{"id":58732,"date":"2019-07-18T14:18:35","date_gmt":"2019-07-18T18:18:35","guid":{"rendered":"http:\/\/www.bu.edu\/sargent\/?page_id=58732"},"modified":"2023-05-11T13:16:16","modified_gmt":"2023-05-11T17:16:16","slug":"the-problem-solvers","status":"publish","type":"page","link":"https:\/\/www.bu.edu\/sargent\/about-us\/our-publications\/inside-sargent\/inside-sargent-2019\/the-problem-solvers\/","title":{"rendered":"The Problem Solvers"},"content":{"rendered":"<p class=\"wp-caption-text\">Karen Jacobs (right), Rebecca Khurshid (center), and Amy Aceto (\u201921) demonstrate a 3-D printed soda holder, designed to assist a person with arthritis. Sargent and engineering students collaborated on the design and production of the device. Photo by Jackie Ricciardi<\/p>\n<p class=\"lede\">F<span>or people with arthritis,<\/span> everyday tasks like holding a can of soda or applying makeup can be painful\u2014even impossible. Orthotics, easy-grip utensils, and other assistive devices can make life easier for those with physical limitations, but their one-size-fits-all approach and high cost can be prohibitive. Now, the rise of 3-D printing offers occupational therapy practitioners and their clients an alternative for creating inexpensive, customized devices.<\/p>\n<p>It\u2019s a technological approach that <a href=\"https:\/\/www.bu.edu\/sargent\/profile\/karen-jacobs\/\">Karen Jacobs<\/a>, a clinical professor of occupational therapy, is embracing. Jacobs\u2019 office on the fifth floor of Sargent College is filled with vibrant mementos collected over a 40-year career in occupational therapy. Books on musculoskeletal disorders and ergonomics (including those she wrote) and myriad awards and commendations\u2014many from the American Occupational Therapy Association where she served as president from 1998 to 2001\u2014line her crowded bookshelves. Colorful snow globes, stuffed animals, and student artwork fill in the gaps. Among the many artifacts is a slightly newer mark of Jacobs\u2019 innovative spirit: a sleek silver and blue 3-D printer. Given her focus on ergonomics, Jacobs has become a fan of the technology\u2019s ability to have a positive impact on those who need help with activities of daily living.<\/p>\n<figure id=\"attachment59214\" aria-describedby=\"caption-attachment59214\" style=\"width: 410px\" class=\"wp-caption alignright padding\"><img loading=\"lazy\" src=\"\/sargent\/files\/2019\/08\/re-Final-Render-4.png\" alt=\"A tool to open pill packets was just one of the assistive devices designed by students with CAD software then built with a 3-D printer.\" class=\"wp-image-59214 size-full\" width=\"400\" height=\"559\" \/><figcaption id=\"caption-attachment59214\" class=\"wp-caption-text\">A tool to open pill packets was just one of the assistive devices designed by students with CAD software then built with a 3-D printer. Design by Megan Bartley (SAR &#8217;21), Vanessa Coste (SAR &#8217;21), Oluwaseun Kuye (SAR &#8217;21), and George Mencoff (ENG&#8217;19).<\/figcaption><\/figure>\n<p>\u201cWe are always looking for assistive technology, or adaptations,\u201d says Jacobs. \u201cThe introduction of the 3-D printer allows us to better match what a person needs through the design of an individualized item.\u201d<\/p>\n<p>To connect her students\u2019 therapeutic training with 3-D technology expertise, Jacobs had only to look across the street. She partnered with Rebecca Khurshid, an assistant professor of mechanical and systems engineering, to recruit engineering students for a four-week project. In fall 2018, Jacobs took the first-year doctor of occupational therapy students from her Analysis and Adaptation of Occupation course over to the College of Engineering, where the students from the two schools tackled a challenge: design an assistive device for a hypothetical client with a fine motor limitation like arthritis\u2014and print it.<\/p>\n<p>The occupational therapy students developed case studies and proposals. They then worked with the engineering students at two of BU\u2019s maker spaces: the <a href=\"https:\/\/www.bu.edu\/eng\/current-students\/epic\/\">Engineering Product Innovation Center<\/a>, which has twelve 3-D printers, and the <a href=\"https:\/\/www.bu.edu\/eng\/academics\/teaching-and-innovation\/singh-imagineering-lab-silab\/\">Binoy K. Singh Imagineering Laboratory<\/a>, which has two. At first, they experimented with drawings and Play-Doh models, before creating digital designs.<\/p>\n<blockquote><p>\u201cWe are always looking for assistive technology, or adaptations. The introduction of the 3-D printer allows us to better match what a person needs through the design of an individualized item.\u201d<\/p>\n<p class=\"cite\">\u2014Karen Jacobs<\/p>\n<\/blockquote>\n<p>\u201cA lot of the engineering students are looking to apply what they\u2019ve learned in the classroom in a way that helps people,\u201d says Khurshid, director of the Collaborative and Integrative Robotics Laboratory at BU\u2019s Center for Autonomous and Robotic Systems. \u201cThis is especially true at BU, where the curriculum is designed to train societal engineers,\u201d she says.<\/p>\n<p>The printed devices created by the joint teams included a soda holder, mascara applicator, and PlayStation joystick extender. Sargent\u2019s Laura Stursberg (\u201921) and her team designed an adaptation with a real client in mind\u2014her 82-year-old grandmother Charlotte, whose arthritis made it hard for her to crochet, a longtime hobby that requires fine motor skills. An ergonomic crochet hook Stursberg ordered online made grasping the yarn easier, but the fit wasn\u2019t quite right. With the help of Katherine Shannahan (ENG\u201920), the team printed a customized version. The one-inch-long adaptive device has two connected circular openings, one for Charlotte\u2019s index finger and the other to guide the yarn.