Biomechanical Analysis of Rheumatoid Arthritis of the Hand and the Design of Orthotics: A Finite Element Study.

Abstract

Hand orthoses are often recommended as a rehabilitation measure for patients with rheumatoid arthritis (RA). However, existing research on the efficacy of hand orthoses has predominantly focused on 3D-printed devices and post-intervention clinical functional assessments, which tend to be subjective. There is a notable lack of biomechanical studies evaluating the effects of wearing orthoses. Therefore, in this study, the finite element method was used to analyze the biomechanical properties of an RA hand. A hand orthosis was designed based on the principle of three-point force, and a composite model of the RA hand and orthosis was constructed to verify its effectiveness. The results showed that the peak stress and displacement of the RA hand were 3.22-183.21% and 28.81-124.23% higher than those of the normal hand. Compared with the RA hand under direct force, the peak stress of the RA hand after wearing orthosis was generally reduced by 3.05-55.60%, and the peak displacement was generally reduced by 20.35-71.43%, verifying the effectiveness of the orthosis. Additionally, variations in the magnitude of three-point forces influenced the orthopedic effects. This study proves the effectiveness of hand orthosis and provides some theoretical data for subsequent research and treatment of rheumatoid arthritis.