Influence of Upper Extremity Vibration on Spasticity and Function in Persons With Tetraplegia

Author(s):  
Keyword(s):  
Author(s):  
Alwyn P. Johnson ◽  
Bradley Veatch

Upper-extremity (UE) prostheses are increasingly more functional and proportionately more costly, rendering them largely unattainable for impoverished amputees in the United States (US) and abroad. Recognizing the increasing need for appropriate devices, PhysioNetics, LLC is developing a heavy-duty, transradial body-powered (BP) UE prosthesis which can be prescribed with minimal instruction. The design of the key components, the split-hook terminal device [TD] and universal adjustable interface is presented in this paper. The TD is primarily fabricated from plastics to eliminate galvanic corrosion in saltwater environments, weighs 5.4 oz (153 g) and uses inexpensive rubber bands to generate pinch force. Unique gripping contours provide versatile grasp and replicate five (5) prehension patterns while six (6) discrete force settings provide 2 – 17 lbf (8.9 – 76 N) of pinch. Three (3) universal interface sizes (small, medium, and large) accommodate most amputees and comfortably support axial loads up to 40 lbf (178 N). Estimated manufacturing cost for a complete unit is less than US$250. Field testers report lower but comparable comfort to their individually custom-fabricated interfaces, and are highly satisfied with fit and function of the prosthesis overall. Ongoing development includes reduction of manufacturing costs, increasing interface comfort and implementing task-specific variant designs.


2018 ◽  
Vol 59 (5) ◽  
pp. 669
Author(s):  
Dong Kyu Moon ◽  
Young Jin Park ◽  
Sang-Youn Song ◽  
Mi Ji Kim ◽  
Jin Sung Park ◽  
...  

2016 ◽  
Vol 96 (3) ◽  
pp. 390-399 ◽  
Author(s):  
Michele A. Lobo ◽  
John Koshy ◽  
Martha L. Hall ◽  
Ozan Erol ◽  
Huantian Cao ◽  
...  

Background A person's ability to move his or her arms against gravity is important for independent performance of critical activities of daily living and for exploration that facilitates early cognitive, language, social, and perceptual-motor development. Children with a variety of diagnoses have difficulty moving their arms against gravity. Objective The purpose of this technical report is to detail the design process and initial testing of a novel exoskeletal garment, the Playskin Lift, that assists and encourages children to lift their arms against gravity. Design This report details the design theory and process, the device, and the results of field testing with a toddler with impaired upper extremity function due to arthrogryposis multiplex congenita. Results The Playskin Lift is an inexpensive (<$30 material costs), easy to use (5/5 rating), comfortable (5/5 rating), and attractive (4/5 rating) device. While wearing the device, the child was able to contact objects more often throughout an increased play space, to look at toys more while contacting them, and to perform more complex interactions with toys. Limitations This report details initial testing with one child. Future testing with more participants is recommended. Conclusions These results suggest that by considering the broad needs of users, including cost, accessibility, comfort, aesthetics, and function, we can design inexpensive devices that families and clinicians can potentially fabricate in their own communities to improve function, participation, exploration, and learning for children with disabilities.


2019 ◽  
Vol 73 (4_Supplement_1) ◽  
pp. 7311500054p1
Author(s):  
Namrata Grampurohit ◽  
Mary Slavin ◽  
Pengsheng Ni ◽  
Alan Jette ◽  
MaryJane Mulcahey

2019 ◽  
pp. 1-5
Author(s):  
W. Kemmler ◽  
S. von Stengel ◽  
D. Schoene

Background: Declines in muscle mass and function are inevitable developments of the advanced aging process. Corresponding dimensions of longitudinal changes in at-risk populations are still scarce although clinically relevant. The present study monitored changes in morphologic and functional sarcopenia criteria related to sarcopenia in older men with low muscle mass over a period of 24 months. Objectives: The main objective of the present study was to determine whether changes in muscle mass and function were comparable across the body. Our hypothesis was that both (1) fat free mass (FFM) and (2) function decline at a significantly higher rate in the lower versus the upper extremities. Design: We conducted an observational study of 24 months. Setting: Community dwelling men living in the area of Northern Bavaria were initially included in the Franconian Sarcopenic Obesity (FranSO) study by the Institute of Medical Physics University of Erlangen-Nürnberg, Germany. Participants: One hundred and seventy-seven (177) men (77.5±4.5 years) within the lowest skeletal muscle mass index (SMI) quartile of the FranSO study were included in the present 24 month analysis. Measurements: Fat free mass (direct-segmental, multi-frequency Bio-Impedance-Analysis (DSM-BIA)), handgrip strength (hand-dynamometer) and 10-m habitual gait velocity (photo sensors) were assessed at baseline and 24-month follow-up. Results: Lower extremity fat free mass (LEFFM: -2.0±2.4%), handgrip strength (-12.8±11.0%) and gait velocity (-3.5±9.0%) declined significantly (p<.001) during the follow-up period, while upper extremity FFM was maintained unchanged (UEFFM: 0.1±3.1%). Changes in LEFFM were significantly higher (p<.001) compared with UEFFM, however contrary to our expectation the decline in handgrip strength representing upper extremity muscle function was 3.7-fold higher (p<.001) than the decline in gait velocity. Conclusion: Medical experts involved in diagnosis, monitoring and management of sarcopenia should consider that parameters constituting morphologic and functional sarcopenia criteria feature different rates of decline during the aging process.


2012 ◽  
Vol 24 (10) ◽  
pp. 1033-1036
Author(s):  
Hisanori Yuminaga ◽  
Michiko Isaka ◽  
Osamu Hasegawa ◽  
Chizuko Niimura ◽  
Hanayo Lee ◽  
...  

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