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KATHERINE CALLAHAN,
THOMAS HAYES, AND
MATT WOLFORD
MARCH 11, 2016
Writing Aid for Individuals
with Parkinson’s
Background Information
Parkinson’s Disease:
- Nervous system disorder
- Progressive disease
CDS Expert:
- Laura Taylor
- Her mother has Parkinson’s Disease
Problem Statement
“My mother has Parkinson’s. One of the things that
bothers her most with the progression of the disease
is her loss of the ability to write clearly (or at all on
some days). She has a weighted pen and a wrist
weight that help to a small degree but not always.”
Current Products
Meetings with CDS Contact
• No specific design wants or needs
• Appearance of device is of zero importance
• Tremors:
o Only affect hand
o Non-dominant hand triggers dominant
o Cause circling motion when writing
• No problem with grip at present
• Current products don’t work
Writing example
Objectives
Functions
 Device is convenient (P)
 Is comfortable (S)
 Is easy to wash & clean (S)
 Fits easily in a purse or bag
 Is lightweight (S)
 Device allows the user to write
easily through a tremor (P)
 Device is sensitive to tremor–like
movement (P)
 Device is adaptable (P)
 Is adjustable to different sized
hands (S)
 Can be used in either hand (S)
 Can be used indoors/outdoors (S)
 Device is safe (P)
 Provides protection from
electronic risks (S)
 Allows user to write without harm
to themselves (S)
 Secures the hand through
tremors (S)
 Device provides resistance against
daily wear (P)
 Functions properly after repeated
use
 Device is easy to operate (P)
 Provides a user friendly grip (S)
 Is easy to take on/off (S)
 Allows the user to grip the writing
utensil (S)
Functions
Specifications
Metric Units Marginal Ideal Type
Device is easy to wash & clean Ability to wash subjective
hand
washable
machine
washable subjective
Device fits easily in a purse or bag Size (volume) inches^3 <100 <80 numerical
Device is lightweight Weight lbs. <2.0 lbs <1 lbs numerical
Device is easy to take on/off Time to take on/off seconds <30 <20 numerical
If electronic, device is easy to recharge Time to recharge minutes <45 <30 numerical
Writing is easily legible Legibility of writing
% of words
legible >85% >95% objective
The device is adjustable to different sized
hands/arms Compatibility
%
compatibility >95% >99% objective
The device can be used in either hand Dexterity subjective
Dominant-
handed use
Ambidextrou
s use subjective
Device can be used indoors/outdoors
Multi-environment
use subjective
Indoor use
only
Indoor &
outdoor use subjective
Specifications
Patents & Peer Reviewed Papers
Patents & Peer Reviewed Papers cont.
Concepts Criteria
 Tremor detection (Y/N)
 Tremor negating mechanism
 Attachment-to-user mechanism
Refined Concept Generation
 Hard Cast Glove – rigid glove with metal supports
 Soft Cast Glove – soft glove with metal supports
 Weighted Brace – soft brace with added weights
 Gyroscope Glove – rigid glove with gyroscope mounted on it
Reference
(Weighted Pen)
Soft Cast Glove Hard Cast Glove Weighted Brace Gyroscope glove
Selection
Criteria
Weight
(%)
Rating
Weighted
score
Rating
Weighted
score
Rating
Weighted
score
Rating
Weighted
score
Rating
Weighted
score
Portability 0.2 3 0.6 3 0.6 2 0.4 2 0.4 2 0.4
Negation
Effectiveness
0.2 3 0.6 4 0.8 4 0.8 4 0.8 4 0.8
Comfortability 0.15 3 0.45 4 0.6 3 0.45 3 0.45 3 0.45
Legibility 0.1 3 0.3 4 0.4 5 0.5 4 0.4 4 0.4
Ease of
Attachment
0.2 3 0.6 3 0.6 3 0.6 3 0.6 2 0.4
Ease of
Manufacturing
0.15 3 0.45 3 0.45 3 0.45 3 0.45 1 0.15
Net
Score
3 3.45 3.2 3.1 2.6
Rank 0 1 2 3 X
Concept Selection
Concept Selection
Reference
(Weighted Pen)
Soft Cast Glove Hard Cast Glove Weighted Brace Gyroscope glove
Selection
Criteria
Weight
(%)
Rating
Weighted
score
Rating
Weighted
score
Rating
Weighted
score
Rating
Weighted
score
Rating
Weighted
score
Portability 0.2 3 0.6 3 0.6 2 0.4 2 0.4 2 0.4
Negation
Effectiveness
0.2 3 0.6 4 0.8 4 0.8 4 0.8 4 0.8
Comfortability 0.15 3 0.45 4 0.6 3 0.45 3 0.45 3 0.45
Legibility 0.1 3 0.3 4 0.4 5 0.5 4 0.4 4 0.4
Ease of
Attachment
0.2 3 0.6 3 0.6 3 0.6 3 0.6 2 0.4
Ease of
Manufacturing
0.15 3 0.45 3 0.45 3 0.45 3 0.45 1 0.15
Net
Score
3 3.45 3.2 3.1 2.6
Rank 0 1 2 3 X
Prototyping (Soft Cast Glove)
Prototyping (Weighted Brace)
Testing
 Trainer Cheryl
Rockwood placed
electrodes properly to
induce a hand tremor
 Wrote out phrase
with/without prototypes
to obtain comparable
data
Results from Initial Testing
