Rehabilitation Alternatives Research Articles

Current Overview of Spinocerebellar Ataxia Type 7 in Mexican Population: Challenges in Specialized Care for a Rare Disease.

Spinocerebellar ataxia type 7 (SCA7) is a rare genetic disease characterized by progressive cerebellar syndrome and macular degeneration. In a previous study, we clinically and genetically characterized a group of Mexican patients, which represented one of the largest cohorts of SCA7 patients worldwide and demonstrated that all patients had a unique genetic origin. Our laboratory developed a program for the diagnosis, medical care, and long-term follow-up of these patients living in Veracruz State, and in this report, we present an update to this research, covering 2013 to 2024. So far, we identified 172 SCA7 carriers, with a few cases outside Veracruz, and our data support that the length of the CAG repeat tract mainly determines disease severity and life expectancy, and accordingly, we define three different phenotypes, early-onset (EO), classical-onset (CO), and late-onset (LO), with EO patients showing the lowest life expectancy. Furthermore, we found that parental transmission of mutant alleles leads to increased CAG repeat instability, compared to maternal ones. Interestingly, a haplotype analysis revealed that patients outside Veracruz may have different genetic origins. In conclusion, longitudinal observations of SCA7 patients provide insight into the natural history of SCA7 and help to design strategies for diagnosis, genetic counseling, physical rehabilitation, and therapeutic alternatives.

Utility of deficit-specific computer-based training on children with temporal processing deficit.

Children with temporal processing deficits struggle to detect and discriminate syllables, phonemes, and stress patterns in speech. To overcome these deficits, computer-based auditory training programs have been widely used as one of the rehabilitation alternatives in recent years. The present study aimed to examine the usefulness of one such computer-based temporal processing training (CBTPT) module on children with temporal processing deficits. Sixteen children (8-15years) with temporal processing deficits were enrolled in the study, further divided into active (CBTPT) and placebo (placebo training) groups. Further, 8 typically developing children (no training) were enrolled as a comparison group. The auditory outcome measures included Duration Pattern Test (DPT), Gap Detection Test (GDT), Dichotic CV (DCV), and Speech-in-Noise-Indian English (SPIN-IE) assessed before and after training for all three groups. Wilcoxon-sign rank test showed a statically significant difference between pre and post-test scores of DPT, GDT, and SPIN (p < 0.001) except DCV among the active group. However, no significant differences were noted in the pre and post-test scores among the placebo and TD groups. Mann Whitney U test showed a significant difference in DPT and SPIN post-training scores between active and placebo groups; active and TD group; placebo and TD group. From the above finding, it is inferred that the CBTPT module is useful among children having temporal processing deficits.

Evaluation of Long-Term Stability in Single-Piece Implant Systems: An Original Research.

Because of its integrated design and possible benefits over conventional two-piece systems, single-piece implant systems have grown in favor in the field of dental implantology. There is, however, still a dearth of information about their long-term stability and clinical results. The purpose of this study was to assess the clinical results, such as implant survival rates, peri-implant tissue health, and marginal bone levels, to determine the long-term stability of single-piece implant systems. About 127 individuals who got single-piece implants at the tertiary care center were the subject of a retrospective analysis. Standardized procedures were followed for implant implantation, and patients were monitored for at least five years afterward. Through radiographic analysis and clinical tests, clinical indicators such as marginal bone levels, peri-implant tissue health, and implant survival rates were evaluated. With low marginal bone loss and good peri-implant tissue health, the research showed a high implant survival rate of 96.5%. A statistical study revealed significant relationships between marginal bone loss (P < 0.01), peri-implant tissue health (P < 0.05), and implant survival. In this study, single-piece implant devices showed good long-term durability and clinical results. These results confirm its effectiveness as a dependable dental rehabilitation alternative, highlighting the significance of preserving the health of the peri-implant tissue and reducing marginal bone loss to guarantee implant success.

Decision-making for road infrastructures in a network based on a policy gradient method

Developing proper maintenance and rehabilitation investment plans is vital for prolonging the service life of road infrastructures while preserving required service level under capital constraints. This paper proposes a reinforcement learning approach for determining an optimal policy of selecting maintenance, repair, and rehabilitation alternatives for a network of road infrastructure facilities. The proposed approach is based on a policy gradient method and overcomes the computational complexity of optimization problems due to a large number of possible combinations of the network conditions and maintenance, repair, and rehabilitation alternatives. The developed optimal management policy takes into consideration interdependencies among infrastructure facilities in a road network. Numerical studies on concrete bridge decks in road networks are performed to demonstrate the advantage, feasibility, and capability of the proposed approach.

