584 Amputations UE
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Primary causes of hand and digital amps (2)
Desensitization techniques (6)
- Gentle massage
How soon can you see a change in hypersensitivity?
2 days - Nerve cells regenerate on a 48 hour cycle
Ideal length for transradial amp
- half of the forearm
- -can use residual limb for holding, supporting and bi-manual tasks
First priority for UE amps
One handed techniques
Two prosthetic options for transradial or transhumeral amps
- Body/Cable Powered
This type of amp is frequently associated with shoulder dsyfunction.
transhumeral (above elbow)
True or false:
For a transhumeral prosthesis it is common
to go with a hybrid myelectric elbow and a body powered hand
Training for transradial prosthesis includes (6)
- orientation of objects in terminal device for pick-up and drop
- body mechanics
- grading the resistance of the terminal device
- positioning of the terminal device for different tasks
- education on skin inspection
- Donning and doffing
Body mechanics education for UE Prosthetic training (5)
- •plan ahead to make the tasks easier
- •choose an appropriate terminal device position for the task
- •limit trunk deviation as much as possible
- •use other arm to position the item(s) in a functional orientation
- •use items in surroundings to change the position of the object once it has been
- picked up to decrease compensatory movement
How do you provide more resistance to opening the terminal device?
Adding additional elastic bands
Pain management techniques (7)
- Mirror box therapy
- Edema control
- Fitting with prosthesis
What type of movements are best for mirror box therapy?
Slow and small movements
Limitations to body powered prosthesis (8)
- •Impact on the contralateral shoulder
- •Terminal device often does not resemble a
- human hand
- •Not equal function in different arm
- •Large objects are very challenging to
- •Limited grip strength
- •No active wrist movement
- •Limits forearm rotation
- •Only one degree of freedom gained
How many degrees of freedom does the hand and wrist have?
What does TMR stand for?
Targeted Muscle Reinnervention
What would you like to do?
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