 2014). 4 wiseGeek, “How Can I Improve My Handwriting,” How Can I Improve my Handwriting, 2014, < http://www.wisegeek.org/how-can-iimprove-my-handwriting.htm> (19 July 2014). 5 Hand Pain and Problems. <http://www.uchospitals.edu/onlinelibrary/content=P00917> (23 July 2014). 6 What Is Dysgraphia? | Writing Disability. <http://www.ncld.org/types-learningdisabilities/dysgraphia/what-is-dysgraphia> (22 July 2014). 7 J Brohart, “Hand-over-hand,” Autism, 2008, <http://www.autismhelpforyou.com/HandOverHand.htm > (14 July 2014). 8 Power Systems, “Weighted Gloves,” Weighted Gloves, 2014, < http://www.power-systems.com/p-2737weighted-gloves.aspx> (18 July 2014). 9 InTheHoleGolf, “Weighted Agility Gloves,” Weighted Agility Gloves, 2014 < http://www.intheholegolf.com/WAG/Weight ed-Agility-Gloves.html> (5 July 2014). 10 American Society of Clinical Oncology (ASCO), “Nervous System Side Effects,” Navigating CancerCare, 2014 < http://www.cancer.net/navigating-cancercare/side-effects/nervous-system-sideeffects> (19 July 2014). 11 Glen Oak Community College, “Skeletal System,” Ren Hartung Bones, 2013, < http://www.glenoaks.edu/facultystaff/faculty websites/hartung/pages/bones.aspx> (18 July 2014). 12 Paradoja7, “Hand Bones Anatomy,” Human Body Picture, 2014, <http://www.paradoja7.com/h-and-bonesanatomy/ > (19 July 2014). 13 Endoszkop, “Back to Post: The 4 Best Workouts for Getting Bigger Arm Muscles,” Human Body Anatomy, 2014, < http://www.endoszkop.com/three-tips-toget-the-bigger-muscles-of-the-arm/muscles- 15 of-the-arm-picture-labeled/ 2014). 14 > (18 July Javelin Technologies, “Colors with Standard Thermoplastic,” ABSplus-P430 Production-Grade Thermoplastic for Dimension 3D Printers, 2014, < http://www.javelin-tech.com/3d- printer/materials/fdmthermoplastic/absplus/> (18 July 2014). 15 Dimitrios Danikas, “Anatomy of the muscles of the hand,” Intrinsic Hand Deformity, 20 December 2013, < http://emedicine.medscape.com/article/1243 669-overview> (18 July 2014). 16 Appendix A Table 1: Hand Anthropometric Data Table 2: Collected Hand Data from Group Members 17 Appendix B Figure 19: Diagram of index finger brace 1. Depicted above is the brace with the structure in which the locking mechanism is attached. The long brace is found on the PIP; the attached gear is found on the first joint. The stationary gear is linked to a mobile gear that allows for finger position adjustment before locking it in place. Figure 20: Gear with push button. The above gear includes the push button in which the wearer can lock or unlock the brace to position his or her hand. 18 Figure 21: Shell cylinder body which contains the interlocking gears. The two interlocking gears are contained inside a shell, designed such that there are slits to allow attachment of the brace to the gears. Figure 22: The spring. Additionally, a spring is attached in the locking mechanism, within the shell, between the gear with the push button and the wall of the cylinder body. This spring facilitates the actual alteration of finger position when using the locking mechanism. The elastic energy prevents to the second gear from falling away from its counterpart gear and thus losing stability. 19 Figure 23: An assembled finger part. The above is a depiction of a single part of the finger assembly that lies on the thumb. This assembly includes the two interlocking gears, the push button, the outer shell and shell lids, and finger support brace. On the right of the drawing are two isometric views of the part, one including a view of the inner gears and one simply depicting the outside of the mechanism. Figure 24: Finger velcro that attaches brace to finger. This piece of velcro extends from small slits in the brace around the finger, keeping the finger and brace firmly attached to each other to prevent sliding. 20 Figure 25: The whole finger brace, including locking mechanisms. This piece fits on the ring finger. The velcro straps are not shown. 21 Appendix C Figure 26: Stress plot of the first index finger piece. In the center is the connection between the main structural part and the gear. It endures the most stress of the piece. The spectrum goes to 166,608,720 at the red end to 39.2 at the blue end. The units are Newton meters squared. 22 Figure 27: Stress plot of the first index finger piece. This is during the first test when 1 Newton of force is applied to the sides of the gear teeth. Figure 28: Strain plot of the first index finger piece. This is during the first test when 1 Newton of force is applied to the sides of the gear teeth. The spectrum goes from7.742e-002 at the red end to 1.824e-008 at the blue end. 23 . 2 von Mises (Nm ) - 111,561,032 - 83,670,784 - 55,780,536 - 27,890,290 - 41.6 Figure 29: Strain plot of the first index finger piece. This is during the second test, when 1 Newton of force is applied to the side of the gear. The spectrum goes from 5.184e-002 at the red end to 1.933-008 at the blue end. Displacement (mm) 1.528e-000 1.146e-000 7.641e-000 3.8203-001 1.000e-030 Figure 30: Displacement plot of the first index finger piece during the second test. The spectrum goes from 1.528e000 at the red end to 1.00e-030 at the blue end. The units are millimeters.