dr justin magee careful design: pain relief for unmet ...€¦ · skeletal joe: static model • 43...
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Research Director : Art & Design
Senior Lecturer in Product Design
OREC NI 2017-2019
R&D T&RRRG 2002-2012
Dr Justin MageeCareful Design: Pain Relief for Unmet Needs in Healthcare
NI Pain Society
12th April 2019
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Dr Justin MageeCareful Design: Contents
NI Pain Society
12th April 2019
Art & Design Research at Ulster
Role of Design Thinking in Healthcare
Case Studies:
Pain Relief #1: Digital Anatomy
Pain Relief #2: PUPI
Pain Relief #3: Bow Easy
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• 3rd for World leading 4* Research
• 70% of world leading Impact
• 7th for GPA (3.24) from 25 FTE’s
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“There is nothing more frustrating than coming up with the right answer to the wrong question.”
(Tim Brown)
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Design Thinking Methodologies
Magee, McGilloway (2007) Better Design for Better Wellbeing
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Magee, Quigley (2017) Children’s Stroke Support Unit
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“I wish I could see inside your spine without needing to take an X-Ray”
Pain Relief #1
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RQ: To what extent is it possible to serial monitor intervertebral rotations, using photography of human posture mapped to a digital model of the spine?
Pain Relief #1
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DCAL (2002-2003) Creatively Seed Fund, ‘Orthoped-X’ £43,933 (Magee)
EPSRC (2006-2012) Academic Fellowships x 2, The Digital Human Project, EP/E500676/1 £250,000 (Magee)
Innovate UK (2017-2019) KTP axial3D £147,840 (Wilson, Magee, Donnelly)
Magee, J (2003) Designing a prototype with elements of virtual behaviour for interactive biomechanics applications, in M McNeill (ed.), vol. 2, pp. 43-52, Eurographics Ireland Chapter, Workshop proceedings 2003, 30/04/03.
Magee, J (2010) 3D digital modelling of spinal posture, PhD Thesis
Magee, J., McClelland, B., & Winder, J. (2012). Current issues with standards in the measurement and documentation of human skeletal anatomy. Journal of Anatomy, 2211(3), 240-251.
Magee, J (2015), 'Three Dimensional Digital Modelling of Human Spine Anthropometrics and Kinematics from Meta-analysis. How Relevant is Existing Anatomical Research?' Journal of Spine vol 4, no. 1, pp. 1-7.
Digital Modelling of Spinal PostureDigital Human Project
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Skeletal Joe: Static model
• 43 selected studies were normalised to correspond to 2004
stature averages for white UK males.
• 590 different dimensions were used in the model
construction
• Construction precision limited to 0.1mm or 0.1°
• As far as we know it is the most complete and precise 3D
model of the human skeletal structure informed by clinical
research studies.
• Skeletal Joe measured 1758.2mm in height.
• The average age of subject data for each of the spinal
regions was
• 32.7 years: Cervical spine
• 31.6 years : Thoracic spine
• 27.9 years: Lumbar spine
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ModelJournal of Anatomy
Current issues with standards in the measurement and documentation of human skeletal anatomy,J. Anat. (2012) 221, pp240–251
Magee, JDM, McClelland, B., Winder, RJ., (2012)
Magee, Justin (2012) JANAT
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Vertebrae Body centre location [Y,Z] Vertebrae Body centre location [Y,Z]
C0 [-4.0, 1602.0] T6 [32.2, 1365.9]
C1 [-0.9, 1591.2] T7 [32.4, 1342.6]
C2 [-12.4, 1579.8] T8 [31.2, 1317.5]
C3 [-18.3, 1561.1] T9 [27.1, 1291.7]
C4 [-19.7, 1542.3] T10 [20.7, 1265.9]
C5 [-18.1, 1524.6] T11 [11.9, 1238.2]
C6 [-15.0, 1507.0] T12 [0.0, 1208.9]
C7 [-8.5, 1489.1] L1 [-11.7, 1176.7]
T1 [0.0, 1470.1] L2 [-22.2, 1142.6]
T2 [10.3, 1451.9] L3 [ -29.6, 1106.8]
T3 [19.0, 1432.0] L4 [-32.2, 1069.7]
T4 [27.5, 1411.5] L5 [ -23.6, 1031.4]
T5 [29.9, 1389.3] S1 [ -4.6, 1003.1]
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Region C0-C2 C3-T1 C0-T1 T1-T12 T12-S1
Flexion (Rx)
30.15 63.3 93.45 62.1 38.5
Extension(-Rx)
-32.15 -67.4 -99.55 -29.9 -98.1
Lateral bending(±Ry)
±16.1 ±46.1 ±62.2 ±82.0 ±63.8
Axial rotation (±Rz)
±55.6 ±42.6 ±98.2 ±99.0 ±58.35
Magee, J (2015), 'Three Dimensional Digital Modelling of Human Spine Anthropometrics and Kinematics from Meta-analysis. How Relevant is Existing Anatomical Research?'Journal of Spine vol 4, no. 1, pp. 1-7.
