Amputation; Artificial limbs; Orthopedics; Surgery, Military
For certain special crafts the subject may be studied from another
standpoint and an actual tool constructed which carries out the
necessary actions like a machine worked by the forearm, so that in
these special cases the artificial hand is the active hand.
At the Valentin Hauy Institute for the blind, where there has long
been a brushmaking workshop, we have seen in use a very ingenious
tool of this description with a combined action for carrying out the
entire manipulation of the thread which fixed the little bundles of
bristles into the holes perforating the back of the brush. Results are
so good that a blind and maimed worker using this apparatus works
more quickly than his comrades who have the use of both hands. It
consists of a two-pronged claw surmounted by a small thimble-shaped
projection and with a small hook, like a crochet hook projecting in
front (Fig. 173). The hook first passes through one of the holes in
the back of the brush, catches up the thread and draws it through
the hole (Figs. 174 and 175). The thread is then looped around the
thimble, whilst the sound hand binds the little bundle of bristles
into a twist of the loop (Fig. 176), and finally the bundle is fixed
into the hole, the claw being used to draw the brush towards the
worker (Fig. 177).
[Illustration: FIG. 173.--Brushmaker's hook.]
[Illustration: FIG. 174.--First movement. The string is
picked up by the hook.]
[Illustration: FIG. 175.--Second movement. The string is
pulled through one of the holes perforated in the back of the brush.]
[Illustration: FIG. 176.--Third Movement. Catching the bundle
of bristles.]
[Illustration: FIG. 177.--Fourth Movement. The bundle is
fixed in the hole in the back of the brush.]
(3) In place of an actual tool the detachable part may consist of a
clamp on the principle of a ring into which the tool is inserted by
the handle. The two principal methods are the screw and the American
chuck. A glance at figures 178 and 179 will explain how the large
handle of a tool intended for heavy work is controlled by means of a
screw and rings.
[Illustration: FIGS. 178 and 179.--Nyrop's grip for hammer
and saw.]
At Rouen we have seen the disabled Belgians who had been re-educated
wearing an ingenious T-shaped clamp by means of which the handle of a
tool may be held either in the line of the axis of the forearm or at
right angles to this. This method is specially useful for manipulating
a file which is worked with one hand while the other, in this case
the sound hand, presses upon the free end. Usually the filing is done
backwards and forwards, working from base to tip of the file, but
sometimes, specially for final polishing, the file is held with both
hands and worked from side to side.
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