Immersive virtual reality for prospective memory and eye fixation recovery following traumatic brain injury: A pilot study

Rehabilitation is crucial for the recoveriy from traumatic brain injuries (TBI); yet, only 77 &amp;ndash; 88% of TBI patients are receipients of rehabilitation. Particularly, individuals lacking insurance coverage or facing transportation hurdles, notably within the Hispanic community, are less likely to undergo rehabilitation. Virtual reality (VR), known for its mobility and affordability, is recommended as a rehabilitation alternative. This community-based participatory research project aimed to evaluate the acceptability, feasibility, and potential of VR scenarios in addressing common rehabilitative needs. Focus groups involving TBI patients (N = 12) were conducted to identify rehabilitative needs and design VR scenarios. Two novel scenarios were created to enhance prospective memory and eye tracking. The impact of the prospective memory VR scenario was assessed among individuals with brain injuries 1 year post-TBI (N = 11), who were divided into intervention and delayed-intervention groups. In addition, six participants underwent the eye-tracking VR scenario to evaluate its effectiveness. Data from memory tests and screen recordings were gathered. In the objective memory test, participants in the VR intervention group (66%) exhibited greater improvement than those in the memory card delayed intervention group (0%) after 12 sessions. However, there was no statistically significant difference in mean scores on a Prospective and Retrospective Memory Questionnaire memory scale between the intervention and delayed-intervention groups after 6 weeks. Nonetheless, all participants demonstrated enhanced eye tracking skills after completing the eye tracking VR scenario between the 6th and 12th sessions. In conclusion, the VR scenarios exhibited promise, acceptability, and feasibility in improving prospective memory and eye tracking for individuals with TBI 1 year post-injury.

Point: Center-Based Pulmonary Rehabilitation Is the Standard.

Currently, a major pulmonary rehabilitation focus is on expanding access. At-home rehabilitation is being explored as an in-center pulmonary rehabilitation alternative. It has been asserted that in-home pulmonary rehabilitation confers similar benefits to in-center pulmonary rehabilitation. An extensive database documents that in-center pulmonary rehabilitation confers a range of patient-relevant benefits. Recently, evidence has been presented that in-center pulmonary rehabilitation improves survival, perhaps the most important benefit of all. It can be argued that improvements in physical fitness, assessed as exercise capacity, are mechanistically related to survival improvements. Therefore, in-home rehabilitation must demonstrate exercise capacity improvements similar to those regularly seen in-center to be considered equivalent. A literature search identified 11 studies that compared in-home with in-center pulmonary rehabilitation for COPD that recorded exercise tolerance outcomes. Despite being described as in-home programs, almost all featured prefatory in-center evaluation; some featured in-home visits by rehabilitation professionals. In 6 of the 11 studies, only walking exercise was prescribed. Only 3 included 2-way audio/visual patient-therapist contact. With regard to exercise outcomes; in 3, there was greater in-center group improvement; in 4, outcomes were similar; and, in 4, the in-center group failed to demonstrate clinically important exercise outcome increases; decidedly mixed results. Importantly, in 8 of 11 studies, the 6-min walk test was an exercise outcome. It is argued that the 6-min walk test does not generally elicit physiologically maximum responses and cannot be used to assess exercise capacity improvements. Of the 4 studies that used other exercise outcomes, in 2, exercise endurance increase was similar between in-home and in-center groups; in the other 2, the in-center group had superior improvements. Mixed results indeed! In conclusion, there is insufficient evidence to conclude that in-home pulmonary rehabilitation yields improvements equivalent to center-based programs in physical function, the outcome likely driving long-term prognosis. Moreover, it needs to be established which of the wide variety of in-home program designs now being offered should be promoted.

