Customized Patient Solution

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CUSTOMIZED PATIENT SOLUTION

PROBLEM STATEMENT

• Design + build a completely custom desk, footrest, + keyboard for a patient with Muscular Dystrophy (MD)

CURRENT SOLUTION

Desk Keyboard Footrest

• 3 axes of adjustability

• 15 sec disassembly time

• Noticeable reduction of pain and swelling in feet/ankles

• Increase in range of motion

• 150% increase in characters/minute

Recognition of Challenge Information Gathering Problem Definition Idea Generation

Idea Evaluation Build Validation

Prototyping

DESK - 3D MODEL SOLUTION

FOOTREST SOLUTION

Customer Needs:

• Size

• Angular adjustability

• Sturdiness

Solution:

• Split design – one footrest per foot

• Each footrest is fully adjustable + can swing out and away from wheelchair to allow greater caregiver access

Image from Seating Dynamics

FOOTREST PADDING + STRAPS SOLUTION

• Commercial off the shelf solution integrated into custom footrest design

FOOTREST: BEFORE + AFTER SOLUTION

Before: No Footrest

After: Footrest Attached

Customer Needs:

• Increased typing efficiency

• Less arm movement to reach keys

• Shorter distance from keys to hand

• Cursor navigation integrated into keyboard

KEYBOARD SOLUTION

Solution:

• Split keyboard design, each half with an ergonomic design customized to the muscular capabilities of each hand

• Custom keyboard layout based on patient usability + keystroke data

●Commercial off the shelf joystick, buttons, + trackball integrated into left hand keyboard for cursor navigation + click capability

●Patient has options for cursor navigation + can switch between the options as hand muscles fatigue during extended use

SOLUTION CUSTOM KEY LAYOUT

IMPACT

Desk

• 3 axes of adjustability

• Assembly: 13.5 seconds, Disassembly: 10.5 seconds

Footrest

• Patient experienced a significant reduction in swelling + pain within a month of footrest installation

Keyboard

●Significant increase in patient’s characters per minute

●For a control test sentence typed sentence:

Old (standard) keyboard: 27.9 seconds

New (custom) keyboard: 21.8 seconds

Client’s Final Remarks:

IMPACT CONTINUED

“The swelling in my feet is going down. They’re at least half the size. I might even be wearing shoes again by graduation time.” (April 10th)

“I’ve spent my whole life adapting to things in the world, so it’s been really great having things adapted to me for a change.”

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