Integrating 3-D Printing and OT Education

The initial introduction to the practices and foundations of occupational therapy can be equal parts exciting and intimidating. Applying new technology to the process created an entirely new dimension to the learning process during my fieldwork experience.The process of developing 3-D printed models felt as though it opened a door in my mind to blend functional theories with concrete tools. This blend was an entirely new addition to my knowledge of occupational therapy. 3-D printing allows for virtually anything to be made; however, it was difficult to identify where to start. As a result, I found a functional mindset to be necessary to identify areas of need. We discovered there were a plethora of resources that did not require an in-depth understanding of designing models, providing a basis to understanding the program to begin a project on a larger scale.

After developing an understanding of the printer and the design programs, we were quickly connected with an individual struggling to participate in highly valued occupations. The chance to work with a client from evaluation to outcomes alongside two peers allowed for a unique experience to apply coursework, fieldwork, and new technology to a real client. The goal of the project was to develop a device that allowed the client to return to participating in exercises that required bilateral gross grasp such as pilates, rowing, and TRX exercises.

To begin, we created a pattern and obtained measurements for the basis of a 3-D printed assistive device similarly to the process of splinting. I initially saw 3-D printing as an aid to splinting; however, integrating the two proved to be the largest barrier. The nature of splinting in practice has been the ability to customize and alter models within a single session. 3-D printed models bring a similar benefit of creating a completely customized device, but require extensive printing time. Blending these concepts required an in-depth, precise measurement of the client and the client’s specific activity needs. Ultimately, I created three models, adjusting each according to the client’s preferences and performance while using the device. It was a process of trial and error, as the material proved difficult to work with for immediate adjustments.

Changes to a 3-D printed design were frustrating to work through. When the client tried the device, she was unable to effectively use it as intended and preferred a device fitted to her hand. Modifying the device could not be done during the trial with the client because a redesign required extended printing time. The problem-solving process was difficult and frustrating at times because we needed to incorporate both the client's needs and my clinical knowledge of what would best assist the client. For example, my intentions were to create a design to best fit the client’s needs as she initially described them. However, during practical use, the client's input changed. The use of additional resources such as splinting material and thermal guns aided the process and allowed more flexibility in the final stages.

Overall, I felt this technology was an enhancement to the treatment process, but not without limitations. It was empowering and significantly bolstered my self-confidence when the client reported using the device to successfully row in the gym after years of being unable to do so due to the weakness in her hand. Moreover, I felt confident in the continual development of my clinical reasoning skills and decision making. I have been able to carry this knowledge throughout my fieldwork practices and extend that knowledge to my fieldwork educators and sites. I believe working with new technology in a space that allows for processing time and failure is pivotal to students learning the applications of occupational therapy practices.

Logan Stevens is an OTR/L in the state of Rhode Island and recently graduated from the MSOT program at MCPHS-Manchester. They believe in the significance of applying new concepts and theories to the practice of OT. Logan has been published in the AOTA OT Practice magazine for research on applying virtual reality to occupational therapy and led their univeristy’sCOTAD chapter, highlighting the importance of diversity within practice. Logan presently works in inpatient rehabilitation and is looking forward to a career of continuous growth.