2017
DOI: 10.1097/jpo.0000000000000150
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Myoelectric and Body Power, Design Options for Upper-Limb Prostheses: Introduction to the State of the Science Conference Proceedings

Abstract: This editorial serves as the introduction to the American Academy of Orthotists and Prosthetists State-of-the-Science Conference Proceedings covering the subject of upper-limb prosthetic control strategies. The purpose of the introduction is to orient consumers of the Proceedings regarding the breadth of its contents. Specifically, the conference centered about a systematic literature review comparing benefits of myoelectric and body-powered upper-limb prosthetic control options. The introduction lists the var… Show more

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Cited by 6 publications
(7 citation statements)
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“…The empirical evidence statements predominantly focused on differences between body-powered and myoelectric prostheses but expanded slightly beyond this to include some statements regarding activity-specific prostheses, suspension, EMG control, and other topics. Of the 11 empirical evidence statements, the strength of evidence supporting them was insufficient in the case of two statements, moderate for two others, and predominantly low in the case of the majority, which was seven additional statements 17 …”
Section: Discussionmentioning
confidence: 99%
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“…The empirical evidence statements predominantly focused on differences between body-powered and myoelectric prostheses but expanded slightly beyond this to include some statements regarding activity-specific prostheses, suspension, EMG control, and other topics. Of the 11 empirical evidence statements, the strength of evidence supporting them was insufficient in the case of two statements, moderate for two others, and predominantly low in the case of the majority, which was seven additional statements 17 …”
Section: Discussionmentioning
confidence: 99%
“…Other professional and industry entities have pursued development of clinical guidance in this area with very limited results. There was an effort by the American Academy of Orthotists and Prosthetists (AAOP) in 2017 to develop an SR from which to further support a State of the Science Consensus Conference (SSC) Proceeding for the management of upper extremity amputation and prosthetic management 17 . This effort yielded an SR that provided 11 empirical evidence statements.…”
Section: Discussionmentioning
confidence: 99%
“… 2 To the extent that such efforts have been published, the existing body of research does not yet present strong, detailed clinical guidance for the practicing clinician. 2 , 3 For example, while a recent literature review by Carey et al suggested eleven empirical evidence statements supported by 31 reviewed papers, these were generally supported by low levels of evidence and failed to define many clear indications, contraindications, and clinical considerations associated with broad classes of prosthesis (e.g., external vs body power, hand vs hook), concluding simply that “prosthetic selection should be based on a patient’s individual needs and include personal preferences, prosthetic experience, and functional needs.” 2 A second example is seen in the 27 recommendations that comprise the VA/DoD Clinical Practice Guideline for the Management of Upper Extremity Amputation Rehabilitation, of which only one is empirically based, with the remaining 26 statements supported by expert opinion. 4…”
Section: Introductionmentioning
confidence: 99%
“… 5 Notably, a recent State of the Science Conference on design options for upper limb prostheses concluded that those rehabilitation professionals, including physicians, therapists, and prosthetists, who have amassed considerable experience in working with this patient population should be recognized as the most informed source of currently available evidence. 3 , 6 …”
Section: Introductionmentioning
confidence: 99%
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