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Carpal tunnel syndrome (CTS) is a hand disease caused by the pressing of the median nerve present in the palmar side of the wrist. It causes severe pain in the wrist, triggering disturbance during sleep. Different products like splints, braces and gloves are available in the market to alleviate this disease but there was still a need to improve the wearability, comfort and cost of the product. This study was about designing a comfortable and cost-effective wearable system for mild-to-moderate CTS. Transcutaneous electrical nerve stimulation (TENS) therapy has been used to reduce the pain in the wrist.

After simulation by using Proteus software (which allowed the researchers to draw and simulate electrical circuits using ISIS, ARES and PCB design tools virtually), the circuit with optimum frequency, i.e. 33 Hz was selected, and the circuit was developed on a printed circuit board (PCB). The developed circuit was integrated successfully into the half glove structure.

The developed product had good thermophysiological comfort and hand properties as compared to the commercially available product of the same kind. In vivo testing (It involves the testing with living subjects like animals, plants or human beings) was performed which resulted in 85% confirmed viability of the product against CTS. A glove with an integrated circuit was developed successfully to accommodate various sizes without any sex specifications in a cost-effective way to mitigate the issue of CTS.

Industrial workers, individuals frequently using their hands or those diagnosed with CTS may wish to use this product as therapy. The attention could not be paid to the aesthetic or visual appeal of the developed product.

A very comfortable glove with integrated TENS electrodes was developed successfully to accommodate various sizes without any sex specifications in a cost-effective way to mitigate the issues of CTS.

This study aims to explore the potential benefits favoring the adaptation of structural optimization techniques in the additive manufacturing (AM) of medical utilities to meet the repetitive demand for functionally precise customized orthoses. Irregularities encountered during the conventional treatment of tendon injuries can be eschewed using advanced structural simulation in design and innovative splint fabrication using 3D printing.

A customized mallet finger splint designed from 3D scans was subjected to ANSYS topological simulation comprising multi-level weight reduction to retain optimal mass (100%, 90%, 80%, 70% and 60%). A batch of the four typical 3D printing materials was chosen to conduct a comparative mechanical and thermal stress analysis, facilitating the selection of the optimal one for fabricating functionally adaptive splints. Assurance of structural safety was accomplished through the experimental validation of simulation results against the testing data set of ASTM D695 and ASTM D638 Type-1 specimens over a universal testing machine (UTM). Fused deposition modeling (FDM) 3D printing processed the optimized splint fabrication to assist evaluation of weight reduction percentage, fitting aesthetics, appearance, comfort, practicality and ventilation ease at the user end.

AM efficacy can efficiently execute the design complexity involved in the topology optimization (TO) results and introduces rehabilitation practicality into the application. Topologically optimized splint provided with favorable comfort, stiffness and strengthening features, offers ventilation ease and structural stability for customized appliances, with 30.52% lighter weight and 121.37% faster heat dissipation than unoptimized one.

The state of art multidisciplinary optimization featured with structural and material optimization attributes can deliberately meet medical necessity for performance-oriented orthotic devices.