Upper Limb Traumatic Amputees

1997 ◽  
Vol 22 (1) ◽  
pp. 73-76 ◽  
Author(s):  
W.J. GAINE ◽  
C. SMART ◽  
M. BRANSBY-ZACHARY
Keyword(s):  
Upper Limb ◽  
Functional Ability ◽  
Case Note ◽  
Myoelectric Prosthesis ◽  
Gainful Employment ◽  
Prosthetic Fitting ◽  
Traumatic Group ◽  
Prosthetic Status ◽  
Post Traumatic ◽  
Detailed Questionnaire

The prosthetic status of the traumatic upper limb amputees was reviewed. Fifty-five upper limb amputees were reviewed using a detailed questionnaire, telephone or clinic review and by case note study. Twenty-three patients were traumatic amputees and 32 were congenital amputees. The amputees’ function, prosthetic use and satisfaction were evaluated and this formed the basis of a scoring system. The traumatic group were less satisfied with their prosthesis and their functional ability was poorer, especially in the use of the myoelectric prosthesis. Traumatic amputees wore their prosthesis for an average of 6.5 hours per day compared to 9.3 hours in the atraumatic group. None of the traumatic amputees fitted after 12 weeks returned to gainful employment. Early prosthetic fitting, rehabilitation and post-traumatic counselling are advocated in upper limb traumatic amputees in order to achieve an optimum prosthetic benefit for the patient.

INTELLIGENT UPPER-LIMB PROSTHETIC CONTROL (iULP) WITH NOVEL FEATURE EXTRACTION METHOD FOR PATTERN RECOGNITION USING EMG

2021 ◽  
pp. 2150043
Author(s):  
SIDHARTH PANCHOLI ◽  
AMIT M. JOSHI
Keyword(s):  
Pattern Recognition ◽  
Upper Limb ◽  
Classification Accuracy ◽  
Time Derivative ◽  
Machine Learning Algorithms ◽  
Prosthetic Control ◽  
Myoelectric Prosthesis ◽  
Feature Extraction Method ◽  
Similar Work ◽  
Emg Signal

EMG signal-based pattern recognition (EMG-PR) techniques have gained lots of focus to develop myoelectric prosthesis. The performance of the prosthesis control-based applications mainly depends on extraction of eminent features with minimum neural information loss. The machine learning algorithms have a significant role to play for the development of Intelligent upper-limb prosthetic control (iULP) using EMG signal. This paper proposes a new technique of extracting the features known as advanced time derivative moments (ATDM) for effective pattern recognition of amputees. Four heterogeneous datasets have been used for testing and validation of the proposed technique. Out of the four datasets, three datasets have been taken from the standard NinaPro database and the fourth dataset comprises data collected from three amputees. The efficiency of ATDM features is examined with the help of Davies–Bouldin (DB) index for separability, classification accuracy and computational complexity. Further, it has been compared with similar work and the results reveal that ATDM features have excellent classification accuracy of 98.32% with relatively lower time complexity. The lower values of DB criteria prove the good separation of features belonging to various classes. The results are carried out on 2.6[Formula: see text]GHz Intel core i7 processor with MATLAB 2015a platform.

scholarly journals Elective amputation of the upper limb is an option in the treatment of traumatic injuries of the brachial plexus?

2017 ◽  
Vol 75 (9) ◽  
pp. 667-670 ◽  
Author(s):  
Mário Gilberto Siqueira ◽  
Roberto Sérgio Martins ◽  
Carlos Otto Heise ◽  
Luciano Foroni
Keyword(s):  
Peripheral Nerve ◽  
Brachial Plexus ◽  
Upper Limb ◽  
Limb Amputation ◽  
Brachial Plexus Palsy ◽  
Traumatic Injuries ◽  
Upper Limb Amputation ◽  
Pros And Cons ◽  
Post Traumatic ◽  
Active Patients

ABSTRACT The treatment of complete post-traumatic brachial plexus palsy resulting in a flail shoulder and upper extremity remains a challenge to peripheral nerve surgeons. The option of upper limb amputation is controversial and scarcely discussed in the literature. We believe that elective amputation still has a role in the treatment of select cases. The pros and cons of the procedure should be intensely discussed with the patient by a multidisciplinary team. Better outcomes are usually achieved in active patients who strongly advocate for the procedure.

scholarly journals Osseointegration amputation prostheses on the upper limbs: methods, prosthetics and rehabilitation