Design of lower limb rehabilitation exoskeleton with self-adaptive knee optimal force

With the increasingly serious trend of population aging in China, various diseases of the elderly are emerging in an endless stream, including hemiplegia, half limb disorder, limb numbness, hemianopia, and aphasia, with a high disability rate. The available auxiliary device cannot make a clear assistance for the patient, so that this design plans to make an exoskeleton for the patients who need effective rehabilitation alternatives and improve the rehabilitation efficiency. In this design, we would create Solid works model with some joint to fit human knees and then select sensors which are suitable to collect signs to depict kinematics features. The model, which has self-adaptation for receiving force signs from calf and knee joint, depends on the different force points of the calf lift affecting the stress state of the knee joint. Because the different stress points of the calf lift directly affect the stress state of the knee, so to find the best stress point of the calf is the research direction of this paper. In order to find the best and the most suitable force point of the human lower limb, we two methods, step-by-step process and dichotomy process, were discussed and compared in this study. Reasonable material may decide the robotic features.

Multi‐criteria analysis applied to ranking rehabilitation strategies of water distribution networks

Rehabilitation of water distribution systems is a complex task that water companies have to tackle continually to keep high‐quality service. The larger and more complex the network, the harder to make decisions about the network maintenance strategy to be implemented. Considering pipe replacement as a strategy for water network rehabilitation, this work presents a combination of water distribution system analysis and multi‐criteria analysis to rank alternatives for pipe replacement. A set of eight performance criteria is used to evaluate the rehabilitation alternatives. The Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) is herein adopted to rank the solutions, coupled with a final sensitivity analysis on criteria weights. The obtained results point out as pipe replacement is an essential strategy for rehabilitation since the eight evaluation criteria are improved. The sensitivity analysis shows the best solutions' robustness, with just a few variations in their position in the ranking. The most frequent best solution is then hydraulically evaluated, showing the real benefits of pipe replacement in terms of pressure deficit reduction.

Framework for Assessing Collective Irrigation Systems Resilience to Climate Change—The Maiorga Case Study

In order to increase water productivity at the Collective Irrigation System (CIS) level it is crucial to adapt the existing irrigation infrastructure, enhancing water intake at the source, as well as its transport and delivery efficiency. Rehabilitation may involve structural changes and thus, a large capital investment. This investment should be proportionate to the increase in climate resilience associated to different rehabilitation alternatives. A methodology framework was developed to evaluate CIS resilience to climate change considering different rehabilitation alternatives. The assessed components were: (i) crop production systems; (ii) on-farm irrigation systems; and (iii) project rehabilitation alternatives for the conveyance and distribution of the irrigation water from the source to the farmer fields. This framework was applied to the Maiorga CIS, in central Portugal, to test the methodology performance in assessing the impacts of climate change on the supply-demand balance of the proposed rehabilitation alternatives and to evaluate their climate resilience, for the representative concentration pathways, RCP4.5 and RCP8.5, and two time periods, 2041–2070 and 2071–2100. For each scenario, period, and rehabilitation alternative, irrigation requirements at the source (demand) and stream flows (supply) were computed and the supply-demand balance was performed. Projected increases in irrigation water demand varied between 5.5% for RCP4.5/2071–2100 and 35.7% for RCP8.5/2071–2100. For RCP4.5, 11% (2050) and 9% (2080) reductions in irrigation water supply were projected, while for RCP8.5 the reduction ranges between 13% (2050) and 30% (2080). The proposed framework determined that the rehabilitation alternatives considering just one type of water source, without flow regularization and with open channel distribution to the farmer’s field, have proved to be unviable due to low resilience to climate change.

Forest Therapy for Women with Gynaecological Cancer—A Feasibility Study to Find New Alternatives in Cancer Rehabilitation

Cancer can have a significant impact on one’s life situation, with many patients reporting psychosocial discomfort, worry, anxiety, fear of recurrence, depression, tiredness/fatigue, sleep problems, pain and numerous other problems even long after active medical treatment. Psychosocial support during cancer rehabilitation has proven to be insufficient. In a recent debate article, the scientific committee of CancerRehabFund, Sweden, demands more rehabilitation alternatives for individuals living with cancer. Nature-based treatment is one of the alternatives mentioned as the way forward, but more research is needed. Therefore, we want to evaluate the patient’s experience of a ten-week forest bathing intervention, as an add-on to the standard care, and whether it can improve general health and well-being in women suffering or recovering from gynaecological cancer. The study will run between the autumn of 2022 and until the end of 2023. It is a prospective single-case study, including quantitative and qualitative approaches using validated self-administered instruments (pre–post measurements) and semi-structured interviews (post) on women’s lived experience of the 10-week forest bathing intervention. The quantitative outcome measurements will be the quality of life, fatigue and depression/anxiety. There will also be a questionnaire on perceived sensory dimensions experienced in the forest environment. The study will include 24 participants, divided into four groups of 6 participants. Once a week for ten weeks, the participants will be offered a session of a 2.5-hour stay in the forest with breathing exercises, slow movement, time in silence and privacy and a social gathering to conclude each session. Before and after each session, the participants will be invited to fill in the Profile of their mood state to describe their mood/feelings. There will be three different forest locations with varied forest cover types, i.e., evergreen, deciduous and mistands. Participation in this study will be voluntary, and all results will be anonymously presented on a group level. This paper is a protocol paper describing in detail the venues/forest sites, the forest therapy intervention and the scientific methodological approach for evaluating the ten-week intervention. To our knowledge, this is the first study on forest bathing for cancer survivors in Sweden. The Swedish Ethical Review Authority has approved the study [Dnr 2022-02083-01].

