IMBOTTITURA DELL’IMPUGNATURA CON ESPANSO*
3.3 ANALISI DEI RISULTATI E PROSPETTIVE FUTURE L’approccio di co-design prototipale si è rivelato estremamente efficace per l’i-
dentificazione delle reali problematiche degli utenti e dei loro desideri latenti re- lativi al prodotto stampella.
Gli oltre trenta upgrades sviluppati spaziano dalla modifica puramente estetica, come la variazione di colore dei tubi delle stampelle, a quella prettamente funzio- nale, come l’accorciamento dei tubolari delle stampelle.
La cooperazione progettuale con gli utenti è stata estremamente efficace per la creazione di queste modifiche, ed ha sempre portato grande soddisfazione ai partecipanti dei works, sia per avere potuto dar voce ai loro problemi, sia per aver riscontrato che i “loro” problemi in realtà non sono solo “loro”, ma molto condi- visi, sia per essere riusciti a risolvere questi problemi in autonomia sia, infine, per la speranza di trovare in futuro sul mercato una stampella funzionale.
Dato l’ottimo riscontro da parte di medici, fisioterapisiti e utilizzatori di stampelle in merito a quanto sviluppato, il Progetto Stampelle non si fermerà con la presen- taione di questo documento di tesi, ma si svilupperà nel futuro prossimo, propo- nendosi di rendere disponibili sul mercato, almeno online, gli upgrades passibili di autoproduzione fino ad ora sviluppati, nonchè sviluppandone di nuovi. La DOitYOURteca verrà a sua volta integrata con sempre più materiali e specifi- che per rendere il co-design prototipale più accessibile a tutti i progettisti.
Bibliografia
- Anonimo, Crutch Maestry, American Journal of Surgery, 1947.
- Abbott W. M., Darling R. C., Axillary artery aneurysms secondary to crutch trauma, Am J Surg, 1973,
pg. 515-520.
- Anglin C., et alii, Glenohumeral contact forces, Proceedings of the Institution of Mechanical Engi-
neers, 2000, pg. 637–644.
- Axelson P., et alii, Standing and its importance in spinal cord injury management, Annual RESNA
Conference, San Jose, CA, Washington, 1987, RESNA Press, 477-479.
- Ami A., et alii, Ulnar stress reaction from crutch use following amputation for tibial osteosarcoma, The
Department of Orthopaedic Oncology, 4 mar 2004, pg. 541-544.
- Ashby M., Johnson K., Materials and design: the art and science of material selection in product design,
Butterworth-Heinemann, 2013.
- Beylerian G.M., Kaufman E., Mondo materialis - materials and ideas for the future, London, 2001.
- Cabanillas M., et alii, Acrochordons Caused by Friction From Crutch Use, Actas, 2009, pg. 77-83.
- Chartered society of Physiotherapist, Consumer Protection Act 1987, 1987.
- Cobb TK, et alii, Externally applied forces to the palm increase carpal tunnel pressure, J Hand Surg,
1995, 181-185.
- Davalli A., Ausili e classificazioni, documento di presentazione, INAIL, Budrio.
- Da Silveria G., Mass customization: Literature review and research directions, International Journal of
Pruduction Economics, 72, n. 1, June.
- Di Lorenzo R., Cuomo E., Le parole del trader di borsa. Breve dizionario dei termini finanziari, ed.
Gruppo 24 Ore, 2011, pag. 34.
- Ettien J. T., Crutch-induced aneurysms of the axillary artery, Am Surg, 1980, pg. 267-269.
- Feldman D.R., et alii, Crutch-induced axillary artery injury, Cardiovasc Intervent Radiol, 1995, pg. 296-
299.
- Fisher S.V., Patterson R.P., Energy cost of ambulation with crutches, Arch. Phys. Med. Rehabil.,
1981, pg. 250–256.
- Genc H., et alii, Posterior interosseous nerve syndrome caused by the use of a canadian crutch, Muscle and
Nerve, 2003, pg. 386-387.
