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Amputee Rehabilitation

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https://www.readbyqxmd.com/read/29779455/function-quality-of-life-and-community-integration-of-deka-arm-users-after-discharge-from-prosthetic-training-impact-of-home-use-experience
#1
Linda Resnik, Frantzy Acluche, Matthew Borgia, Jill Cancio, Gail Latlief, Nicole Sasson
BACKGROUND: Research on adaptation to advanced upper limb prostheses is needed. OBJECTIVES: To (1) examine change in function, quality of life and community integration after prosthetic training, (2) determine whether change in outcomes varied by prosthesis complexity, and (3) compare patterns of change at 1 month for those who withdrew from the study and those who did not. STUDY DESIGN: Quasi-experimental time series. METHODS: Data were analyzed for 22 participants (18 completers)...
May 1, 2018: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29754521/development-of-a-scoring-tool-blart-score-to-predict-functional-outcome-in-lower-limb-amputees
#2
Sarah Bowrey, Helen Naylor, Pip Russell, Jonathan Thompson
PURPOSE: To develop a valid preoperative scoring tool that predicts the probability of walking with a prosthetic limb after major lower limb amputation. METHODS: A retrospective review of 338 patients who had undergone lower limb amputation was conducted to identify characteristics that affected the success of rehabilitation with a prosthetic limb. These data were used to devise an assessment tool (the BLARt score), which was then tested and validated in 199 patients planned to undergo lower limb amputation in two UK regional centers...
May 12, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29747672/two-ways-to-improve-myoelectric-control-for-a-transhumeral-amputee-after-targeted-muscle-reinnervation-a-case-study
#3
Yang Xu, Dingguo Zhang, Yang Wang, Juntao Feng, Wendong Xu
BACKGROUND: Myoelectric control of multifunctional prostheses is challenging for individuals with high-level amputations due to insufficient surface electromyography (sEMG) signals. A surgical technique called targeted muscle reinnervation (TMR) has achieved impressive improvements in myoelectric control by providing more sEMG control signals. In this case, some channels of sEMG signals are coupled after TMR, which limits the performance of conventional amplitude-based control for upper-limb prostheses...
May 10, 2018: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29689178/gender-differences-in-psychosocial-and-physical-outcomes-in-haitian-amputees
#4
Pey-Shan Wen, Marilys G Randolph, Leonard Elbaum, Mario De la Rosa
OBJECTIVE: The purpose of this study was to investigate the gender differences in psychosocial and physical outcomes in users of lower-extremity prostheses who became amputees after the 2010 earthquake in Haiti. METHOD: We enrolled 140 unilateral amputees in this cross-sectional study in Port-au-Prince, Haiti. Trained staff administered the assessments by reading the questions aloud to participants. Participants completed the Trinity Amputation and Prosthesis Experience Scales and Locomotor Capabilities Index about 2 yr after the earthquake...
May 2018: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/29626613/comparing-the-effects-of-dual-task-gait-testing-in-new-and-established-ambulators-with-lower-extremity-amputations
#5
Courtney Frengopoulos, Michael Wc Payne, Jeffrey D Holmes, Ricardo Viana, Susan W Hunter
BACKGROUND: Gait is a complex process that involves coordinating motor and sensory systems through higher-order cognitive processes. Walking with a prosthesis after lower extremity amputation challenges these processes. However, the factors that influence the cognitive-motor interaction in gait among lower extremity amputees has not been evaluated. To assess the interaction of cognition and mobility, individuals must be evaluated using the dual-task paradigm. OBJECTIVE: To investigate the effect of etiology and time with prosthesis on dual-task performance in those with lower extremity amputations...
April 4, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29579026/targeted-muscle-reinnervation-considerations-for-future-implementation-in-adolescents-and-younger-children
#6
Kevin J Zuo, Michael P Willand, Emily S Ho, Sandra Ramdial, Gregory H Borschel
Prosthetic options for patients with proximal upper limb absence are limited. Current above elbow prostheses may restore basic motor functions for crucial activities, but they are cumbersome to operate, lack sensory feedback, and are often abandoned. Targeted muscle reinnervation (TMR) is a novel surgical procedure that enhances the ability of patients with above elbow amputations to intuitively control a myoelectric prosthesis. By transferring multiple severed peripheral nerves to a robust target muscle, TMR restores physiologic continuity and enables more intuitive prosthetic control...
March 19, 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29574819/implant-based-rehabilitation-options-for-the-atrophic-edentulous-jaw
#7
K R Spencer
The atrophic and edentulous jaw can pose a number of challenges for the implant clinician. In simple terms, the amount of bone that remains is insufficient for the conventional placement of a dental implant. A variety of treatment strategies can be employed to enable implants to be placed despite the paucity of bone stock in either the mandible or the maxilla. Conceptually these strategies follow one of two pathways: either augmentation of the bone, or the novel utilization of the remaining bone. This article will discuss patient assessment, treatment planning, and the range of contemporary options available to enable fixed implant based rehabilitation of each jaw...