Engaging Engineering Students with the Stakeholders for Infrastructure Planning

Construction projects should be planned and executed in a way that minimizes the inconvenience to the local community. For that, it is crucial to incorporate public opinion by engaging them in the decision-making process. However, the public is generally involved indirectly in the planning of infrastructure projects through information-sharing reports and meetings, which have not shown to be very effective. This paper presents the findings of a case study as a hands-on experience for graduate engineering students toward engaging the public in the feasibility assessment of a real-world rehabilitation project. The case study involves the application of a simple additive weighting (SAW) multi-criteria decision-making (MCDM) approach to the assessment of various dimensions of the proposed rehabilitation alternatives. As a part of the MCDM framework, public opinion is sought to determine the relative importance of various criteria in making the final decision. The steps and processes of the case study are summarized and proposed in the form of a framework for engaging both students and the community members in the planning of construction projects. The case study and the framework serve as a structured introductory exercise for raising awareness in the students about the impact of public opinion on the planning of construction projects, and the existence of methods that can help them articulate participatory processes. This structured exercise is replicable for future researchers. It is expected that the application of the approach pursued in this study will help promote a culture of accommodating public engagement among engineering students as future engineers in the long term.

A practical method for rehabilitation of stormwater collecting system by node flooding detection and regional hydraulic redesign: a case study of eastern Tehran metropolis.

This study investigates the effect of structural modification actions on the existing stormwater collecting system in Eastern Tehran to increase the hydraulic capacity and create suitable conditions for the passage of runoff in the critical points of the canal. First, the hydraulic conditions within the stormwater collecting system were simulated using the Stormwater Management Model (SWMM) model before/after the modification to investigate the rehabilitation results. Three critical locations along the main canal were recognized as the most vulnerable points. Then, based on field visits and brainstorming sessions, rehabilitation methods were presented, and three practical solutions, including canal deepening, canal widening, and their combination, were investigated for each. Then, local investigating based on the rehabilitation alternatives for each critical location was conducted using the HEC-RAS. Finally, the SWMM model was used again to evaluate the overall operational performance of the stormwater collecting system after the rehabilitation. The results revealed that it is necessary to implement two alternatives of deepening and widening to provide adequate transmission runoff capacity during rainfalls with various return periods. More specifically, the localized redesign of the eastern flood diversion canal had an acceptable improvement in reducing flooding problems so that for floods with a return period of 10 years, the number of node flooding dropped from 4 to 0, inundated areas from 17% to 0, and the overflow volume from (10-45) to 0. Moreover, the proposed local rehabilitation reduced the overflow volume from (30-65), (43-74), and (70-92) in the status quo to (4-12), (11-27), and (24-36) for rainfall with 25, 50, and 100-year return periods.

