scholarly journals Residual limb hyperhidrosis successfully managed with topical glycopyrrolate

Author(s):  
Panagiotis Kotitsas ◽  
Aikaterini Tsiogka ◽  
Efthymia Agiasofitou ◽  
Vasiliki Markantoni ◽  
Stamatios Gregoriou ◽  
...  
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2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Linda Paternò ◽  
Michele Ibrahimi ◽  
Elisa Rosini ◽  
Giuseppe Menfi ◽  
Vito Monaco ◽  
...  

AbstractThis study constitutes the first attempt to systematically quantify residual limb volume fluctuations in transfemoral amputees. The study was carried out on 24 amputees to investigate variations due to prosthesis doffing, physical activity, and testing time. A proper experimental set-up was designed, including a 3D optical scanner to improve precision and acceptability by amputees. The first test session aimed at measuring residual limb volume at 7 time-points, with 10 min intervals, after prosthesis doffing. This allowed for evaluating the time required for volume stabilization after prosthesis removal, for each amputee. In subsequent sessions, 16 residual limb scans in a day for each amputee were captured to evaluate volume fluctuations due to prosthesis removal and physical activity, in two times per day (morning and afternoon). These measurements were repeated in three different days, a week apart from each other, for a total of 48 scans for each amputee. Volume fluctuations over time after prosthesis doffing showed a two-term decay exponential trend (R2 = 0.97), with the highest variation in the initial 10 min and an average stabilization time of 30 min. A statistically significant increase in residual limb volume following both prosthesis removal and physical activity was verified. No differences were observed between measures collected in the morning and in the afternoon.Clinical Trials.gov ID: NCT04709367.


Radiology ◽  
1996 ◽  
Vol 200 (3) ◽  
pp. 843-850 ◽  
Author(s):  
K E Smith ◽  
P K Commean ◽  
M W Vannier

2012 ◽  
Vol 36 (2) ◽  
pp. 203-216 ◽  
Author(s):  
Edward Schreiber Neumann ◽  
Kartheek Yalamanchili ◽  
Justin Brink ◽  
Joon S Lee

Background: Knowledge of transtibial residual limb force and moment loading during gait can be clinically useful. The research question was whether a transducer attached between the socket and pylon can be used to detect differences in loading patterns created by prosthetic feet of different design and different walking activities in real-world environments outside the gait lab. Objectives: To develop methods for obtaining, processing, analyzing and interpreting transducer measurements and examining their clinical usefulness. Study Design: Case series design. Methods: A convenience sample of four K3-K4 transtibial amputees and a wireless tri-axial transducer mounted distal to the socket. Activities included self-selected comfortable speed walking, and ascending and descending ramps and steps. Measurements taken about three orthogonal axes were processed to produce plots of normalized resultant force versus normalized resultant moment. Within-subject differences in peak resultant forces and moments were tested. Results: Loading patterns between feet and subjects and among the activities were distinctly different. Optimal loading of peak resultant forces tentatively might occur around 25% and 69% to73% of stance during self-selected comfortable walking. Ascending and descending ramps is useful for examining heel and forefoot response. Conclusions: Force-moment plots obtained from transducer data may assist clinical decision making. Clinical relevance A pylon-mounted transducer distal to the socket reveals the moments and forces transmitted to the residual limb and can be used to evaluate the loading patterns on the residual limb associated with different foot designs and different everyday activities outside the gait lab.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Ashley D Knight ◽  
Brad D Hendershot ◽  
Todd J Sleeman ◽  
Christopher L Dearth ◽  
Felix Starker ◽  
...  
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2011 ◽  
Vol 35 (4) ◽  
pp. 395-401 ◽  
Author(s):  
Michael Kryger ◽  
Aimee E Schultz ◽  
Todd Kuiken

Background: Electromyography (EMG) pattern recognition offers the potential for improved control of multifunction myoelectric prostheses. However, it is unclear whether this technology can be successfully used by congenital amputees. Objective: The purpose of this investigation was to assess the ability of congenital transradial amputees to control a virtual multifunction prosthesis using EMG pattern recognition and compare their performance to that of acquired amputees from a previous study. Study Design: Preliminary cross-sectional study. Methods: Four congenital transradial amputees trained and tested a linear discriminant analysis (LDA) classifier with four wrist movements, five hand movements, and a no-movement class. Subjects then tested the classifier in real time using a virtual arm. Results: Performance metrics for the residual limb were poorer than those with the intact limb (classification accuracy: 52.1%±15.0% vs. 93.2%±15.8%; motion-completion rate: 49.0%±23.0% vs. 84.0%±9.4%; motion-completion time: 2.05±0.75 s vs. 1.13±0.05 s, respectively). On average, performance with the residual limb by congenital amputees was reduced compared to that reported for acquired transradial amputees. However, one subject performed similarly to acquired amputees. Conclusions: Pattern recognition control may be a viable option for some congenital amputees. Further study is warranted to determine success factors.


2014 ◽  
Vol 11 (4) ◽  
pp. 381-388 ◽  
Author(s):  
Giorgio Colombo ◽  
Roberto Morotti ◽  
Caterina Rizzi
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