March 2018: Australian Dental Journal
https://www.readbyqxmd.com/read/29566253/percutaneous-osseointegrated-prostheses-for-transfemoral-amputations
#8
Yan Li, Bennie Lindeque
The direct attachment of the osseointegrated prosthesis to the skeleton avoids the inherent problems of socket suspension. It also permits physiological weight bearing, improved range of motion in the proximal joint, and osseoperceptive sensor feedback, enabling better control of the artificial limb by amputees. This article describes the osseointegration program in Sweden based on the use of bone-anchored prostheses for transfemoral amputation rehabilitation. The authors discuss in detail the patient-centered evaluation, surgical technique, and postoperative rehabilitation protocol...
March 1, 2018: Orthopedics
https://www.readbyqxmd.com/read/29534154/artificial-limb-representation-in-amputees
#9
Fiona M Z van den Heiligenberg, Tanya Orlov, Scott N Macdonald, Eugene P Duff, David Henderson Slater, Christian F Beckmann, Heidi Johansen-Berg, Jody C Culham, Tamar R Makin
The human brain contains multiple hand-selective areas, in both the sensorimotor and visual systems. Could our brain repurpose neural resources, originally developed for supporting hand function, to represent and control artificial limbs? We studied individuals with congenital or acquired hand-loss (hereafter one-handers) using functional MRI. We show that the more one-handers use an artificial limb (prosthesis) in their everyday life, the stronger visual hand-selective areas in the lateral occipitotemporal cortex respond to prosthesis images...
May 1, 2018: Brain: a Journal of Neurology
https://www.readbyqxmd.com/read/29480094/the-impact-a-surgeon-has-on-primary-amputee-prosthetic-rehabilitation-a-survey-of-residual-lower-limb-quality
#10
Sellaiah Sooriakumaran, Maggie Uden, Sarah Mulroy, David Ewins, Thomas Collins
BACKGROUND: Substantial improvements have been perceived in surgical results following major lower limb amputation, but there remains observed variation in amputation quality for patients referred for prosthetic rehabilitation from different hospitals. OBJECTIVES: To assess various elements that influence residual limb quality and evaluate their impact on progress through initial prosthetic rehabilitation and mobility outcome after rehabilitation. STUDY DESIGN: Clinical survey...
February 1, 2018: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29462774/dual-task-related-gait-changes-in-individuals-with-trans-tibial-lower-extremity-amputation
#11
Susan W Hunter, Courtney Frengopoulos, Jeffrey Holmes, Ricardo Viana, Michael W C Payne
BACKGROUND: The improvement of gait and mobility are major rehabilitation goals following lower extremity amputations. However, when living in the community many daily activities require the multitasking of motor and cognitive tasks. The dual-task paradigm can be used to evaluate the concurrent performance of mobility and cognitive tasks. RESEARCH QUESTION: The purpose of this study was to evaluate the effects of dual-task gait testing in older adults with trans-tibial amputations...
March 2018: Gait & Posture
https://www.readbyqxmd.com/read/29452628/an-integrative-review-of-peer-support-for-patients-undergoing-major-limb-amputation
#12
James P Reichmann, Kimberly R Bartman
Medical literature is replete with evidence regarding physical rehabilitation of the amputee; however, scant attention has been paid to psychological rehabilitation. The objective was to perform an integrative review of the published medical evidence regarding amputee peer support in the civilian population and provide an evidence-based clinical practice recommendation. This study was based on an exhaustive examination of the civilian amputee peer support medical evidence, bibliographic search, and on the experience of the authors when performing this integrative review...
March 2018: Journal of Vascular Nursing: Official Publication of the Society for Peripheral Vascular Nursing
https://www.readbyqxmd.com/read/29402310/fnirs-based-neurorobotic-interface-for-gait-rehabilitation
#13
Rayyan Azam Khan, Noman Naseer, Nauman Khalid Qureshi, Farzan Majeed Noori, Hammad Nazeer, Muhammad Umer Khan
BACKGROUND: In this paper, a novel functional near-infrared spectroscopy (fNIRS)-based brain-computer interface (BCI) framework for control of prosthetic legs and rehabilitation of patients suffering from locomotive disorders is presented. METHODS: fNIRS signals are used to initiate and stop the gait cycle, while a nonlinear proportional derivative computed torque controller (PD-CTC) with gravity compensation is used to control the torques of hip and knee joints for minimization of position error...