Rehabilitación de potra con laceración del tendón extensor: Reporte de caso

Wounds and lacerations are quite common in horses. Of these, the rupture of tendons, especially the digital extensor tendon, is one of the forms that causes much concern because it compromises the animal's locomotion in addition to being able, in most cases, to cause permanent or intermittent hyperflexion of the involved limb. Thus, they must be well treated and medicated according to each stage of the healing process. Therefore, the objective of this work is to report the case of a filly that had a laceration of the common digital extensor tendon, showing the management and methods that were used for its treatment and rehabilitation. In addition, it seeks to describe the procedures used to treat total rupture of the common digital extensor tendon due to cord burn; paying attention to the anatomy of the pelvic limb. To support the theme addressed in this study, a literature review was sought on the anatomy of the tendons in horses, the rupture of the digital extensor tendon, as well as the diagnosis and treatment of the animal compromised by the rupture. The research has a qualitative character when describing the procedures used from contact with the animal to its rehabilitation structured by the case study. The material consulted was based on books, scientific articles, consulted mostly on the internet on reliable sites such as university journals and technical manuals. Through the case report, it was possible to observe from the initial care of the foal, with a view to diagnosis and treatment until its rehabilitation. It was noticed that the physical examination, in this case, is the best way to diagnose the laceration of the digital extensor tendon and the forms of treatment vary, with the use of plaster and controlled walks being positive alternatives for rehabilitation. At the end of the study, it was possible to conclude that the procedures adopted were satisfactory for wound healing and rehabilitation of the foal.

청각장애인의 청각언어재활 경험에 관한 질적연구

The purpose of this study was to determine the experiences and main themes of rehabilitation recognized by deaf and hard-of-hearing people and analyzed the meaning of the experiences that appear in individuals, others, and daily life. Focus Group Interview were conducted with 12 participants (6 adolescences, and 6 adults). Paying attention to within-group variation, this study focused analyzing the aural rehabilitation process. 5 themes, 11 sub-themes, and 28 concepts were derived using thematic analysis. As a result of the theme group, five themes were derived: “Started rehabilitation with other’s decision,” “Facing deaf and hard-of-hearing with assistive devices,” “Walking through a dark tunnel called rehabilitation,” “Choose my own way to communicate with the world,” and “Be flexible in accepting and coping with rehabilitation,” and finally, the aural rehabilitation experience recognized by the deaf and hard-of-hearing parties was found to be “To face disability through involuntary rehabilitation process and to have voluntary will to accept and cope with rehabilitation in their own way.” Based on this, implications for rehabilitation methods and alternatives for the deaf and hard-of-hearing people and their families were derived.

Development of an Automated and Integrated Algorithm in Determining Optimum Maintenance and Rehabilitation Strategies Considering Multilane Roadways

Pavement management systems include road surveying, data analysis, identification of rehabilitated sections, determination of treatment methods, and budget optimization for maintenance and rehabilitation (M&amp;R). These complex processes challenge many agencies in determining the most appropriate M&amp;R strategies for the current year and choosing rehabilitation alternatives using life cycle cost analysis. In addition, these are time-consuming processes since the analysis and interpretation are done separately. In this study, an automated integrated algorithm is developed to help agencies determine the appropriate rehabilitated homogeneous section and optimize the budget at the network level for single and multilane roads. The algorithm was developed based on the pruned exact linear time and changepoints for a range of penalties methods in determining homogeneous sections from distresses on the surfaces being surveyed on single lanes. An additional algorithm is then proposed to identify homogeneous sections by considering adjacent multilane sections. Finally, the prioritized homogeneous sections for rehabilitation are determined by optimizing the available budget at the network level, considering the distress index and recommended rehabilitation type. During optimization, different budget constraint scenarios were considered to satisfy several requirements from agencies considering a random search approach. The proposed algorithm was applied to real field data where it was found that the recommended M&amp;R strategies for the homogenized sections using the proposed approach are feasible, practical, and reasonable. It is recommended that the performance model used in this study be developed further to improve the proposed integrated algorithm.

Life Cycle Assessment of Concrete Pavement Rehabilitation: A Romanian Case Study

The most well-known and used evaluation system to determine the life cycle of a product, is the life cycle assessment (LCA). In Europe, the use of the life cycle assessment (LCA) to assess the environmental performance of products is becoming commonplace, which is why substantial efforts have been made in the last two decades to develop new life cycle assessment (LCA) methodologies and software. This paper evaluates the life cycle assessment (LCA) for the rehabilitation of a national road sector in Romania. The biggest ecological problem facing mankind is the effect of global warming and climate change associated with this phenomenon, due to the increase of the concentration of pollutants to the atmosphere, and this paper presents the results of the life cycle assessment (LCA) based on a cradle-to-gate approach. For this case study, were used three rehabilitation alternatives. These alternatives and the existing pavement structure were analysed using the GaBi software, Ganzheitlichen Bilanzierung (German for holistic balancing), to assess the environmental impact of global warming, the stratospheric impact of ozone, and the impact on human health. The results obtained in this study illustrate the importance of a life cycle assessment approach for evaluating the sustainability for different designs and for the construction of road rehabilitation options.

