Essentials of Pediatric Prosthetics

Hall, Michelle; Cummings, Donald; Welling, Richard E.; Kaleta, Mary; Koenig, Kevin; Laine, Jennifer C.; Morgan, Sara

doi:10.55275/jposna-2020-168

Cited by 2 publications

(1 citation statement)

References 14 publications

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“…The first, "Essentials of Pediatric Prosthetics" (JPOSNA Volume 2, Number 3) provides orthopaedists with a general overview for providing care and prescribing prostheses for the child with limb differences. 4 The aim of this second narrative review is to provide an overview of recent advancements in care and design options for pediatric prosthesis users. The purpose of this article is to keep orthopaedic surgeons up to date with technology so they may advise families of children with limb differences and prescribe prostheses accordingly.…”

Section: Key Conceptsmentioning

confidence: 99%

Innovations in Pediatric Prosthetics

Hall

Wustrack

Cummings

et al. 2021

Journal of the Pediatric Orthopaedic Society of North America

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Although many of the surgical and technological advances for prosthetics have emerged from caring for adults, the pediatric patient with limb differences continues to provide unique challenges and demands appropriate, pediatric-specific innovation. Not only do children test the current technology with their size, weight, and potential growth, but also with their chosen activities, energy-level and drive to explore varied environments. This article explores the recent advances within the broader realm of prosthetics, primarily based on research in adult patients. It identifies technologies that have already been translated to pediatric populations and points out areas for potential pediatric applications. This review also highlights numerous needs and gaps in the currently available resources and tools for these patients, including surgical techniques, prosthetic componentry, and rehabilitation strategies. Further innovation and research are needed for pediatric patients to maximize their functional potential while using a prosthesis.

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Section: Key Conceptsmentioning

confidence: 99%

Innovations in Pediatric Prosthetics

Hall

Wustrack

Cummings

et al. 2021

Journal of the Pediatric Orthopaedic Society of North America

Self Cite

View full text Add to dashboard Cite

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Moving a missing hand: children born with below elbow deficiency can enact hand grasp patterns with their residual muscles

Fitzgerald,

Battraw,

James

et al. 2024

J NeuroEngineering Rehabil

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Children with a unilateral congenital below elbow deficiency (UCBED) have one typical upper limb and one that lacks a hand, ending below the elbow at the proximal/mid forearm. UCBED is an isolated condition, and affected children otherwise develop normal sensorimotor control. Unlike adults with upper limb absence, the majority of whom have an acquired loss, children with UCBED never developed a hand, so their residual muscles have never actuated an intact limb. Their ability to purposefully modulate affected muscle activity is often assumed to be limited, and this assumption has influenced prosthetic design and prescription practices for this population as many modern devices derive control signals from affected muscle activity. To better understand the motor capabilities of the affected muscles, we used ultrasound imaging to study 6 children with UCBED. We examined the extent to which subjects activate their affected muscles when performing mirrored movements with their typical and missing hands. We demonstrate that all subjects could intentionally and consistently enact at least five distinct muscle patterns when attempting different missing hand movements (e.g., power grasp) and found similar performance across affected and typically developed limbs. These results suggest that although participants had never actuated the missing hand they could distinctively and consistently activate the residual muscle patterns associated with actions on the unaffected side. These findings indicate that motor control still develops in the absence of the normal effector, and can serve as a guide for developing prostheses that leverage the full extent of these children’s motor control capabilities.

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Essentials of Pediatric Prosthetics

Cited by 2 publications

References 14 publications

Innovations in Pediatric Prosthetics

Innovations in Pediatric Prosthetics

Moving a missing hand: children born with below elbow deficiency can enact hand grasp patterns with their residual muscles

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