keyword
https://read.qxmd.com/read/38517392/a-scoping-review-on-upper-extremity-prostheses-satisfaction-barriers-and-their-implications-in-resource-limited-countries
#1
JOURNAL ARTICLE
Lorenzo Martin L Dizon, Carl Froilan D Leochico, Reykjavik S Ramirez, Reynaldo R Rey-Matias
The rates of prosthetic abandonment are not extensively understood especially in resource-limited countries. A scoping review was conducted to examine the literature on the satisfaction with and barriers to using specifically upper limb prostheses. A systematic search of the literature identified 425 studies. After reviewing the articles using predetermined inclusion and exclusion criteria, 7 cross-sectional studies were included in the final review. Barriers to the use of upper limb prostheses include the characteristics of the prosthesis (type, comfort, weight, functionality, price, and availability) and individual patient factors (recent prosthetic user, level of amputation, congenital and accidental limb loss, pain, and duration between amputation and prosthetic fitting)...
March 22, 2024: Prosthetics and Orthotics International
https://read.qxmd.com/read/38513398/extended-physiological-proprioception-is-affected-by-transhumeral-socket-suspended-prosthesis-use
#2
JOURNAL ARTICLE
Julia A Dunn, Bob Wong, Sarina K Sinclair, Heath B Henninger, Kent N Bachus, K Bo Foreman
The objective of this study was to define targeted reaching performance without visual information for transhumeral (TH) prosthesis users, establishing baseline information about extended physiological proprioception (EPP) in this population. Subjects completed a seated proprioceptive targeting task under simultaneous motion capture, using their prosthesis and intact limb. Eight male subjects, median age of 58 years (range 29-77 years), were selected from an ongoing screening study to participate...
March 20, 2024: Journal of Biomechanics
https://read.qxmd.com/read/38511432/mental-health-screening-in-pediatric-lower-limb-deficiency-population
#3
JOURNAL ARTICLE
Emily Marshall, Eileen Shieh, Jeanne M Franzone, Paul T Enlow
BACKGROUND: Youth with lower limb deficiency (LLD) may be at increased risk for mental health difficulties. However, guidelines around psychosocial screening are not well established. OBJECTIVE: To describe the implementation and results of a mental health screening process in a multidisciplinary prosthetics clinic. DESIGN: Survey. SETTING: Outpatient specialty care clinic located within a children's hospital. PATIENTS: All patients ages 0-18 years with LLD seen at a monthly multidisciplinary prosthetics clinic between September 2019 and January 2023 (n = 75)...
March 21, 2024: PM & R: the Journal of Injury, Function, and Rehabilitation
https://read.qxmd.com/read/38456331/association-between-blood-markers-and-the-progression-of-osseointegration-in-percutaneous-prostheses-patients-a-pilot-study
#4
JOURNAL ARTICLE
Andrew Miller, Sujee Jeyapalina, Jayant P Agarwal, James Peter Beck
Patients implanted with osseointegrated (OI) prosthetic systems have reported vastly improved upper and lower extremity prosthetic function compared with their previous experience with socket-suspension systems. However, OI systems have been associated with superficial and deep-bone infections and implant loosening due, in part, to a failure of the osseointegration process. Although monitoring the osseointegration using circulating biomarkers has clinical relevance for understanding the progression of osseointegration with these devices, it has yet to be established...
March 2024: Journal of Biomedical Materials Research. Part B, Applied Biomaterials
https://read.qxmd.com/read/38428452/autologous-alternative-vein-grafts-for-infrainguinal-bypass-in-the-absence-of-single-segment-great-saphenous-vein-single-center-study
#5
JOURNAL ARTICLE
Ernest Biroš, Robert Staffa, Miroslav Krejčí, Tomáš Novotný, Monika Skotáková, Robert Bobák
OBJECTIVES: Alternative autologous veins can be used as a conduit when adequate great saphenous vein is unavailable. We analyzed the results of our infrainguinal bypasses after adopting upper extremity veins in our practice. METHODS: This is a single center observational study involving all patients whose infrainguinal bypass involved the use of upper extremity veins between April 2019, when we began using arm veins, and February 2023. RESULTS: During study period 49 bypasses were done in 48 patients; mean age 68...