<\/p>\n<p>\u201cThe device took care of the yarn so it took a bit of the bending of her hand out of the equation,\u201d says Stursberg. While the prototype wasn\u2019t perfect\u2014the team realized they needed a way to control the tension of the yarn\u2014the process is meant to be iterative. \u201cThe assistive technology process is basically \u2018design\u2014fabricate\u2014test,\u2019\u201d she says.<\/p>\n<div style=\"float: left; padding: 0 20px 10px 0;\">\n<div style=\"width: 316px;\" class=\"wp-video\"><!--[if lt IE 9]><script>document.createElement('video');<\/script><![endif]-->\n<video class=\"wp-video-shortcode\" id=\"video-58732-1\" width=\"316\" height=\"550\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"\/sargent\/files\/2019\/08\/TheProblemSolvers_video.mp4?_=1\" \/><a href=\"\/sargent\/files\/2019\/08\/TheProblemSolvers_video.mp4\">\/sargent\/files\/2019\/08\/TheProblemSolvers_video.mp4<\/a><\/video><\/div>\n<p class=\"wp-caption-text\" style=\"max-width: 316px;\">Charlotte Dewley, the grandmother of Laura Stursberg (&#8217;21), crochets with the aid of a 3-D printed assistive device.<\/p>\n<\/div>\n<p>The World Health Organization reports that more than one billion people worldwide need an assistive product to help maintain or improve both function and independence. \u201cInstead of going online and ordering a device, we can customize it, and at a reduced cost,\u201d says Jacobs, who also directs Sargent\u2019s online postprofessional doctor of occupational therapy program.<\/p>\n<p>After the initial investment in a 3-D printer (which can cost between $500 and $2,500), materials are relatively inexpensive. \u201cMost items are under $5,\u201d says Jacobs of the final cost of a printed assistive device. And 3-D printers are becoming more ubiquitous, available at many universities and public libraries.<\/p>\n<p>Other Sargent occupational therapy faculty members have also incorporated 3-D printing into their curriculum. In Lecturer Kevin Berner\u2019s assistive technology class, students have printed adaptive buttons, which people with paralysis can use to activate keyboards, touchscreens, or responsive toys with their best available voluntary movement, such as their hand, elbow, or head. Such buttons might typically cost $65, but those printed by the class were about $8 each.<\/p>\n<p>Even more valuable than the physical assistance is the psychosocial impact. \u201cGiving someone the opportunity to engage in an activity independently can reduce their reliance on caregivers and provide a great deal of meaning in terms of self-sufficiency,\u201d says Berner.<\/p>\n<p>In fall 2019, Jacobs plans to assign every group a real client. And she\u2019s envisioning ways to use 3-D printing throughout the semester, perhaps to custom-make devices for residents of a local retirement home.<\/p>\n<p>Jacobs considers the project a success, bringing together problem solvers with different perspectives and expertise. It\u2019s a model she\u2019s using in her own work: she and Khurshid are collaborating with researchers at Hebrew SeniorLife, a senior care organization based in Boston, on the development of a smart walker that will use low-cost sensors to help prevent falls.<\/p>\n<p>Most gratifying is the unique learning experience their collaboration created for the students. \u201cIt connected students across BU\u2019s different colleges,\u201d says Jacobs, \u201cto have a better understanding of another profession they could work with in the future.\u201d She recalls the students\u2019 first meeting, when they were asked to explain their fields to each other. The first response: \u201cAs engineers, we solve problems.\u201d The Sargent students laughed. \u201cWe do that too,\u201d they said.<\/p>\n<p style=\"text-align: center;\"><a href=\"\/sargent\/about-us\/our-publications\/inside-sargent\/inside-sargent-2019\" class=\"button\">Read more stories from <em>Inside Sargent<\/em><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Karen Jacobs (right), Rebecca Khurshid (center), and Amy Aceto (\u201921) demonstrate a 3-D printed soda holder, designed to assist a person with arthritis. Sargent and engineering students collaborated on the design and production of the device. Photo by Jackie Ricciardi For people with arthritis, everyday tasks like holding a can of soda or applying makeup [&hellip;]<\/p>\n","protected":false},"author":14030,"featured_media":59308,"parent":58668,"menu_order":8,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.bu.edu\/sargent\/wp-json\/wp\/v2\/pages\/58732"}],"collection":[{"href":"https:\/\/www.bu.edu\/sargent\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.bu.edu\/sargent\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.bu.edu\/sargent\/wp-json\/wp\/v2\/users\/14030"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bu.edu\/sargent\/wp-json\/wp\/v2\/comments?post=58732"}],"version-history":[{"count":41,"href":"https:\/\/www.bu.edu\/sargent\/wp-json\/wp\/v2\/pages\/58732\/revisions"}],"predecessor-version":[{"id":74982,"href":"https:\/\/www.bu.edu\/sargent\/wp-json\/wp\/v2\/pages\/58732\/revisions\/74982"}],"up":[{"embeddable":true,"href":"https:\/\/www.bu.edu\/sargent\/wp-json\/wp\/v2\/pages\/58668"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.bu.edu\/sargent\/wp-json\/wp\/v2\/media\/59308"}],"wp:attachment":[{"href":"https:\/\/www.bu.edu\/sargent\/wp-json\/wp\/v2\/media?parent=58732"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}