- Ghosh A.K., et alii, Metabolic cost of walking at different speeds with axillary crutches, Ergonomics, 21
dic 1980, pg. 571-577.
- Ginanneschi F., et alii, Ulnar Nerve Compression Neuropathy at Guyon’s Canal Caused by Crutch Walking: Case Report With Ultrasonographic Nerve Imaging, Arch Phys Med Rehabil, vol 90, 2009,
pg. 522-524.
- Goleman D., Intelligenza emotiva: Che cos’ è e perché può renderci felici, Bur, 2011.
- Hall J., et alii, Heart rate evaluation of axillary and elbow crutches, Journal of Medical Engineering
and Technology, 1991, pg. 232-238.
- Himanen P., L’etica hacker e lo spirito dell’età dell’informazione, 2003, Feltrinelli 50 - Huang K., et alii, Did the use of crutches in an elderly patient activate a dormant subclavian lymphatic
malformation?, Acta Orthopaedica, 2005, pg. 725-727.
- Illich I., Tools for Conviviality, Harper and Row Pubblishers, Inc., 1975, pag 11, 21.
- International Organization for Standardization, Ausili tecnici per persone disabili, UNI ISO 9999,
2007.
- Kellner W.S., Felsenthal G, Anderson JM, Hilton EB, Mondell DL, Carpal tunnel syndrome in the nonparetic hands of hemiplegics, Orthop Rev, 1986, pg. 608-611.
- Konishi T., et alii, Crutch-induced bilateral brachial artery aneurysms, Interactive CardioVascular and
Thoracic Surgery, 2009, pg. 1038-1039.
- Koestler A., The act of creation, New York, Dell, 1964.
- Koren L., Wabi-sabi per artisti, designer, poeti e filosofi, Ponte alle Grazie, Firenze, 2002.
Ostuzzi F., et alii, Il valore dell’imperfezione – l’approccio Wabi Sabi al design, Francoangeli, Milano,
2011, pg25
- Liu G., Xie S., & Zhang Y., Optimizing spring-loaded crutches via a boundary value problem, IEEE
Transactions on Neural Systems.
- Lundborg G., et alii, Median nerve compression in the carpal tunnel functional response to experimentally induced controlled pressure, J Hand Surg, 1982, pg. 252-259.
- Manzini E., Design, ethics and sustainability. Guidelines for a Transition Phase, University of Art and
Design Helsinki, 2006, 9-15.
- Massironi M., Fenomenologia della percezione visiva, il Mulino, 1998, pg. 38.
- McBeath A., et alii, Efficiency of assisted ambulation determined by oxygen consumption measurement, J.
Bone Joint Surg. Br. American, 1974, pg. 994–1000.
- McFall B., et alii, Crutch induced axillary artery injury, The Ulster Medical Journal, mag 2004, pg.
50-52.
- McGoldrick F., O’Brien T.M., Bilateral stress fractures of ulna, 1988.
- Mullis R., Dent R. M., Crutch length: Effect on energy cost and activity intensity in non–weight-bearing ambulation, Archives of Physical Medicine and Rehabilitation, may 2000, pg. 569-572
- O’Sullivan S.B., Schmitz T.J., Physical rehabilitation: assessment and treatment, Philadelphia, 1988.
- Opila K. A., Nicol, A. C., & Paul, J. P., Forces and impulses during aided gait, Archives of Physical
Medicine and Rehabilitation, 1987, 715-722.
- Opila K. A., Nicol, Upper limb loadings of gait, Journal of Biomechanical Engineering, 1987, pg.
285–290.
- Ostuzzi F., et alii, Il valore dell’imperfezione – l’approccio Wabi Sabi al design, Francoangeli, Milano,
2011, pg. 18.
- Parziale J. R., & Daniels J. D., The mechanical performance of ambulation using spring-loaded axillary crutches -A preliminary Report, American Journal of Physical Medicine & Rehabilitation, pg. 192-
195.
