Upper Extremity Amputation and Prosthetics Care Across the Active Duty Military and Veteran Populations

Cancio, Jill M.; Ikeda, Andrea J; Barnicott, Shannon L.; Childers, W. Lee; Alderete, Joseph F.; Goff, Brandon J.

doi:10.1016/j.pmr.2018.08.011

Cited by 20 publications

(22 citation statements)

References 22 publications

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“…6 Whereas the function of prostheses in the upper extremity has improved exponentially during recent military conflicts, intricate functions of the human hand are difficult to replicate. 7 As noted in the case presentation, the intact neural function in the patient's hand mandated operative repair rather than proximal amputation. The large defect in the soft tissue over the segmental loss of the right brachial artery mandated the insertion of an extra-anatomic saphenous vein graft away from the open wound in the right biceps muscle.…”

Section: Discussionmentioning

confidence: 97%

Salvage of the injured upper extremity

Feliciano

2021

Trauma Surg Acute Care Open

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Section: Discussionmentioning

confidence: 97%

Salvage of the injured upper extremity

Feliciano

2021

Trauma Surg Acute Care Open

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“…Wound care specialists and medical management are important for ensuring sufficient recovery and appropriate fitting of a prosthesis. Occupational therapists, physical therapists, and prosthetists help prepare an individual for prosthesis training (Cancio et al, 2019 ). Early rehabilitation and training are not only necessary for maximizing functionality, but are also associated with improved patient satisfaction (Resnik et al, 2020 ).…”

Section: Prosthetic Technologymentioning

confidence: 99%

The Need to Work Arm in Arm: Calling for Collaboration in Delivering Neuroprosthetic Limb Replacements

2021

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Over the last few decades there has been a push to enhance the use of advanced prosthetics within the fields of biomedical engineering, neuroscience, and surgery. Through the development of peripheral neural interfaces and invasive electrodes, an individual's own nervous system can be used to control a prosthesis. With novel improvements in neural recording and signal decoding, this intimate communication has paved the way for bidirectional and intuitive control of prostheses. While various collaborations between engineers and surgeons have led to considerable success with motor control and pain management, it has been significantly more challenging to restore sensation. Many of the existing peripheral neural interfaces have demonstrated success in one of these modalities; however, none are currently able to fully restore limb function. Though this is in part due to the complexity of the human somatosensory system and stability of bioelectronics, the fragmentary and as-yet uncoordinated nature of the neuroprosthetic industry further complicates this advancement. In this review, we provide a comprehensive overview of the current field of neuroprosthetics and explore potential strategies to address its unique challenges. These include exploration of electrodes, surgical techniques, control methods, and prosthetic technology. Additionally, we propose a new approach to optimizing prosthetic limb function and facilitating clinical application by capitalizing on available resources. It is incumbent upon academia and industry to encourage collaboration and utilization of different peripheral neural interfaces in combination with each other to create versatile limbs that not only improve function but quality of life. Despite the rapidly evolving technology, if the field continues to work in divided “silos,” we will delay achieving the critical, valuable outcome: creating a prosthetic limb that is right for the patient and positively affects their life.

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“…However, an initial trial with the patients proved Microsoft's Kinect to be unsuitable for effective body tracking because of the missing body part. Later, Microsoft's Kinect was replaced by HTC VIVE Controllers 6 . A custom band was created using a 3D printer to secure the controller around the missing limb.…”

Section: Myoelectric Control Systemmentioning

confidence: 99%

“…The necessity of comprehensive patient training is required to increase artificial limb acceptance by influencing positively the prosthetic fitting and the patient's satisfaction, which will improve the movement capacity and promote early return to functional activities and abilities of daily living [6,26,48]. However, this type of training is considered to be expensive since it needs high-end technologies (e.g., myoelectric prostheses) and substantial monitoring by medical and paramedical staff [31].…”

Section: Introductionmentioning

confidence: 99%

Designing a Virtual Reality Myoelectric Prosthesis Training System for Amputees

Phelan

Arden

Matsangidou

et al. 2021

Extended Abstracts of the 2021 CHI Conference on Human Factors in Computing Systems

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Electrical signals produced by muscle contractions are found to be effective in controlling accurately artificial limbs. Myoelectric-powered can be more functional and advantageous compared to passive or body-powered prostheses, however extensive training is required to take full advantage of the myoelectric prosthesis' usability. In recent years, computer technology has brought new opportunities for improving patients' training, resulting in more usable and functional solutions.Virtual Reality (VR) is a representative example of this type of technology. These preliminary findings suggested that myoelectric-powered training enhanced with VR can simulate a pain-free, natural, enjoyable, and realistic experience for the patient. It was also suggested that VR can complement prosthesis training, by improving the functionality of the missing body part. Finally, it was shown that VR can resolve one of the most common challenges for a new prosthesis user, which is to accept the fitting of the prosthetic device to their own body.

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Upper Extremity Amputation and Prosthetics Care Across the Active Duty Military and Veteran Populations

Cited by 20 publications

References 22 publications

Salvage of the injured upper extremity

Salvage of the injured upper extremity

The Need to Work Arm in Arm: Calling for Collaboration in Delivering Neuroprosthetic Limb Replacements

Designing a Virtual Reality Myoelectric Prosthesis Training System for Amputees

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