Fitting a Bilateral Transhumeral Amputee With Utensil Prostheses and Their Functional Assessment 10 Years Later: A Case Report

Hung, Jen Wen; Wu, Yee Hwa

doi:10.1016/j.apmr.2005.04.021

Cited by 9 publications

(5 citation statements)

References 11 publications

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“…Highsmith et al reported the successful design of a custom TD for kayaking [18]. Hung and Wu described increased independence in use of utensil prostheses for ADLs [40].…”

Section: Outcome Measures For Assessment Of Upper Limbmentioning

confidence: 99%

Differences in myoelectric and body-powered upper-limb prostheses: Systematic literature review

Carey

Lura

Highsmith³

et al. 2015

J Rehabil Res Dev

181

112

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Abstract-The choice of a myoelectric or body-powered upper-limb prosthesis can be determined using factors including control, function, feedback, cosmesis, and rejection. Although body-powered and myoelectric control strategies offer unique functions, many prosthesis users must choose one. A systematic review was conducted to determine differences between myoelectric and body-powered prostheses to inform evidence-based clinical practice regarding prescription of these devices and training of users. A search of 9 databases identified 462 unique publications. Ultimately, 31 of them were included and 11 empirical evidence statements were developed. Conflicting evidence has been found in terms of the relative functional performance of body-powered and myoelectric prostheses. Body-powered prostheses have been shown to have advantages in durability, training time, frequency of adjustment, maintenance, and feedback; however, they could still benefit from improvements of control. Myoelectric prostheses have been shown to improve cosmesis and phantom-limb pain and are more accepted for light-intensity work. Currently, evidence is insufficient to conclude that either system provides a significant general advantage. Prosthetic selection should be based on a patient's individual needs and include personal preferences, prosthetic experience, and functional needs. This work demonstrates that there is a lack of empirical evidence regarding functional differences in upper-limb prostheses.

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“…Highsmith et al reported the successful design of a custom TD for kayaking [18]. Hung and Wu described increased independence in use of utensil prostheses for ADLs [40].…”

Section: Outcome Measures For Assessment Of Upper Limbmentioning

confidence: 99%

Differences in myoelectric and body-powered upper-limb prostheses: Systematic literature review

Carey

Lura

Highsmith³

et al. 2015

J Rehabil Res Dev

181

112

View full text Add to dashboard Cite

show abstract

“…Persons with bilateral lower limb loss have been reported to acquire the function level to lead normal lives, 100 and with appropriate prosthesis devices persons with bilateral upper extremity limb loss are able to achieve a high level of function. 101,102 Amputation type: lower extremity had significant correlation with physical function (MC and MR), which was consistent with a previous study that reported persons with lower extremity limb loss was related to greater physical disability. 103 Although the mobility scores related to amputation type: lower extremity showed function impairment of mobility, the impairment of global function and psychosocial function in study that reported lower extremity limb loss was related to worse emotional reactions and decreased energy level but not to social isolation.…”

Section: Correlation Of Function With Amputation Historysupporting

confidence: 80%

“…100 There are single case reports of persons with bilateral limb loss achieving a high level of function with the appropriate prosthetic devices. 101,102 There was only one study found by Demet et al, that compared the relationship between limb loss type, upper versus lower limb loss, with function. 103 This was a crosssectional study of 539 French veterans as well as self-employed persons with limb loss living in East France.…”

Section: Relationship Of Function and Amputation Historymentioning

confidence: 99%

Function and Pain in Community-Dwelling, Adult Mid-Southerners with Limb Loss

Evans¹

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“…Only few report cases have addressed the uncommon situation of individuals with bilateral upper-limb amputation (e.g. [2], [3], [4]).…”

Section: Introductionmentioning

confidence: 99%

“…Bilateral patients usually report discomfort in the fit, excessive weight, difficulties in operation, and poor functional improvement as reasons for the abandonment of their myoelectric prostheses [2]. Because of the difficulties in delivering suitable prosthetic devices, especially for individuals with bilateral amputation, a common strategy is to provide utensils [2] or modified aids [3], both in their prostheses and in the environment, to ease the performance of specific activities at home or work. Even though this is a practical method, we promote the design of adaptable and dexterous prostheses, rather than the modification of the environment or the hands for the execution of a particular task (i.e.…”

Section: Introductionmentioning

confidence: 99%

Adaptable Poly-Articulated Bionic Hands EnhanceBoth Performance and User’s Perception in Bilateral Amputation: A Case Study

Capsi-Morales

Catalano

Grioli

et al. 2022

IEEE Trans. Neural Syst. Rehabil. Eng.

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This article evaluates and compares the performance and perception of prosthetic devices based on different design principles, a traditional rigid gripper and an adaptable polyarticulated hand, in a pre-and post-training protocol with an individual with bilateral amputation. As a representative of the first class, we use commercial hands (Ottobock's MyoHand VariPlus Speed), which is a widely adopted model by prosthesis users worldwide. We compare these with two SoftHand Pro hands, which are experimental prototypes exhibiting 19 articulations actuated by one single motor, and are inspired by human hand motor control models.Results show that the individual with bilateral amputation, who was a non-expert myoelectric user, achieved better performance with adaptive poly-articulated hands. Furthermore, the acceptation, satisfaction and perceived functionality of the user were considerably higher for the SoftHand Pro. An observational analysis of the patient's behaviour by experienced therapists suggests that adaptable poly-articulated hands reduced compensatory movements and cognitive load. Using soft technologies may be especially advantageous for individuals with bilateral amputation, who present a very limited residual mobility and can largely benefit from the active use of their artificial arms in everyday life.

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Fitting a Bilateral Transhumeral Amputee With Utensil Prostheses and Their Functional Assessment 10 Years Later: A Case Report

Cited by 9 publications

References 11 publications

Differences in myoelectric and body-powered upper-limb prostheses: Systematic literature review

Differences in myoelectric and body-powered upper-limb prostheses: Systematic literature review

Function and Pain in Community-Dwelling, Adult Mid-Southerners with Limb Loss

Adaptable Poly-Articulated Bionic Hands EnhanceBoth Performance and User’s Perception in Bilateral Amputation: A Case Study

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