- Phalen G.S., The carpal-tunnel syndrome: seventeen years’ experience in diagnosis and treatment of six hundred fifty-four hands, 1996, pg. 211-218.
- Phalen G.S., The carpal-tunnel syndrome: seventeen years’ experience in diagnosis and treatment of six hundred fifty-four hands, 1996, pg. 211-218.
- Phalen G.S, The carpal-tunnel syndrome: clinical evaluation of 598 hands, Clin Orthop, 1972, 29-40.-
Plan H., Occlusion of the axillar artery due to pressure by a crutch, Arch Surg, 1930, pg. 314-316.
- Pine B.J., Gilmore J.H., The experience Economy, Harvard Business School Press, Boston, Mass,
1999.
- Pink D., A Whole New Mind: Why Right-Brainers Will Rule the Future, The Berkley Publishing
Group, New York, 2005.
- Poddar S. B., et alii, Bilateral predominant radial nerve crutch palsy, Clin Orthop, 1993, pg. 254-256.
1039.
- Radder L., Louw L., Mass customization and mass production, The TQM Magazine, 11(1), 1999, pg.
35–40.
- Raikin S., Froimson M. I., Bilateral brachial plexus compressive neuropathy (crutch palsy), Journal
Orthop Trauma, 1997, 136-138.
- Redi G., Fergnani E., Come mettere a frutto la noia: Saper fare qualcosa che duri, extempore Materiali per il Design, Politecnico di Milano, 2011
- Risdiyono, Koomsap P., Design by customer: concept and applications, Springer Science+Business
Media, 2011, pg 295-301.
- Roberts P., Carnes S., The orthopaedic scooter - an energy-saving aid for assisted ambulation, J Bone Joint
Surg, 1990, pg. 620-621.
- Rognoli V., Levi M., Materiali per il design: espressività e sensorialità, Polipress, 2005, pg. 45-46,82.
- Rognoli V., I materiali per il design : un atlante espressivo-sensoriale, dottorato di ricerca in Disegno industri- ale e comunicazione multimediale, Politecnico di Milano, Milano, 2004
- Sala D.a., et alii, Crutch Handle Design: Effect on Palmar Loads During Ambulation, Arch Phys Meal
Rehabil, 1998, pg. 1473-1476.
- Salvia G., Design for satisfactory and sustainable patterns of consumption and production - La pratica contemporanea del Do-It-Yourself per la trasformazione degli artefatti, Politecnico di Milano, 2013, pg.
58.
- Sandberg, R. P., et alii, A metabolic evaluation of a novel spring-loaded crutch design, Medicine and Sci-
ence in Sports and Exercise, 2009, pg. 493-494.
- Sanders E., From User-Centered to Participatory Design Approaches , Design and the Social Sciences.
J.Frascara (Ed.), Taylor & Francis Books Limited, 2002.
- Sanders E.B., Stappers P.J., Convivial Design Toolbox: Generative Research for the Front End of Design,
BIS, 2012..
- Sanders E. Stepping stones across the gap - Explorations in the generative design space, the Danish De-
sign School Press, 2010, pg. 116-117.
- Sanders E., Scaffolds for building everyday creativity, in Design for Effective Communications: Cre-
ating Contexts f,or Clarity and Meaning. Jorge Frascara (Ed.) Allworth Press, New York, New York, 2006, pg. 8,14
- Sanders E., Stappers P.J., Co-creation and the new landscapes of design , Co-design, Taylor & Francis,
March 2008, pg. 6,11
- Sanders E., Information, Inspiration and Co-creation, The 6th International Conference of the
European Academy of Design, March 29-31 2005, University of the Arts, Bremen, Germany, pg. 12.
- Sanders E., et alii , A Framework for Organizing the Tools and Techniques of Participatory Design, PDC
2010, November 29 – December 3, 2010, Sydney, Australia.- Schön, D., The Displacements of Concepts, London, Tavistock, 1963, pg. 46.
- Segura, A., & Piazza, S. J, Mechanics of ambulation with standard and spring-loaded crutches, Archives
of Physical Medicine, 2007, pg. 1159–1163.
