title: Using model hands for learning orthotic fabrication.
abstract: Trainees could benefit from practicing orthotic fabrication on simulated hands with joint deformities. As a first step toward such training, we explored the use of a nonpathological model hand. Twenty-one participants were randomized into one of two groups that practiced using a person's right hand or a model right hand. One week later, all participants returned for a transfer test in which they made one orthosis on a person's left hand. All participants' performance and orthoses were evaluated using a validated checklist and a global rating scale (GRS). Fabrication time for each orthosis also was recorded. The GRS score and fabrication time changed significantly over the course of practice. Trainees who practiced with the model hand made better orthoses during practice and on the transfer test, as measured with the checklist's final product subscore. Instructional and contextual factors that may affect trainees' performance and learning are discussed.
authors.affiliation: Eric Hagemann, MSc, is Graduate, Graduate Department of Rehabilitation Science, University of Toronto, Toronto, Ontario.
authors.forename: Eric
authors.initials: E
authors.lastname: Hagemann
authors.affiliation: Camille K. Williams, MHSc, is Doctoral Candidate, Graduate Department of Rehabilitation Science; and Fellow, Wilson Centre for Research in Education, University of Toronto, Toronto, Ontario.
authors.forename: Camille K
authors.initials: CK
authors.lastname: Williams
authors.affiliation: Pat McKee, MSc, OT Reg. (Ont.), OT(C), is Associate Professor, Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario.
authors.forename: Pat
authors.initials: P
authors.lastname: McKee
authors.affiliation: Andonia Stefanovich, MScOT, is Graduate, Department of Occupational Science and Occupational Therapy, University of Toronto, and Occupational Therapist, N Zaraska and Associates, Toronto, Ontario.
authors.forename: Andonia
authors.initials: A
authors.lastname: Stefanovich
authors.affiliation: Heather Carnahan, PhD, is Professor and Dean of Human Kinetics and Recreation at Memorial University of Newfoundland, St. John's, Newfoundland A1C 5S7 Canada. At the time of the study, she was Professor, Department of Occupational Science and Occupational Therapy, and Scientist, The Wilson Centre for Research in Education, University of Toronto, Ontario; heather.carnahan@gmail.com.
authors.forename: Heather
authors.initials: H
authors.lastname: Carnahan
mesh_terms: D000488:Allied Health Personnel / Q000193:education*; D057189:Checklist; D004517:Education, Professional / Q000379:methods*; D004521:Educational Measurement; D004867:Equipment Design; D005260:Female; D006225:Hand; D006801:Humans; D008297:Male; D008348:Manikins; D008953:Models, Anatomic; D009989:Orthotic Devices; D011214:Practice, Psychological; D011361:Professional Competence; D013997:Time Factors; D055815:Young Adult