Sustainability-Oriented Approach to Assist Decision Makers in Building Facade Management

The building sector has a major economic, environmental, and social impact on society; hence, it is crucial to promote sustainable construction practice. The facade is one of the largest main components of a building, which could strongly contribute to the sustainability performance for the whole building. Previous studies started defining tools to assess facade sustainability, although relevant indicators were dismissed or, if considered, they were rather subjectively quantified. Likewise, most existing tools omit stakeholder satisfaction in the assessment process for optimal facade systems. In this regard, this paper presents a new systematic approach based on the Integrated Value Model for Sustainable Assessment (MIVES) for holistic sustainability assessment of building facade systems by integrating stakeholders’ satisfaction in the decision-making process. To this end, for the first time to the authors’ best knowledge, the most representative and discriminative indicators for quantifying facade sustainability were identified to define a new approach to minimize subjectivity in the decision-making process and, consequently, to ease the task of decision makers when choosing and designing facade alternatives for new buildings and rehabilitation. This approach is validated and initially applied to assess the six most common residential facade systems in Barcelona, Spain. Results indicate that these building elements have low to medium sustainability performance.

Modeling asphalt pavement condition using artificial neural networks

Pavement maintenance and rehabilitation (M&R) decision-making is an important component of pavement management systems. Timely maintenance of extensive pavement network is mandatory to ensure a safe and comfortable ride to the road users. Accurate and reliable prediction of current pavement condition is a valuable input for taking sound maintenance decisions and selecting appropriate rehabilitation or repair alternatives. Maintenance or repair decisions are usually not based on structural parameters due to certain limitations regarding the collection of structural data. Due to its absence pavement may demand substantial rehabilitation in future, which could have otherwise required only preventive maintenance.Therefore, in the present study, structural performance models are developed using the tools of computational intelligence. Artificial neural networks have been used to develop various structural condition prediction models for asphalt pavements using a variety of input data pertaining to structural, functional and environmental parameters, collected from actual field testing. The reliable correlations developed in this study are expected to popularize the implications of structural adequacy factors in pavement M&R decision-making and ease the work of transportation agencies in obtaining structural condition data. The neural network models are flexible with the addition/modification of data and work well even with the limited data.

Strengthening of fatigue cracks in steel bridges by means of adhesively bonded steel patches

ABSTRACT Steel bridges with orthotropic decks are a common construction method for long-span bridges. The type of construction was developed in the 1960s, and the early structures in particular show increasing crack damage. The reasons for this are, on the one hand, design deficiencies and, on the other hand, massively increased traffic loads. Therefore, there is a need for rehabilitation methods that neither weaken the cross-section, like bolted solutions, nor introduce thermal stresses, like welds, but so far there are no reliable and economic alternatives. This paper summarizes the state of the art on possible damage categories of orthotropic bridge slabs and presents a new rehabilitation alternative using bonded steel patches for crack rehabilitation. It is reported from an ongoing research project how to determine numerically the effectiveness of the bonded steel patches. For this purpose, simple analytical calculations are first used to determine the determining factors and to record their influence. Subsequently, nonlinear numerical calculations with the Drucker-Prager material model are used to identify the stress distributions in the bonded joints in order to optimise the patch geometries. To this end a stiffness factor is presented that can be used to classify such patch bonds and categorize them in terms of their effectiveness.

Design optimization of sleeve finger splint model using Finite Element Analysis

One of the rehabilitation alternatives for fingers injuries is to use a finger splint. Some existing finger splint models still use excessive material, and the size is not appropriate. The purpose of this study was to propose a customized sleeve finger splint model with a conical shape along with the finger surface from the proximal phalanges to the distal phalanges. Design optimization using topology optimization was carried out to reduce mass and volume while maintaining the stress strength of the model. The stages of the method in this research were modeling design, preprocessing analysis, topology optimization, and postprocessing analysis. Topology optimization design was set with 70% mass in response constraint. The analysis results showed a significant reduction in the model mass of 42.18%, from 6.78 grams to 3.92 grams. Meanwhile, the maximum equivalent stress increased slightly by 3.42%, from 8.12 MPa to 8.4 MPa. Even though there was an increase in equivalent stress after topology optimization, the sleeve finger splint model was still categorized as safe, with a safety factor of 3.39.