February 5, 2018: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/29384921/three-dimensional-printed-upper-limb-prosthesis-for-a-child-with-traumatic-amputation-of-right-wrist-a-case-report
#14
Guisheng Xu, Liang Gao, Ke Tao, Shengxiang Wan, Yuning Lin, Ao Xiong, Bin Kang, Hui Zeng
RATIONALE: For traumatic upper limb amputees, the prohibitive cost of a custom-made prosthesis brings an insufferable financial burden for their families in developing countries. Three-dimensional (3D) printing allows for creating affordable, lightweight, customized, and well-fitting prosthesis, especially for the growing children. PATIENT CONCERNS: We presented a case of an 8-year-old boy, who suffered a traumatic right wrist amputation as result of a mincing machine accident...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29361966/the-experiences-of-people-with-diabetes-related-lower-limb-amputation-at-the-komfo-anokye-teaching-hospital-kath-in-ghana
#15
Vida Maame Kissiwaa Amoah, Reindolf Anokye, Enoch Acheampong, Helina Rubby Dadson, Mary Osei, Alberta Nadutey
OBJECTIVE: Lower limb amputation not only causes major disfigurement, but renders people less mobile and at risk of loss of independence. Yet with appropriate rehabilitation, many people can learn to walk or function again and live high quality lives. This study sought to explore the experiences of patients with diabetes-related lower limb amputation at the Komfo Anokye Teaching Hospital. An exploratory study design was adopted using a qualitative approach and a purposive sampling to select 10 participants for the study...
January 24, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29350089/a-comparative-analysis-of-internal-bone-remodelling-concepts-in-a-novel-implant-for-direct-skeletal-attachment-of-limb-prosthesis-evaluation-a-finite-element-analysis
#16
Piotr Prochor, Eugeniusz Sajewicz
Nowadays, numerous internal bone remodelling concepts are under development, in order to estimate long-term functionality of implants by evaluating the intensity of stress-shielding effect. This effect is also analysed for the implants for direct skeletal attachment, considered as a better exoprosthesis fixation method than prosthetic sockets. Most of bone remodelling approaches are based on basic concepts, differing with certain assumptions, which may affect the accuracy of the results. This article compares commonly used internal bone remodelling concepts and evaluates the functionality of the proposed Limb Prosthesis Osseointegrated Fixation System for direct skeletal attachment of limb prosthesis in comparison with two currently available implants: the Intraosseous Transcutaneous Amputation Prosthesis and the Osseointegrated Prostheses for the Rehabilitation of Amputees...
March 2018: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
https://www.readbyqxmd.com/read/29343891/first-two-bilateral-hand-transplantations-in-india-part-3-rehabilitation-and-immediate-outcome
#17
Mohit Sharma, Subramania Iyer, P Kishore, Jimmy Mathew, Sundeep Vijayaraghavan, Ravi Sankaran, Arun N Nair, R Janarthanan, Abhijeet Wakure, Raghuveer Reddy, S M Chetan Mali, Visakh Varma, Ashish Chaudhari, Swapnil Dhake, Akshay Omkumar
Introduction: This report covers the strategies adopted for rehabilitation for the first and second dual hand transplants performed in India. Materials and Methods: The team, under a trained physiatrist, including physiotherapy and occupational therapy personnel, was involved in the management of both these patients. The management protocol was developed considering previous reports as well as our management strategies in the rehabilitation of the replanted hands...
May 2017: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/29322812/adjustment-to-finger-amputation-and-silicone-finger-prosthesis-use
#18
Zala Kuret, Helena Burger, Gaj Vidmar, Tomaz Maver
PURPOSE: Finger amputations are the most common amputations of upper limbs. They influence hand function, general functioning and quality of life. One of the possibilities for rehabilitation after finger amputation is fitting a silicone finger prosthesis. We wanted to evaluate the adjustment to amputation and prosthesis use in patients after finger amputation. METHODS: We included 42 patients with partial or complete single or multiple finger amputation of one hand who visited the outpatient clinic for prosthetics and orthotics at our institute and received a silicone prosthesis...
January 11, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29320640/syme-amputation-a-systematic-review
#19
Rudwina Braaksma, Pieter U Dijkstra, Jan H B Geertzen
BACKGROUND: In the decision-making process toward an amputation of the lower extremity, knowledge about patient-related outcomes after amputation and rehabilitation is important. We have not found a systematic review that provides this knowledge for Syme amputation. The aim of this study was to present an overview of outcomes after a Syme amputation grouped according to the International Classification of Functioning, Disability and Health (ICF) model, focusing on body structures and functions, activities, and participation...
March 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29317224/determining-reliability-of-a-dual-task-functional-mobility-protocol-for-individuals-with-lower-extremity-amputation
#20
Susan W Hunter, Courtney Frengopoulos, Jeff Holmes, Ricardo Viana, Michael W Payne
OBJECTIVE: To determine the relative and absolute reliability of a dual-task functional mobility assessment. DESIGN: Cross-sectional study. SETTING: Academic rehabilitation hospital. PARTICIPANTS: Individuals (N=60) with lower extremity amputation attending an outpatient amputee clinic (mean age, 58.21±12.59y; 18, 80% male) who were stratified into 3 groups: (1) transtibial amputation of vascular etiology (n=20); (2) transtibial amputation of nonvascular etiology (n=20); and (3) transfemoral or bilateral amputation of any etiology (n=20)...
April 2018: Archives of Physical Medicine and Rehabilitation
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