Author/Editor		Burger, Helena; Burgar, Matej; Brezovar, Darinka; Pihlar, Zdenka
Title		Bionična protezna roka: tehnološki dosežek ali tržna zvijača?
Translated title		Bionic prosthetic hand etechnological achievement or commercial trick?
Type		članek
Source		Rehabilitacija
Vol. and No.		Letnik 9, št. 2
Publication year		2010
Volume		str. 14-9
Language		slo
Abstract		Background: After amputation, all functions (motor, sensor, expression and cosmetic) of the human hand are lost. An ideal prosthesis should restitute allof them. Prosthetic hand with five fingers that have active movements is commercially available since 2007. The aim of the study was to assess the advantages and disadvantages of bionic hand and to compare its function with afunction of the classic electric prosthetic hand. Methods: Four subjects either fitted with bionic hand or who just tested it for one month were included into the study. They were tested with UNB and SHAP test and a structured interview was performed. Results: Three young men and one girl, 16 to 27 years old, were included into study. Three had congenital trans-radial amputation, the fourth had wrist disarticulation on right side and amputation of second to fifth finger on left side due to injury. Three subjects preferred the bionic hand and one the classic electric hand. There were no differences between the two prosthetic hands on UNB test. On the SHAP test, one subject performed better with the bionic and the other with classic electric hand, while two subjects performed the test with one type of prosthetic hand only. Conclusions: Bionic hand is a great technological achievement, but its influence on human functioning has yet to be demonstrated. Several independent multi-centric studies are needed to prove its advantages and disadvantages. Experience gained during our study is valuable to the whole team for further clinical work.
Summary		Izhodišča: Zaradi amputacije zgornjega uda se pri ljudeh zmanjša zmožnost gibanja in zaznavanja, spremeni pa se tudi njihov videz. Poglavitni cilj rehabilitacije ljudi po amputaciji zgornjega uda je, da jim povrnemo funkcioniranje, ki so ga imeli pred amputacijo, ter jih usposobimo, da se vrnejo v prejšnje življenjsko okolje in k običajnim življenjskim dejavnostim. Zato jim pogosto naredimo protezo. Idealna proteza naj bi osebi povrnila vse izgubljene funkcije roke. Leta 2007 je prišla na tržišče prva protezna roka z aktivno gibljivimi vsemi petimi prsti. Namen študije je bil ugotoviti prednosti in pomanjkljivosti te t. i. bionične roke ter njeno funkcijo primerjati s klasično roko. Metode: V študijo smo vključili vse osebe, ki smo jim predpisali novo protezno roko, in tiste, ki so jo 1 mesec preizkušali. Uporabili smo strukturirani intervju ter tri osebe testirali s testom UNB (University of New Brunswick) in s Southamptonskim testom za ocenjevanje roke (Southampton Hand Assessment Procedure - SHAP). Rezultati: Vključili smo tri mladostnike in eno dekle, stare od 16 do 27 let; tri s prirojeno transradialno amputacijo; četrti pa se je poškodoval in so mu naredili eksartikulacijo v desnem zapestju ter amputirali 2.-5. prst na levici. Trije so raje uporabljali roko z gibljivimi prsti, eden pa je menil, da je nova roka bistveno slabša. Pri testiranju s testom UNB so dosegli primerljive rezultate z obema proteznima rokama. Pri testiranju s testom SHAP je eden dosegel boljše rezultate, ko je uporabljal klasično električno protezno roko, drugi pa pri uporabi nove roke; pri dveh smo test lahko izvedli le z eno roko. Zaključki: Nova protezna roka je velik tehnološki napredek na področju ročne protetike, njen vpliv na človekovo funkcioniranje pa je potrebno še dokazati. Treba bo narediti dobre neodvisne študije v več rehabilitacijskih centrih po svetu, ki bodo objektivno pokazale prednosti in pomanjkljivosti nove roke. (Izvl. skrajšan na 2000 zn.)