Soft Cast
Glove ->
Weighted
Glove ->
Soft Cast Glove Takeaways
No Glove
W/ Glove
Weighted Brace Takeaways
No Brace
W/ Weighted
Brace
Final Design
Final Prototype
SKLZ
Training
Glove
Top
Metal
Support
Bottom
Curved
Metal
Support
1 LB Lead
Weight
Final Prototype
Testing with Our Patient
Free-hand W/ Final Glove Prototype
Evaluation
 30 Students surveyed on
how many of the previous 9
words written with/without
the glove were legible
 Words written without
glove:
 6.7% of people could read 8
or more words
 Words written with glove:
 90% of people could read 8
or more words
# of People
# of Words Legible Freehand W/ Glove
None 4 0
1 3 0
2 2 0
3 6 0
4 3 0
5 5 1
6 0 0
7 5 2
8 1 6
9 1 21
Comments & Future Plans
 “I’m so happy. I feel like
a child on Christmas
Day”
 “I can’t wait to show it off
to all my friends”
 Produce final product in
desired size for our client
 Previously M, desired M/L
 Meet with CDS expert
and patient to present
and give final product
Resources
 http://www.handicappedequipment.org/hand-weights-for-disabilities/
 http://www.caregiverproducts.com/weighted-pencil-with-the-grip.html
 http://www.thewright-stuff.com/parkinsons-writing-aids/
 http://www.eldermedicalsupplygroup.com/Arthrits-RinG-Pen-adaptive-writing-
instrument.aspx#.VrphlPkrK1s
 Kotovsky, J., & Rosen, M. J. (1998). A wearable tremor-suppression orthosis. Journal of
rehabilitation research and development, 35, 373-387.
 Patents no. 5,383,737; 4,917,517; 4,111,566; and 6,793,427
 CAD design of glove downloaded from https://grabcad.com/library/hand-tremor-stabilization-
glove-va-innovation-creation-series-1 and used for educational fair use, not for commercialization
Any Questions?

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Writing Aid for Parkinson's_Capstone Final Presentation

  • 1. KATHERINE CALLAHAN, THOMAS HAYES, AND MATT WOLFORD MARCH 11, 2016 Writing Aid for Individuals with Parkinson’s
  • 2. Background Information Parkinson’s Disease: - Nervous system disorder - Progressive disease CDS Expert: - Laura Taylor - Her mother has Parkinson’s Disease
  • 3. Problem Statement “My mother has Parkinson’s. One of the things that bothers her most with the progression of the disease is her loss of the ability to write clearly (or at all on some days). She has a weighted pen and a wrist weight that help to a small degree but not always.”
  • 5. Meetings with CDS Contact • No specific design wants or needs • Appearance of device is of zero importance • Tremors: o Only affect hand o Non-dominant hand triggers dominant o Cause circling motion when writing • No problem with grip at present • Current products don’t work
  • 8.
  • 9.
  • 10.
  • 11. Functions  Device is convenient (P)  Is comfortable (S)  Is easy to wash & clean (S)  Fits easily in a purse or bag  Is lightweight (S)  Device allows the user to write easily through a tremor (P)  Device is sensitive to tremor–like movement (P)  Device is adaptable (P)  Is adjustable to different sized hands (S)  Can be used in either hand (S)  Can be used indoors/outdoors (S)  Device is safe (P)  Provides protection from electronic risks (S)  Allows user to write without harm to themselves (S)  Secures the hand through tremors (S)  Device provides resistance against daily wear (P)  Functions properly after repeated use  Device is easy to operate (P)  Provides a user friendly grip (S)  Is easy to take on/off (S)  Allows the user to grip the writing utensil (S)
  • 12. Functions Specifications Metric Units Marginal Ideal Type Device is easy to wash & clean Ability to wash subjective hand washable machine washable subjective Device fits easily in a purse or bag Size (volume) inches^3 <100 <80 numerical Device is lightweight Weight lbs. <2.0 lbs <1 lbs numerical Device is easy to take on/off Time to take on/off seconds <30 <20 numerical If electronic, device is easy to recharge Time to recharge minutes <45 <30 numerical Writing is easily legible Legibility of writing % of words legible >85% >95% objective The device is adjustable to different sized hands/arms Compatibility % compatibility >95% >99% objective The device can be used in either hand Dexterity subjective Dominant- handed use Ambidextrou s use subjective Device can be used indoors/outdoors Multi-environment use subjective Indoor use only Indoor & outdoor use subjective Specifications
  • 13. Patents & Peer Reviewed Papers
  • 14. Patents & Peer Reviewed Papers cont.