February 28, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38417811/-prosthetic-fitting-concepts-after-major-amputation-in-the-upper-limb-an-overview-of-current-possibilities
#6
JOURNAL ARTICLE
Leopold Harnoncourt, Clemens Gstoettner, Gregor Laengle, Anna Boesendorfer, Oskar Aszmann
BACKGROUND: The upper extremity and particularly the hands are crucial for patients in interacting with their environment, therefore amputations or severe damage with loss of hand function significantly impact their quality of life. In cases where biological reconstruction is not feasible or does not lead to sufficient success, bionic reconstruction plays a key role in patient care. Classical myoelectric prostheses are controlled using two signals derived from surface electrodes in the area of the stump muscles...
February 28, 2024: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://read.qxmd.com/read/38334503/exploration-of-outcome-measures-for-assessing-orthotic-intervention-in-upper-extremity-peripheral-nerve-injuries-2-case-reports
#7
JOURNAL ARTICLE
Flávia Pessoni F Macedo, Pat McKee, Ana Carolina Grillo Semedo, Maitê Parisi, Isadora Scarpa, Paulo Roberto Pereira Santiago, Marisa de Cássia Registro Fonseca
In upper extremity peripheral nerve injuries, orthotic intervention has been used as a valuable device to restore function. However, there is lacking evidence to support it. The purpose of this study was to explore the application of body function's outcome measures for orthotic intervention evaluation in patients with peripheral nerve injury. Two participants sustaining a peripheral nerve injury who underwent orthotic intervention were assessed: subject 1 was a 25-year-old man with ulnar and median nerve injury presenting with a composite claw; subject 2, a 28-year-old man with radial nerve injury presenting with a dropped wrist...
January 1, 2024: Prosthetics and Orthotics International
https://read.qxmd.com/read/38331908/development-and-validation-of-the-coffee-task-a-novel-functional-assessment-for-prosthetic-grip-selection
#8
JOURNAL ARTICLE
Christina Lee, Alex K Vaskov, Alicia J Davis, Jordan M Kartes, Deanna H Gates
BACKGROUND: Lack of standardized assessments that explicitly quantify performance during prosthetic grip selection poses difficulty determining whether efforts to improve the design of multi-grip hands and their control approaches are successful. In this study, we developed and validated a novel assessment of multi-grip prosthetic performance: The Coffee Task. METHODS: Individuals without limb loss completed the Box and Block Test and two versions of the Coffee Task - Continuous and Segmented - with a myoelectric prosthetic emulator...
February 8, 2024: Journal of Neuroengineering and Rehabilitation
https://read.qxmd.com/read/38225159/functional-survival-of-cementless-trapeziometacarpal-total-joint-arthroplasty-after-upper-extremity-trauma
#9
JOURNAL ARTICLE
C Simón-Pérez, S Chavez Valladares, J I Rodríguez-Mateos, M Plata Garcia, V Garcia Virto, H J Aguado, M A Martín-Ferrero
INTRODUCTION: Our purpose with this publication is to document the survival of uncemented and unconstrained total trapeziometacarpal arthroplasty after energy trauma to the upper extremity. MATERIAL AND METHODS: From 1999 to the present, ten patients carrying total TMC arthroplasty suffered major traumatic injuries on the hand. Eight patients had fractures of the distal radius, one patient had scapho-lunate dissociation and one patient had a dorsal pullout of the triquetrum...
December 2023: Injury
https://read.qxmd.com/read/38223322/prosthetic-brachial-artery-external-jugular-vein-arteriovenous-grafts-as-a-novel-option-for-hemodialysis-access-a-case-report
#10
Wenhui Lei, Hai-Ping Lai, Jun Xin
Following the exhaustion of all conventional hemodialysis access options in the upper extremities, a prosthetic arteriovenous loop was performed between the brachial artery (BA) and the external jugular vein (EJV) as a novel access option for hemodialysis in the present case report. During the procedure, a polytetrafluoroethylene graft was anastomosed to the BA and the EJV, and looped on the upper limb. The safety and reliability of BA-EJV access was evaluated by determining the complications, patency and intervention rates...
