Effect of prostheses on children with congenital upper limb deficiencies

Mano, Hiroshi; Fujiwara, Sayaka; Haga, Nobuhiko

doi:10.1111/ped.14265

Cited by 6 publications

(3 citation statements)

References 17 publications

(32 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These problems worsen with the age of the child [ 16 ]. Appropriate therapy, combined with the use of appropriate and adapted prosthetic equipment, allows problems with incorrect motor skills and motor development of a young person to be alleviated [ 17 ].…”

Section: Literature Reviewmentioning

confidence: 99%

Study on Properties of Automatically Designed 3D-Printed Customized Prosthetic Sockets

et al. 2021

View full text Add to dashboard Cite

This paper presents the results of experiments conducted on a batch of additively manufactured customized prosthetic sockets for upper limbs, made of thermoplastics and designed automatically on the basis of a 3D-scanned limb of a 3-year-old patient. The aim of this work was to compare sockets made of two different materials—rigid PLA and elastic TPE. Two distinct socket designs with various mounting systems were prepared. To find a reliable set of parameters for cheap and stable manufacturing of usable prostheses using 3D printers, realizing the fused deposition modeling (FDM) process, sets of sockets were manufactured with various process parameters. This paper presents the methodology of the design, the plan of the experiments and the obtained results in terms of process stability, fit and assessment by patient, as well as strength of the obtained sockets and their measured surface roughness. The results are promising, as most of the obtained products fulfil the strength criteria, although not all of them meet the fitting and use comfort criteria. As a result, recommendations of materials and process parameters were determined. These parameters were included in a prototype of the automated design and production system developed by the authors, and prostheses for several other patients were manufactured.

show abstract

Section: Literature Reviewmentioning

confidence: 99%

Study on Properties of Automatically Designed 3D-Printed Customized Prosthetic Sockets

et al. 2021

View full text Add to dashboard Cite

show abstract

“…It has been reported that the prescription of prostheses and occupational therapy ameliorates children's motor skill weaknesses. 9) In normal practice, the first prosthesis should be prescribed for children with upper limb deficiencies at approximately 6-8 months of age. This is the age at which children without disabilities begin to sit independently with their hands resting on the floor and subsequently without hand support so as to explore and manipulate objects using their hands.…”

Section: Case Reportmentioning

confidence: 99%

Rehabilitation Approach for a Child with Cerebral Palsy and Upper Limb Deficiency

Mano

Inakazu

Noguchi

et al. 2021

PRM

Self Cite

View full text Add to dashboard Cite

Background: Congenital limb deficiency is a rare and intractable anomaly of the limbs; however, prostheses can partially complement the motor function and appearance of the missing limbs. The first prosthesis is usually prescribed for children with upper limb deficiencies at approximately 6–8 months of age. In affected children with additional problems associated with motor function, such as limb paralysis, the age for initiating prosthetic therapy and the benefit of prostheses in promoting and expanding their motor function and activities is unknown. Case: In this case presentation, we describe a 25-month-old boy with cerebral palsy and left unilateral congenital upper limb deficiency caused by congenital constriction band syndrome. The patient could stand with assistance and crawl on his hands and knees. However, he was unable to walk with assistance or to stand on his own. A forearm prosthesis with a passive hand was prescribed and issued, and rehabilitation therapy for wearing and using the prosthesis was performed. At 34 months of age, the patient was able to walk forward using a walker with the prosthesis. Without the prosthesis, he still could not walk using a walker. The upper limb prosthesis also improved other movements such as sitting, standing, and tasks performed on a desk or on the floor. Discussion: The prosthesis was apparently effective in improving motor function. Prosthesis prescription should be considered at an appropriate and early age considering individual developmental stages and needs, regardless of the existence of additional problems associated with motor function.

show abstract

“…Children with unilateral transcarpal or transradial upper limb deficiencies who lack adequate experience with prosthetic intervention display weakness in motor skills in the Vineland Adaptive Behavior Scales, Second Edition (Vineland-II) [ 8 , 9 ], a standardized scale of adaptive behavior [ 10 ]. Although motor skill weakness increases with age, it can be improved through rehabilitation approaches, including occupational and prosthetic therapies [ 11 ]. However, the characteristics of intellectual ability and cognitive functioning and the effect of prostheses or rehabilitation approaches on the intellectual development of these children are unknown.…”

Section: Introductionmentioning

confidence: 99%

Intellectual Characteristics in Children With Congenital Unilateral Upper Limb Deficiencies

Mano¹,

Fujiwara²,

Nishizaka³

et al. 2023

Cureus

Self Cite

View full text Add to dashboard Cite

IntroductionSome children with motor disabilities show low cognitive levels. However, the influence of motor disabilities on children's intelligence remains to be fully elucidated. This study aimed to clarify the intellectual characteristics of children with upper limb deficiencies and the influence of upper limb impairments on intelligence. MethodsThe participants were 10 children from four to six years of age with congenital unilateral transradial or transcarpal limb deficiencies who received prosthetic interventions. The children's intelligence and adaptive behaviors, including motor skills, were examined using the Wechsler Preschool and Primary Scale of Intelligence and the Vineland Adaptive Behavior Scale, respectively. ResultsThere were no significant characteristics or discrepancies in cognitive level in children with upper limb deficiencies. The Adaptive Behavior Composite Score of the Vineland Adaptive Behavior Scale was significantly positively correlated with the Full-Scale Intelligence Quotient of the Wechsler Preschool and Primary Scale of Intelligence. ConclusionsThe children with congenital limb deficiencies showed average cognitive levels. Expansion of adaptive behaviors, including appropriate complementation of disabilities, may promote intellectual development in children with motor disabilities.

show abstract

Effect of prostheses on children with congenital upper limb deficiencies

Cited by 6 publications

References 17 publications

Study on Properties of Automatically Designed 3D-Printed Customized Prosthetic Sockets

Study on Properties of Automatically Designed 3D-Printed Customized Prosthetic Sockets

Rehabilitation Approach for a Child with Cerebral Palsy and Upper Limb Deficiency

Intellectual Characteristics in Children With Congenital Unilateral Upper Limb Deficiencies

Contact Info

Product

Resources

About