  • 15. Concepts Criteria  Tremor detection (Y/N)  Tremor negating mechanism  Attachment-to-user mechanism
  • 16. Refined Concept Generation  Hard Cast Glove – rigid glove with metal supports  Soft Cast Glove – soft glove with metal supports  Weighted Brace – soft brace with added weights  Gyroscope Glove – rigid glove with gyroscope mounted on it
  • 17. Reference (Weighted Pen) Soft Cast Glove Hard Cast Glove Weighted Brace Gyroscope glove Selection Criteria Weight (%) Rating Weighted score Rating Weighted score Rating Weighted score Rating Weighted score Rating Weighted score Portability 0.2 3 0.6 3 0.6 2 0.4 2 0.4 2 0.4 Negation Effectiveness 0.2 3 0.6 4 0.8 4 0.8 4 0.8 4 0.8 Comfortability 0.15 3 0.45 4 0.6 3 0.45 3 0.45 3 0.45 Legibility 0.1 3 0.3 4 0.4 5 0.5 4 0.4 4 0.4 Ease of Attachment 0.2 3 0.6 3 0.6 3 0.6 3 0.6 2 0.4 Ease of Manufacturing 0.15 3 0.45 3 0.45 3 0.45 3 0.45 1 0.15 Net Score 3 3.45 3.2 3.1 2.6 Rank 0 1 2 3 X Concept Selection
  • 18. Concept Selection Reference (Weighted Pen) Soft Cast Glove Hard Cast Glove Weighted Brace Gyroscope glove Selection Criteria Weight (%) Rating Weighted score Rating Weighted score Rating Weighted score Rating Weighted score Rating Weighted score Portability 0.2 3 0.6 3 0.6 2 0.4 2 0.4 2 0.4 Negation Effectiveness 0.2 3 0.6 4 0.8 4 0.8 4 0.8 4 0.8 Comfortability 0.15 3 0.45 4 0.6 3 0.45 3 0.45 3 0.45 Legibility 0.1 3 0.3 4 0.4 5 0.5 4 0.4 4 0.4 Ease of Attachment 0.2 3 0.6 3 0.6 3 0.6 3 0.6 2 0.4 Ease of Manufacturing 0.15 3 0.45 3 0.45 3 0.45 3 0.45 1 0.15 Net Score 3 3.45 3.2 3.1 2.6 Rank 0 1 2 3 X
  • 21. Testing  Trainer Cheryl Rockwood placed electrodes properly to induce a hand tremor  Wrote out phrase with/without prototypes to obtain comparable data
  • 22. Results from Initial Testing Soft Cast Glove -> Weighted Glove ->
  • 23. Soft Cast Glove Takeaways No Glove W/ Glove
  • 24. Weighted Brace Takeaways No Brace W/ Weighted Brace
  • 28. Testing with Our Patient Free-hand W/ Final Glove Prototype
  • 29. Evaluation  30 Students surveyed on how many of the previous 9 words written with/without the glove were legible  Words written without glove:  6.7% of people could read 8 or more words  Words written with glove:  90% of people could read 8 or more words # of People # of Words Legible Freehand W/ Glove None 4 0 1 3 0 2 2 0 3 6 0 4 3 0 5 5 1 6 0 0 7 5 2 8 1 6 9 1 21
  • 30. Comments & Future Plans  “I’m so happy. I feel like a child on Christmas Day”  “I can’t wait to show it off to all my friends”  Produce final product in desired size for our client  Previously M, desired M/L  Meet with CDS expert and patient to present and give final product
  • 31. Resources  http://www.handicappedequipment.org/hand-weights-for-disabilities/  http://www.caregiverproducts.com/weighted-pencil-with-the-grip.html  http://www.thewright-stuff.com/parkinsons-writing-aids/  http://www.eldermedicalsupplygroup.com/Arthrits-RinG-Pen-adaptive-writing- instrument.aspx#.VrphlPkrK1s  Kotovsky, J., & Rosen, M. J. (1998). A wearable tremor-suppression orthosis. Journal of rehabilitation research and development, 35, 373-387.  Patents no. 5,383,737; 4,917,517; 4,111,566; and 6,793,427  CAD design of glove downloaded from https://grabcad.com/library/hand-tremor-stabilization- glove-va-innovation-creation-series-1 and used for educational fair use, not for commercialization

Editor's Notes

  1. On PD: -afflicted individuals gradually lose control of their ability to move - No known cure as of yet - symptoms include: tremors and stiffness of limbs, get worse with time
  2. “wearable orthotic” blocks wrist movement where tremors occur, doesnt do anything to address grip, which will become an issue in the future
  3. These were the 4 key areas that we have identified that any final solution would have to address