January 2024: Experimental and Therapeutic Medicine
https://read.qxmd.com/read/38218901/decoding-hand-and-wrist-movement-intention-from-chronic-stroke-survivors-with-hemiparesis-using-a-user-friendly-wearable-emg-based-neural-interface
#11
JOURNAL ARTICLE
Eric C Meyers, David Gabrieli, Nick Tacca, Lauren Wengerd, Michael Darrow, Bryan R Schlink, Ian Baumgart, David A Friedenberg
OBJECTIVE: Seventy-five percent of stroke survivors, caregivers, and health care professionals (HCP) believe current therapy practices are insufficient, specifically calling out the upper extremity as an area where innovation is needed to develop highly usable prosthetics/orthotics for the stroke population. A promising method for controlling upper extremity technologies is to infer movement intention non-invasively from surface electromyography (EMG). However, existing technologies are often limited to research settings and struggle to meet user needs...
January 13, 2024: Journal of Neuroengineering and Rehabilitation
https://read.qxmd.com/read/38182026/finite-element-analysis-of-a-customized-coronoid-prosthesis-for-traumatic-coronoid-deficiency
#12
JOURNAL ARTICLE
Daofeng Wang, Dou Xiong, Jiabing Zhang, Wupeng Zhang, Shuang Wang, Xiaolin Tian, Zhengfeng Jia, Huanyu Li, Cheng Xu, Jiantao Li
BACKGROUND: Traumatic coronoid deficiency with persistent elbow instability is a challenging condition. Autologous bone graft reconstruction is often associated with a range of additional clinical problems and the outcome is often unpredictable. The purpose of this study was to design a prosthetic device that can reconstruct coronoid deficiency of any height and to evaluate its mechanical properties using finite element analysis. MATERIALS AND METHODS: A customized coronoid prosthesis was designed based on image registration, automatic measurement and computer-aided design...
January 3, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38180409/building-a-multidisciplinary-clinic-dedicated-to-upper-extremity-limb-loss
#13
REVIEW
Anirudh Kulkarni, Margaret Luthringer, Alta Fried, Matt Mikosz, Jamie Mauro, Gina Radice Vella, Tara Lally, Ajul Shah
Complete care of the patient with upper limb loss mandates a long-term, multifaceted approach. Increased functionality and quality of life require collaborative efforts between the patient's surgeon, prosthetist, hand therapists, mental health professionals, and peers. An individual surgeon may find that initiating and maintaining a practice offering total integrated treatment for upper-extremity amputees is a formidable task, but with specific, actionable recommendations, the process can be demystified. The upper-extremity surgeon must be facile with operative techniques such as targeted muscle reinnervation (TMR), regenerative peripheral nerve interface (RPNI), and soft tissue reconstruction and focus on team recruitment strategy and promotion of the clinic within the community...
January 4, 2024: Journal of Hand Surgery
https://read.qxmd.com/read/38170804/spiral-strapping-for-improving-upper-extremity-motor-functions-in-individuals-with-stroke-a-randomized-controlled-trial
#14
JOURNAL ARTICLE
Ehab Mohamed Abd El-Kafy, Mohamad Salaheldien Alayat, Reem M Alwhaibi, Reem M Basuodan
BACKGROUND: The rehabilitation process for the upper extremities of individuals with stroke requires therapists to use splints for supportive and corrective purposes. The aim of this study was to assess the effectiveness of spiral strapping in inhibiting spasticity and improving the upper extremity motor functions of individuals with chronic stroke. METHODS: Forty Saudi individuals aged 50-60 years with chronic stroke participated in this study. Their degrees of spasticity according to the Modified Ashworth Scale ranged across grades 1, 1+, and 2...
January 3, 2024: Prosthetics and Orthotics International
https://read.qxmd.com/read/38117048/systematic-review-and-meta-analysis-of-global-neuroma-incidence-in-upper-extremity-amputees
#15
JOURNAL ARTICLE
Sara C Chaker, Ya-Ching Hung, Mariam Saad, David Cardenas, Galen Perdikis, Wesley P Thayer
BACKGROUND: Neuromas substantially decrease a patient's quality of life and obstruct the use of prosthetics. This systematic review and meta-analysis aimed to determine the global incidence of neuroma formation in upper extremity amputees. METHODS: A literature search was performed using 3 databases: Web of Science, MEDLINE, and Cochrane. Inclusion criteria for the systematic review were those studies investigating only upper extremity amputees and reported postamputation neuroma...