2011 ◽  
Vol 35 (2) ◽  
pp. 190-200 ◽  
Author(s):  
Stewe Jönsson ◽  
Kerstin Caine-Winterberger ◽  
Rickard Brånemark
Keyword(s):  
Quality Of Life ◽  
Upper Limb ◽  
Upper Limbs ◽  
Stable Fixation ◽  
Prosthetic Fitting ◽  
Improved Function ◽  
Second Procedure ◽  
Rehabilitation Strategy ◽  
Extremity Amputation

Background: The osseointegration programme for upper extremity amputation started in Sweden in 1990, when a titanium fixture was first implanted into a thumb. This method has since been used for transhumeral and below-elbow amputation. The treatment involves two surgical procedures. During the first a titanium fixture is surgically attached to the skeleton, and a second procedure six months later involves a skin penetrating abutment to which the prosthesis is attached.Objectives: To describe the osseointegration procedure for surgery, prosthetics and rehabilitation.Methods: Patients with short stumps and previous problems with prosthetic fitting were selected. From 1990 to April 2010, 37 upper limb cases were treated and fitted with prosthesis: 10 thumbs, 1 partial hand, 10 transradial and 16 transhumeral amputations. Of these, 7 patients are currently not prosthetic users.Results: Patients indicated that function and quality of life had improved since osseointegration.Conclusion: Osseointegration is an important platform for present and future prosthetic technology. The prosthetic situation is improved due to the stable fixation, freedom of motion and functionality.Clinical relevance The two-stage osseointegration procedure has the potential to change the rehabilitation strategy for selected upper limb amputees. The method eliminates the need for a socket and the prosthesis will always fit. The stable prosthetic fixation and increased freedom of motion generates improved function. Specially designed components and rehabilitation procedures have been developed.

scholarly journals Psychological consequences of traumatic upper limb peripheral nerve injury: A systematic review

Hand Therapy ◽  
2016 ◽  
Vol 22 (1) ◽  
pp. 35-45 ◽  
Author(s):  
Caroline Miller ◽  
Aimie L Peek ◽  
Dominic Power ◽  
Nicola R Heneghan
Keyword(s):  
Peripheral Nerve ◽  
Nerve Injury ◽  
Upper Limb ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Peripheral Nerve Injury ◽  
Stress Disorder ◽  
Psychological Consequences ◽  
Post Traumatic Stress ◽  
Post Traumatic

Introduction Traumatic upper limb peripheral nerve injuries significantly impact individuals’ function and ability to return to work. Patients with peripheral nerve injury experience ongoing psychological impairments for which they are not routinely treated. The aim of this review was to investigate the psychological consequences of traumatic upper limb peripheral nerve injury. Methods A systematic review of MEDLINE, Embase, PsycINFO, CINAHL, AMED, BNI, the Cochrane libraries and grey literature up to October 2015 was undertaken. Two reviewers independently assessed methodological quality in accordance with Cochrane Collaboration recommendations. Eligibility criteria comprised: adults or adolescents with traumatic upper limb peripheral nerve injury using any measurement of psychological well-being. Results Six studies ( n = 245) met the inclusion criteria. Methodological quality varied widely. Evidence of post-traumatic stress disorder at one month, which decreased over time, was reported in three studies. Two studies found a statistically significant correlation between the early presence of post-traumatic stress disorder and reduction in function at 12 or more months. Limited information was available on anxiety, depression and mental quality of life. Combined nerve injuries (in two studies) had significantly higher levels of post-traumatic stress disorder, at one month, compared to those with an isolated nerve injury. Conclusion There is some evidence of early post-traumatic stress disorder following traumatic upper limb peripheral nerve injury, which may have an impact on functional outcome. However, high-quality studies using prospective cohorts are required to further evaluate the psychological aspects associated with this traumatic injury.

Clinical results of an investigation of paediatric upper limb myoelectric prosthesis fitting at the Quebec rehabilitation institute

2001 ◽  
Vol 25 (2) ◽  
pp. 119-131 ◽  
Author(s):  
F. Routhier ◽  
C. Vincent ◽  
M-J. Morissette ◽  
L. Desaulniers
Keyword(s):  
Upper Limb ◽  
Dropout Rate ◽  
Clinical Results ◽  
User Evaluation ◽  
Rehabilitation Centre ◽  
Myoelectric Prosthesis ◽  
Myoelectric Prostheses ◽  
Prosthesis Fitting ◽  
Children And Parents

