Prosthesis use in adult acquired major upper-limb amputees: patterns of wear, prosthetic skills and the actual use of prostheses in activities of daily life

Østlie, Kristin; Lesjø, Ingrid Marie; Franklin, Rosemary Joy; Garfelt, Beate; Skjeldal, Ola H.; Magnus, Per

doi:10.3109/17483107.2011.653296

Cited by 94 publications

(85 citation statements)

References 43 publications

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“…Moreover, consistent with previous results, more than three-quarters of our cases experienced phantom sensation [7]. Phantom pain was found in approximately two-thirds of participants, which was in accordance with the estimates of previous studies of 50 to 90 % in upper limb amputees [15, 19–21]. As pain control is important for patient comfort and health, prevention and treatment of pain can play a significant role in upper limb amputation rehabilitation.…”

Section: Discussionsupporting

confidence: 93%

“…Global prosthesis use has been estimated to be up to 80 %, and two-thirds of participants in a previous study employed the prosthesis for ≥8 h/day [12, 15, 21]. In contrast, prosthesis use was less frequent in the participants in this study, and only one-quarter employed prosthesis for ≥8 h/day.…”

Section: Discussionmentioning

confidence: 51%

“…In contrast, prosthesis use was less frequent in the participants in this study, and only one-quarter employed prosthesis for ≥8 h/day. The use of myoelectric versus cosmetic prostheses can increase actual prosthesis use in activities of daily living (ADL) [21]. In contrast, rejection of prosthesis use was reported because of poor cosmetic quality of some types of devices.…”

Section: Discussionmentioning

confidence: 99%

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A comprehensive musculoskeletal and peripheral nervous system assessment of war-related bilateral upper extremity amputees

et al. 2016

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BackgroundUpper limb amputations are one of the unpleasant war injuries that armed forces are exposed to frequently.The present study aimed to assess the musculoskeletal and peripheral nervous systems in Iraq-Iran war veterans with bilateral upper extremity amputation.MethodsThe study consisted of taking a history and clinical examinations including demographic data, presence and location of pain, level of amputation, passive and active ranges of movement of the joints across the upper and lower extremities and spine, manual palpation, neurological examination, blood circulation pulses and issues related to a prosthetic limb. In this study, 103 Iranian bilateral upper extremity amputees (206 amputations) from the Iran-Iraq war were evaluated, and a detailed questionnaire was also administered.ResultsThe most common level of amputation was the finger or wrist level (108, 52.4 %). Based on clinical examination, we found high frequencies of limited active and passive joint range of movement across the scapula, shoulder, elbow, wrist and metacarpophalangeal, interphalangeal and thumb joints. Based on muscle strength testing, we found varying degrees of weakness across the upper limbs. Musculoskeletal disorders included epicondylitis (65, 31.6 %), rotator cuff injury (24, 11.7 %), bicipital tendonitis (69, 33.5 %), shoulder drop (42, 20.4 %) and muscle atrophy (19, 9.2 %). Peripheral nerve disorders included carpal tunnel syndrome in 13 (6.3 %) and unilateral brachial plexus injury in 1 (1 %). Fifty-three (51.5 %) were diagnosed with facet joint syndrome at the level of the cervical spine (the most frequent site). Using a prosthesis was reported by 65 (63.1 %), both left and right sides. The back was the most common site of pain (71.8 %).ConclusionThe high prevalence of neuro-musculoskeletal disorders among bilateral upper extremity amputees indicates that they need regular rehabilitation care.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 51%

Section: Discussionmentioning

confidence: 99%

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A comprehensive musculoskeletal and peripheral nervous system assessment of war-related bilateral upper extremity amputees

et al. 2016

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“…The lack of functionality and intuitive control increases by the level of amputation – most dramatically at the level of shoulder disarticulation or four-quarter amputation; in such cases the usage and acceptance of currently available upper extremity prostheses is dramatically low (Peerdeman et al, 2011; Østlie et al, 2012), mainly due to the lack of sensory signals to deal with, and with the weight imbalance caused by the harness and the devices themselves. Figure 1 shows the typical harness implanted on a patient of shoulder disarticulation.…”

Section: What Is Wrong With Emg? Why Do Clinicians Not Use It?mentioning

confidence: 99%

Proceedings of the first workshop on Peripheral Machine Interfaces: going beyond traditional surface electromyography

et al. 2014

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One of the hottest topics in rehabilitation robotics is that of proper control of prosthetic devices. Despite decades of research, the state of the art is dramatically behind the expectations. To shed light on this issue, in June, 2013 the first international workshop on Present and future of non-invasive peripheral nervous system (PNS)–Machine Interfaces (MI; PMI) was convened, hosted by the International Conference on Rehabilitation Robotics. The keyword PMI has been selected to denote human–machine interfaces targeted at the limb-deficient, mainly upper-limb amputees, dealing with signals gathered from the PNS in a non-invasive way, that is, from the surface of the residuum. The workshop was intended to provide an overview of the state of the art and future perspectives of such interfaces; this paper represents is a collection of opinions expressed by each and every researcher/group involved in it.

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“…Furthermore, by sensing cable tension, the amputee is able to predict and adjust the position of the prosthesis without visual feedback. Although prolonged wearing can be uncomfortable, complicated motor tasks are limited and appearance is not human-like, body-powered prostheses are widely used (14). …”

Section: Body-powered Prostheses Two World Wars and The Creation Of mentioning

confidence: 99%

The evolution of functional hand replacement: From iron prostheses to hand transplantation

Zuo

Olson

2014

Plast Surg (Oakv)

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The hand is an integral component of the human body, with an incredible spectrum of functionality. In addition to possessing gross and fine motor capabilities essential for physical survival, the hand is fundamental to social conventions, enabling greeting, grooming, artistic expression and syntactical communication. The loss of one or both hands is, thus, a devastating experience, requiring significant psychological support and physical rehabilitation. The majority of hand amputations occur in working-age males, most commonly as a result of work-related trauma or as casualties sustained during combat. For millennia, humans have used state-of-the-art technology to design clever devices to facilitate the reintegration of hand amputees into society. The present article provides a historical overview of the progress in replacing a missing hand, from early iron hands intended primarily for use in battle, to today's standard body-powered and myoelectric prostheses, to revolutionary advancements in the restoration of sensorimotor control with targeted reinnervation and hand transplantation.

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Prosthesis use in adult acquired major upper-limb amputees: patterns of wear, prosthetic skills and the actual use of prostheses in activities of daily life

Abstract: Most major ULAs wear prostheses. Individualised prosthetic training and fitting of myoelectric rather than passive prostheses may increase actual prosthesis use in ADL.

Cited by 94 publications

References 43 publications

A comprehensive musculoskeletal and peripheral nervous system assessment of war-related bilateral upper extremity amputees

A comprehensive musculoskeletal and peripheral nervous system assessment of war-related bilateral upper extremity amputees

Proceedings of the first workshop on Peripheral Machine Interfaces: going beyond traditional surface electromyography

The evolution of functional hand replacement: From iron prostheses to hand transplantation

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