January 1, 2024: Annals of Plastic Surgery
https://read.qxmd.com/read/37992948/long-term-functional-outcomes-of-upper-extremity-civilian-vascular-trauma
#16
JOURNAL ARTICLE
Colten Yahn, Maha H Haqqani, Andrea Alonso, Anna Kobzeva-Herzog, Thomas W Cheng, Elizabeth G King, Alik Farber, Jeffrey J Siracuse
OBJECTIVES: Civilian analyses of long term outcomes of upper extremity vascular trauma (UEVT) are limited. Our goal was to evaluate the management of UEVT in the civilian trauma population and explore the long term functional consequences. METHODS: A retrospective review and analysis was performed of patients with UEVT at an urban Level 1 trauma center (2001-2022). Management as well as long-term functional outcomes were analyzed. RESULTS: There were 150 patients with UEVT...
November 20, 2023: Journal of Vascular Surgery
https://read.qxmd.com/read/37984948/implementation-of-relative-phase-analysis-to-evaluate-continuous-interlimb-coordination-and-stability-in-individuals-with-lower-limb-loss-design-and-protocol-for-a-retrospective-analysis
#17
JOURNAL ARTICLE
Alexis N Sidiropoulos, David V Herlihy, Jason T Maikos
INTRODUCTION: The number of people with lower limb loss continues to grow, though most research to date has been non-committal and lacks the appropriate clinical guidance required for proper prosthetic prescription. Previous literature using traditional spatiotemporal and biomechanical measures has not accurately identified differences in gait patterns when using different prosthetic devices. Therefore, a knowledge gap remains. To aid in determining the impact of different devices on gait in individuals with lower limb loss, a more sensitive quantitative measure should be used to supplement traditional biomechanical analyses...
November 19, 2023: BMJ Open
https://read.qxmd.com/read/37962243/vascularized-composite-allograft-versus-prosthetic-for-reconstruction-after-facial-and-hand-trauma-comparing-cost-complications-and-long-term-outcome
#18
JOURNAL ARTICLE
Olivier F Noel, Mihai G Dumbrava, Deborah Daoud, Alexander J Kammien, Martin Kauke-Navarro, Bohdan Pomahac, David Colen
In the past decade, vascularized composite allotransplantation (VCA) has become clinical reality for reconstruction after face and hand trauma. It offers patients the unique opportunity to regain form and function in a way that had only been achieved with traditional reconstruction or with the use of prostheses. On the other hand, prostheses for facial and hand reconstruction have continued to evolve over the years and, in many cases, represent the primary option for patients after hand and face trauma. We compared the cost, associated complications, and long-term outcomes of VCA with prostheses for reconstruction of the face and hand/upper extremity...
October 23, 2023: Annals of Plastic Surgery
https://read.qxmd.com/read/37927033/realizing-upper-extremity-bionic-limbs-leveraging-neuroprosthetic-control-strategies
#19
JOURNAL ARTICLE
Nishant Ganesh Kumar, Cynthia A Chestek, Paul S Cederna, Theodore A Kung
Innovations in the fields of prosthetic devices and neuroprosthetic control strategies have opened new frontiers for the treatment and rehabilitation of individuals undergoing amputation. Commercial prosthetic devices are now available with sophisticated electrical and mechanical components that can closely replicate the functions of the human musculoskeletal system. However, to truly recognize the potential of such prosthetic devices and develop the next generation of bionic limbs, a highly reliable prosthetic device control strategy is required...
November 6, 2023: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/37922169/sensing-and-controlling-strategy-for-upper-extremity-prosthetics-based-on-piezoelectric-micromachined-ultrasound-transducer
#20
JOURNAL ARTICLE
Mengjiao Qu, Dongze Lv, Jie Zhou, Zexin Wang, Yinfei Zheng, Guojun Zhang, Jin Xie
Surface electromyography (sEMG) is currently the primary method for user control of prosthetic manipulation. Its inherent limitations of low signal-to-noise ratio, limited specificity and susceptibility to noise, however, hinder successful implementation. Ultrasound provides a possible alternative, but current systems with medical probes are expense, bulky and non-wearable. This work proposes an innovative prosthetic control strategy based on a piezoelectric micromachined ultrasound transducer (PMUT) hardware system...
November 3, 2023: IEEE Transactions on Bio-medical Engineering
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