Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers

Sturma, Agnes; Hruby, Laura A.; Boesendorfer, Anna; Gstoettner, Clemens; Farina, Dario

doi:10.3791/62896

Cited by 2 publications

(4 citation statements)

References 10 publications

(13 reference statements)

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“…For TMR rehabilitation, the procedure as described by Sturma at al. ( 12 , 18 ) was followed. Interventions covered: standard postsurgical interventions (oedema and pain control, scar treatment), endurance training, improving range of motion and body symmetry, activation of sensory-motor cortex (mirror therapy, imaginary movements, lateralization training), MyoTesting and MyoTraining with surface electromyographic (sEMG) biofeedback, table-top prosthesis training and prosthesis training, as well as clinical follow-up examinations.…”

Section: Methodsmentioning

confidence: 99%

“…Additionally, axial loading with increasing pressure on a weight scale was administered, and abutment cleaning was instructed. The number of therapy sessions was planned according to the availability (family duties, work, and education) and needs of the patients, also taking into account their travel time (ranging from 2.5 to 5.5 hours per direction) ( 18 ).…”

Section: Methodsmentioning

confidence: 99%

“…They consulted our centre for bionic extremity reconstruction between 2018 and 2021 (see Tables I and II for their characteristics and details on the medical treatment) with the wish for an improvement in extremity function. All had a unilateral traumatic upper limb amputation at the transhumeral level and inclusion criteria for OI/TMR were evaluated ( 2 , 12 , 18 ). Assessment criteria included dissatisfaction with conventional socket prosthesis if already fitted, short residual bone, wish/expression for best possible fitting, willingness/high motivation to participate in a relatively long rehabilitation process, funding (provided by health insurance), wish for active lifestyle, and clear understanding of risks and possible benefits after patient information provided by the team.…”

Section: Methodsmentioning

confidence: 99%

“…For TMR rehabilitation, the procedure as described by Sturma at al. (12,18) was followed. 2) was applied according to Jönsson et al (2).…”

Section: General Proceduresmentioning

confidence: 99%

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Long-term functional and clinical outcome of combined targeted muscle reinnervation and osseointegration for functional bionic reconstruction in transhumeral amputees: a case series

Sturma,

Boesendorfer,

Gstoettner

et al. 2024

JRM

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Objective: To describe and evaluate the combination of osseointegration and nerve transfers in 3 transhumeral amputees. Design: Case series. Patients: Three male patients with a unilateral traumatic transhumeral amputation. Methods: Patients received a combination of osseointegration and targeted muscle reinnervation surgery. Rehabilitation included graded weight training, range of motion exercises, biofeedback, table-top prosthesis training, and controlling the actual device. The impairment in daily life, health-related quality of life, and pain before and after the intervention was evaluated in these patients. Their shoulder range of motion, prosthesis embodiment, and function were documented at a 2- to 5-year follow-up. Results: All 3 patients attended rehabilitation and used their myoelectric prosthesis on a daily basis. Two patients had full shoulder range of motion with the prosthesis, while the other patient had 55° of abduction and 45° of anteversion. They became more independent in their daily life activities after the intervention and incorporated their prosthesis into their body scheme to a high extent. Conclusion: These results indicate that patients can benefit from the combined procedure. However, the patients’ perspective, risks of the surgical procedures, and the relatively long rehabilitation procedure need to be incorporated in the decision-making.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…For TMR rehabilitation, the procedure as described by Sturma at al. (12,18) was followed. 2) was applied according to Jönsson et al (2).…”

Section: General Proceduresmentioning

confidence: 99%

See 2 more Smart Citations

Long-term functional and clinical outcome of combined targeted muscle reinnervation and osseointegration for functional bionic reconstruction in transhumeral amputees: a case series

Sturma,

Boesendorfer,

Gstoettner

et al. 2024

JRM

Self Cite

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Biosignal-integrated robotic systems with emerging trends in visual interfaces: A systematic review

Lee,

Miri,

Bayro

et al. 2024

Biophysics Reviews

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Human–machine interfaces (HMI) are currently a trendy and rapidly expanding area of research. Interestingly, the human user does not readily observe the interface between humans and machines. Instead, interactions between the machine and electrical signals from the user's body are obscured by complex control algorithms. The result is effectively a one-way street, wherein data is only transmitted from human to machine. Thus, a gap remains in the literature: how can information be effectively conveyed to the user to enable mutual understanding between humans and machines? Here, this paper reviews recent advancements in biosignal-integrated wearable robotics, with a particular emphasis on “visualization”—the presentation of relevant data, statistics, and visual feedback to the user. This review article covers various signals of interest, such as electroencephalograms and electromyograms, and explores novel sensor architectures and key materials. Recent developments in wearable robotics are examined from control and mechanical design perspectives. Additionally, we discuss current visualization methods and outline the field's future direction. While much of the HMI field focuses on biomedical and healthcare applications, such as rehabilitation of spinal cord injury and stroke patients, this paper also covers less common applications in manufacturing, defense, and other domains.

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Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers

Cited by 2 publications

References 10 publications

Long-term functional and clinical outcome of combined targeted muscle reinnervation and osseointegration for functional bionic reconstruction in transhumeral amputees: a case series

Long-term functional and clinical outcome of combined targeted muscle reinnervation and osseointegration for functional bionic reconstruction in transhumeral amputees: a case series

Biosignal-integrated robotic systems with emerging trends in visual interfaces: A systematic review

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