This study was designed to investigate the satisfaction level of young users of myoelectric prostheses who received an upper limb myoelectric prosthesis, to assess their dropout rate and to identify which factors influence the use or non-use of the upper limb myoelectric prosthesis in the eastern part of Quebec (Canada). The users were fitted between 1990 and 1999 at the Quebec Rehabilitation Institute, a major rehabilitation centre located in the province of Quebec. This rehabilitation centre provides cutting-edge expertise not only for the eastern part of Quebec, but also across the entire province, because it is one of only two highly specialised centres serving all of Quebec.A literature review was completed to compile the results obtained in other rehabilitation centres and to identify factors influencing the use or non-use of paediatric upper limb myoelectric prostheses. The Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST) was used in order to assess the degree to which the children were satisfied with their prostheses.Eighteen (18) children were fitted and trained to use an upper limb myoelectric prosthesis. A total of 10 children and parents agreed to participate. Some 80% of participants said that they were satisfied with their prostheses. A dropout rate of 53% for the overall group (participants and non-participants) seems high compared with that of other studies. Recommendations linked to factors identified in the literature are made. The authors conclude that a multidisciplinary team and structured training and follow-up can improve the clinical results pertaining to all the factors proposed in the literature.

scholarly journals Development and Implementation of an End-Effector Upper Limb Rehabilitation Robot for Hemiplegic Patients with Line and Circle Tracking Training

2017 ◽  
Vol 2017 ◽  
pp. 1-11 ◽  
Author(s):  
Yali Liu ◽  
Chong Li ◽  
Linhong Ji ◽  
Sheng Bi ◽  
Xuemin Zhang ◽  
...  
Keyword(s):  
Upper Limb ◽  
Functional Ability ◽  
Degrees Of Freedom ◽  
Muscle Activation ◽  
Movement Pattern ◽  
Interaction Force ◽  
Rehabilitation Robot ◽  
End Effector ◽  
Upper Limb Rehabilitation ◽  
Limb Rehabilitation

Numerous robots have been widely used to deliver rehabilitative training for hemiplegic patients to improve their functional ability. Because of the complexity and diversity of upper limb motion, customization of training patterns is one key factor during upper limb rehabilitation training. Most of the current rehabilitation robots cannot intelligently provide adaptive training parameters, and they have not been widely used in clinical rehabilitation. This article proposes a new end-effector upper limb rehabilitation robot, which is a two-link robotic arm with two active degrees of freedom. This work investigated the kinematics and dynamics of the robot system, the control system, and the realization of different rehabilitation therapies. We also explored the influence of constraint in rehabilitation therapies on interaction force and muscle activation. The deviation of the trajectory of the end effector and the required trajectory was less than 1 mm during the tasks, which demonstrated the movement accuracy of the robot. Besides, results also demonstrated the constraint exerted by the robot provided benefits for hemiplegic patients by changing muscle activation in the way similar to the movement pattern of the healthy subjects, which indicated that the robot can improve the patient’s functional ability by training the normal movement pattern.

scholarly journals Management of post-traumatic stiffness of the shoulder following upper limb trauma with manipulation under anaesthetic

2017 ◽  
Vol 9 (4) ◽  
pp. 258-265 ◽  
Author(s):  
Sarah T. Lancaster ◽  
Thomas N. Grove ◽  
David A. Woods
Keyword(s):  
Upper Limb ◽  
Frozen Shoulder ◽  
Standard Technique ◽  
Humeral Fracture ◽  
Limb Fracture ◽  
Significant Difference ◽  
Shoulder Scores ◽  
Post Traumatic ◽  
Upper Limb Fracture ◽  
Limb Fractures

Background A proportion of patients who sustain upper limb fractures develop post-traumatic stiffness (PTS), which may progress in a similar way to primary frozen shoulder (PFS). We have had success in treating PFS with manipulation under anaesthetic (MUA) and therefore treated PTS using MUA. Oxford Shoulder Scores (OSS), range of motion (ROM) data pre- and post-MUA, and the need for repeat procedure were compared. Methods Sixty-four patients with PTS following an upper limb fracture, unresponsive to conservative measures, were seen between 1 January 1999 and 1 November 2015. Thirty-two patients had sustained a proximal humeral fracture, six of whom had a concurrent shoulder dislocation. MUA was performed using a standard technique. The results were compared with 487 PFS patients undergoing the same procedure. Results There was no significant difference in ROM change between the groups. Improvement in OSS was slightly greater in the PFS group (17 versus 14, p = 0.005) but, upon subgroup analysis of the PTS group, no significant difference was found for patients presenting with humeral fractures alone. Conclusions MUA results for PTS following upper limb fracture are comparable to MUA for PFS. We therefore recommend MUA in PTS cases where conservative methods have failed.

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