Skeletal Joe: Articulated model
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Magee, Justin (2010) Skeletal Joe
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Magee, Justin (2010) Skeletal Joe
Accumulative Flexion (Max): +193.7°Accumulative Extension (Max): -225.6 °
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Accumulative Lateral Bending (Max): ±184.8°Accumulative Axial Rotation (Max): ±255.7 °
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Magee, J., Woods, A., Prickett, S. (2012) Arranged Motion
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• IAR centres vary significantly and have
not been precisely measured
• IAR migration during rotations have not
been integrated
• Vertebral translations have not been
modelled
• Intervertebral coupling motions is complex
and not fully understood or published
• Helical elevations have not been well
documented or quantified
• Disc Degeneration (Age, damage etc) has
not been factored and remains a variable
• Sacroiliac motions was excluded due to
absence of data
• The lack of research quantifying anatomy
of the thoracic spine
• The use of different bony landmark
reference anatomy within existing
literature, introducing errors. A standard
measurement protocol is
• required.
• The inaccuracies indicative of physical
measurement of anatomy or from distortion
in medical imaging methods.
• Barriers exist to the development of an
entirely single gender model because
investigators often combine male and
female data together for many pelvic
measurements, spinal profiles and
vertebrae morphology.
Limitations of the study
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KTPKnowledge Transfer Partnership
Current KTP developing realistic 3D visuals and interfaces as WebApp application for Surgeons, planning operations using 3D printed anatomy.
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+
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PUPIPressure Ulcer Prevention Innovation
Dr Justin Magee, Dr Mark Porter (Ulster University)Roisin McSwiggan (NHSCT)
Pain Relief #2
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Co-creative workshops: Leg Ulcer Forum x3 (2016/ 2017/ 2018)
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October 2017
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October 2016
Service improvement testing
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Best not talk about it….…it could affect my career
Case Study #3
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BowEasy
• Porter, M., Wilson, I. M., Doherty, L., & Magee, J. (2018). The extent of playing-related musculoskeletal problems (PRMDs) in the Irish traditional music community. A Survey. Medical Problems of Performing Artists, 33(1), 49-57.
• Porter, M., Magee, J., Doherty, L., & Wilson, IM. (2018). IPC No. G10D 3/16 (2006.01). Hand Support for a Bow. (Patent No. WO 2018/091399 A1).
• Porter, M, Wilson, IM, Doherty, L & Magee, J 2016, Playing-related Musculoskeletal Disorders (PRMDs) in Irish traditional fiddle players. in Irish Society of Chartered Physiotherapy, 26/07/16.
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Adapted Standardised questionnaire79 questionnaires returnedLargest survey of its typeResponse rate of 77.5%. 58% (n = 46) female and 42% (n = 33) male35 years old (SD 12.5, min = 18, max =65).
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Design brief
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0
5
10
15
20
25
30
Hea
d
Jaw
Nec
k fr
on
t
Nec
k b
ack
Sho
uld
er f
ron
t
sho
uld
er b
ack
Ch
est
Up
per
bac
k
Mid
Bac
k
Low
er b
ack
Up
per
arm
Low
er a
rm
Wri
st
Thu
mb
Fin
gers
Bu
tto
cks
Up
per
leg
Foo
t
Num
be
r o
f re
sp
on
de
nts
0 10 20 30 40 50 60 70
Pain
Tingling
Stiffness
Weakness
Numbness
Loss of control
Hypersensitivity
Pressure sores
Other
Rarely Occasionally Always
0
10
20
30
40
50
60
Pai
n
Tin
glin
g
Stif
fnes
s
Wea
knes
s
Nu
mb
nes
s
Loss
of
con
tro
l
Hye
rsen
siti
vity
Pre
ssu
re s
ore
s
Oth
ers
Num
be
r o
f fidd
le p
laye
rs
Common PRI symptoms experienced
Body parts affected by pain
Symptom Prevalence
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TestingEOU Ease of use Positive
Ease of use Negative
EOL Ease of learning Positive
Ease of learning Negative
PPRO Perceived productivity Positive
Perceived productivity Negative
PCOM Perceived Comfort Positive
Perceived Comfort Negative
P2Thumb
(g)
P2 Finger(g)
P3Thumb
(g)
P3 Finger(g)
P4Thumb
(g)
P4 Finger(g)
P5Thumb
(g)
P5 Finger(g)
Config 1 98 21 285 0 121 19 73 26
Config 2 23 30 29 226 29 114 129 258
Config 3 26 83 119 152 0 189 67 74
Config 4 74 119 30 478 116 199 107 130
0
50
100
150
200
250
300
350
400
450
500
Me
an f
orc
e in
gra
ms
Mean force comparison between test configuations
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Empathy | Collaboration | Iteration
Pain Relief for Unmet Needs in Healthcare
@Justin_D_Magee
[email protected] + 44 2890 367015
+44 772 007 3925