- Shortell D., et alii, The design of a compliant composite crutch, Rehabilitation Research and Develop-
ment Center, Department of Veterans Affairs Health Care System, 2001, pg. 23-32. - Shoup, T.E., Design and testing of a child’s crutch with conservative energy storage, Journal of Mechani-
cal Design, 1980, pg. 672–676.
- Shoup, T.E., Design and testing of a child’s crutch with conservative energy storage.
- Stallard J., et alii, A comparison of axillary, elbow, and canadian crutches, Rehumatology and Rehabili-
tation, 1978, pg. 237-239.
- Stallard J., et alii, The relative efficiency of “swing through” gait on axillary, elbow and Canadian Crutches compared to normal walking, Journal of Biomedical Engineering, 1979, pg. 55-57.
- Stappers J.B., Sanders E., Generative tools for context mapping: tuning the tools, Third International
Conference on Design & Emotion, Loughborough, Taylor & Francis, 2003, pg. 3. - Suarez G. G., et alii, Stress fracture of the ulna associated with crutch use, 2001.
- Veerendrakumar M., et alii, Ulnar nerve palsy due to axillary crutch, Neurology India, 2001, pg.
67-70.
- Venkatanarasimha N., et alii, Proximal ulna stress fracture and stress reaction of the proximal, 2009.
- Vezzoli C., Manzini E., Design for Environmental Sustainability, London: Springer London, 2008.
- Waring W.P. III, Wemer R.A., Clinical management of carpal tunnel syndrome in patients with long-term sequelae of poliomyelitis, J Hand Surg, 1989, pg. 865-869.
- Waters R.L., et alii, Energy costs of walking in lower-extremity plaster cast, J Bone Joint Surg, 1982,
pg. 896-9.
- Westerhoff P., et alii, In vivo measurement of shoulder joint loads during walking with crutches, Clinical
Biomechanics, 2012, pg. 711-718.
- Wolf, McQuitty, Understanding the Do-It-Yourself Consumer: DIY Motivation and Outcomes, Academy
of Marketing Science Review, 2011.
- World Health Organization, The rehabilitation of people with amputations, 2004
- Zhang Y., et alii, Biomechanical Evaluation of an Innovative Spring-Loaded Axillary Crutch Design, The
Sitografia
- ALOMAR Associazione Lombarda Malati Reumatici <www.alomar.it> - AIRA Associazione Italiana Reum Amici <www.reumatoide.it>
- CES 4 “The Cambridge Engeneering Selector”, version 4, Granta Design, Cambrdge, UK, 2002,
<www.granta.co.uk>
- Chouinard M., <http://www.mariechouinard.com/> - GIPRON s.r.l. <www.gipron,it>
- Make Tools <www.maketools.com>
- Museum Victoria <http://museumvictoria.com.au> - Natural Color System <www.ncscolour.com> - Nike in <www. NIKEiD.com>
- OPO s.r.l. <www.oposrl.it>
- Regione Lombardia - ASL di Brescia, La persona con problemi di movimento, <www.aslbrescia.it>
- Shannon B., <http://www.whatiswhat.com/> - SideStix <http://www.sidestix.com>
- SIVA, Ausili tecnici per persone disabili - Classificazione EN ISO 9999, aprile 1998, <www.siva.it>
- Sugru, Fixer’s Manifesto, <http://sugru.com/manifesto>
- Transstudio <www.transstudio. com> - Trustcare <http://www.trustcare.se>
- United States Patent and Trademark Office, <www.uspto.gov>
- World Health Organization, Inernational Classification of Impairments, Disabilities and Handi- caps, 1980, <www.who.int>
- Wikipedia, Definizione alla voce Crutches, Hacker, DIY, Creative Commons
ALLEGATO 01
Tesi di laurea magistrale in Design & Engineering Politecnico di Milano
STAMPELLE: MA QUANTE VOLTE VI SONO CADUTE?