Rehabilitation of high upper limb amputees after Targeted Muscle Reinnervation

Abstract

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Toward higher-performance bionic limbs for wider clinical use

“…Objective and clinically relevant metrics of functional outcome are thus crucial for the design and delivery of effective rehabilitation. Substantial prosthetic training is essential for the proficient handling of a myoelectric prosthesis (training usually starts before the user receives the device 225,226 ). Pre-prosthetic training can involve virtual reality and augmented reality as well as training systems controlled via desktop computers 227 or smartphone apps [227][228][229] .…”

Rehabilitation nach Nerventransfers bei Armamputation

“…der notwendigen motorischen Kommandos zu interpretieren. Zusätzlich erfordert das selektive Ansteuern einzelner Muskeln spezifisches Training, weshalb die oben erwähnte einfache Steuerung nur im Zuge einer strukturierten Rehabilitation erreicht werden kann [6].…”

Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers

“…The protocol was developed within a European Delphi study 10 . The assessment of its application on patients was approved by the local research ethics committee of the Medical University of Vienna and carried out according to the Declaration of Helsinki.…”

“…This enhanced complexity of prosthetic control paired with the reduced multisensory feedback following amputation requires a specific rehabilitation to fully benefit from the surgical procedure. Here, a step-by-step guideline for the therapy interventions is provided based on recent recommendations 10 . An overview of the interventions and the estimated time they take in an ideal setting can be found in…”