Prothetische Rekonstruktion der oberen Extremität

Utilização de membros protéticos fabricados a partir de impressão 3D para amputados

“…Com relação à avaliação do desempenho das próteses, existem testes funcionais quantitativos, que envolvem tarefas a ser executadas com as próteses, nas quais tempo, quantidade e qualidade são tópicos que influenciam no feedback de funcionalidade da prótese para o amputado 23,46 . Dessa forma, a aplicação das próteses deve ser realizada em conjunto de testes avaliativos, a fim de analisar o desempenho do indivíduo em tarefas específicas e, com isso, permitir realizar melhorias no desenvolvimento de novos dispositivos protéticos.…”

“…Estruturas comumente abrangendo sistemas eletrônicos, motores, cabos e eletrodos que fornecem energia externa ao corpo e, portanto, movimento ao segmento corporal, são consideradas próteses ativas. A prótese mioelétrica é um exemplo de prótese ativa, na qual o dispositivo é ativado a partir de sinais musculares e gera movimentação do membro 23 . Embora ofereçam maior desempenho e maior funcionalidade, as próteses ativas representam um sistema de alta complexidade.…”

Frontiers of Brachial Plexus Injury: Future Revolutions in the Field

“…In these additional readings, one can learn more about upper limb prosthetics [46] including an advanced prosthetic called the DEKA arm [47,48] and other advances funded by defense advanced research projects agency (DARPA), [49] interfaces involved in control of prosthetics, [50][51][52][53][54] exoskeletons, [55] and considerations for different levels of amputation [56].…”

“…Topic overview [46] A review including technological advances in prosthetics for upper limb amputees [47] A case series studying the DEKA arm-a prosthetic upper limb with active wrist control [48] An article exploring the various DEKA arm models created through funding from DARPA [49] A review discussing DARPA-funded peripheral nerve interfaces including a focus on provision of motor control and sensory feedback to prosthetic limbs [50] A review summarizing biosignal processing of BMIs that utilize EEG and EMG signals, as well as a discussion of sensors, features, and classifiers for upper limb prosthetics [51] A review investigating the impact of biomechatronic technology on amputee rehabilitation outcomes, including upper limb amputees [52] This book chapter discusses the way electromyography (EMG) is used to create pattern-based myoelectric movements of upper limb prosthetics [53] A clinical trial studying the use of Utah Slanted Electrode Arrays (USEAs) to provide more degrees of freedom in movement and increased proprioception for prosthetic hand users [54] A review of the state-of-the-art and the limitations of myoelectric signal control methods of upper limb prostheses [55] A systematic review of EEG used in BMIs for control of human limb exoskeletons, including background on upper limb exoskeletons [56] A review exploring exoprosthetic limb replacement considering different severities of amputation to the upper limb…”

Rehabilitation of high upper limb amputees after Targeted Muscle Reinnervation

“…TMR is applied in patients with above-elbow amputation and patients with shoulderdisarticulation 1,6 , and has been expanded in recent years to patients with forearm and lower limb amputations [7][8][9] . While the initial concept developed by Kuiken et al in the early 2000s included up to four nerve transfers for high amputations of the upper limb 10 , the concept was later enhanced to gain up to six independent signals 1,2,11 .…”