Clothing fasteners for long-term-care patients: evaluation of standard closures and prototypes on test garments.

For the elderly long-term-care patient it is of great psychological and practical importance to be able to dress and undress without assistance. However, the design and position of clothing fasteners often lead to a restriction of the functional capacity of the patient. The aim of this study was to facilitate a more independent daily life for long-term care patients. New fasteners were developed in accordance with a user-oriented product development process where a detailed knowledge of the final users and their capacity and limitations, problems, needs and wishes form the basis for further development. In an initial experimental study (I) the practical use of different standard clothing fasteners (button, hook and eye, nylon pressure tape and zipper) was evaluated. Different fasteners and positions are favourable to different patient groups. Wrist angle in different hand positions is crucial for the function of fasteners for persons with reduced hand function. User demands on clothing fasteners were specified and prototypes developed. In a subsequent study (II) an adapted oval button and a 'finger strap' alternative to hook-and-eye were designed and evaluated, together with a standard button. The oval button in combination with a vertical buttonhole improved the function for most patients, and the front position for the fasteners was superior to a diagonal or lateral position on the chest. The finger strap was of advantage to patients with hemiplegia and joint complaints but was difficult for many of the subjects to understand, being a technical innovation.