Beruflich Dokumente
Kultur Dokumente
Variety Ability Systems Inc. Greifer terminal device, 202 Systemteknik, 109-110, 126-
three-state system, 134- Otto Bock, 124, 125-126 127, 128, 183
135 Grip I and Grip II terminal de- Variety Ability Systems Inc.
wrist rotator, 130 vices, 106-107 (V ASI), 127-130
Variety Village, 130-134 Gripper(s) for use with elbow child's lightweight electric,
Electromyographic (EMG) con- electric hands and, 215 110, 111
trol sites for Utah arm, 203 principles for controlling, 213 VV 2-6, 127
Electromyographic (EMG) mus- servo-controlled, 214 Hand deformity, insensitive rig-
cle testing, 203 switch-controlled, 213-214 id claw, 83
Electromyographic (EMG) sig- and wrist rotator, 214 Hand-heart (Holt-Oram or
nals, myoelectric pros- Lewis-Franceschetti)
thesis function and, 9, 62 syndrome, 94
Emotional impact of limb loss, H Harnesses, 35-36
17 Hand for Boston elbow, 219-220
Engineering, biomedical, 173- spasticity and contractures of, figure-8, drawback to, 199
185, 187-189; see also in stroke patients, 89 Head protection for amelic and
Myoelectric entries surgery of, in stroke patients, phocomelic children,
External power versus body 87-89 163-164
power, 28-29 training, 191-192 High-level amputees
Hand(s), artificial bilateral, 100-101
cable-operated mechanical, Boston elbow for, see Boston
F for children, 103-106 elbow for high-level am-
Familial and social history of Centri passive, 115 putees
pediatric amputee, 92-93, cosmetic, 153 forequarter, 7
96 for children and teenagers, shoulder disarticulation, 7
Family, preprosthesis period/ 116 and interscapular thoracic,
orientation for, 138-139 electric, 123-129 35, 200-201
in bilateral upper-extremity and grippers for use with socket for, 217
amelia, 143-148 elbow, 215 Histamine test, 80
Feet, use of, see Foot prehen- myoelectric control systems Hollister(R) Skin Adhesive,
sion or usage for child's size, 112-113 158
Fidelity VANU hands, 126 switch and myoelectric Homemaking skills, 46, 69, 160
Financial sponsorship, 12 controls for, 109-113 Hook(s)
Flap(s) fidelity V ANU, 126 cable-operated
reconstruction by pedicle or functional prostheses, 153- advantages of, 198
regional, 23-24 154 myoelectric Boston elbow
rotation, local, scar revision hooks versus, 30-31 with,212-213
and,23 Hosmer child's size passive, switch Boston elbow with,
Foot prehension or usage, 159, 115 214-215
162-163, 241 myoelectric canted, 153
training in, 245, 247 advantages of, 202 for children, 99-101
Forequarter amputation tech- nonslip, graded pressure fine motor ability with, 55
niques, 7 control of, 69 versus hands, 30-31
Forequarter amputee with New York, 104-105, 106 Hosmer Dorrance
shoulder-cap-type sus- Otto Bock, 105-106, 111-112, for children, 99-100
pension, 201 124-125 5XA, 31
Form board, 44-45 baby mitten, 115 #3 and #7 "work," 47
Fractures, 2 child's, 115 lyre-shaped, 153
Free-tissue transfer, microsur- 8E8, 181 myoelectric elbow hybrid, pa-
gery utilizing, 24-25 Z6, 126 tients using, 202-203
Steeper, 103-104, 106, 123- Otto Bock "Greifer," 124,
124 125-126
G electric, 110-111 as partial hand prosthesis, 32
Gloves, Centri passive hands foam-filled passive, 115 Hosmer Dorrance hooks, 99-
and, 115 Super Sport, 116-117 100
256 Index
Hosmer Dorrance hooks (cont.) Multiple limb anomalies, func- selection of, 60-61
lOP and lOX, Michigan Exter- tional skills in, 150-164 socket check for, 192
nal Power System for, above-elbow limb absence, starting program for, 185
107-108, 147-148 156-160 teamwork approach to, 184-
Hosmer prostheses amelia, 161-164 185
baby mitt, 115 below-elbow limb absence, terminal devices, disadvan-
child's size passive hands, 115 153-154 tages of, 202
prehension actuator, 108-109 elbow disarticulation, 154-156 therapy considerations in, 184
Hybrid prosthesis, 37-38 phocomelia, 160-161 Myoelectric signal
Hygiene of limb, 14, 55 radial club hands, 151-153 control and, 187-189
Hygiene skills, 41, 54, 68-70 Multiposition switch, 216 origin of, 177
Muscle and prosthesis, 2 skin condition and, 204
Muscle strength, postoperative, Myoelectric site testing, 14
increasing, 13 Myoelectric tester, 64
I Muscles, absence of, 95 Myoelectric training
Incisional pain, II Myelogram of multiple traumat- in activities of daily living
Independence, maximizing, 14 ic pseudo-meningocele of skills, 68-70
Infant chest harness, 139 brachial plexus, 80 in muscle-site control, 63-64
Infant passive below-elbow Myoelectric control orientation to, 64-65
prostheses, 139 for elbow and gripper, princi- pediatric, 190-193
Infant terminal devices, 115-116 ple of, 213 physical rehabilitation and,
for hand, independent, 217 62-63
limitation of, 181-182 preprosthetic, 62-64
K site selection for, 61-62 prosthetic, 64-70
Krukenberg-Albrecht method, 26 systems control, 65-66
Krukenberg procedure, 7, 248 for child's size electric upper-extremity, 60-71
hands, 1I2-113 use, 66-68
four-state, 181 advantages and disadvan-
L one-site three-state, 180- tages of, 61
Leisure skills and interests, 70 181 speed,67
Liberty Mutual electric elbow, selection of, 190-191
114 two-state, 180
Limb loss, psychological adap- Myoelectric elbow, 218 N
tation to, 165-172 and gripper, principles for Nerve grafts in brachial plexus
Little hands or fingers, useful, controlling, 213 surgery, 81-82
8-9, 246-247 with two-function selector Neuromas, 2
board (BESI75), 218 Neuropathies of arm and hand,
Myoelectric prosthesis(es)/sys- figure-8 harness and, 199
M tem(s), 9, 176-185 New York (NYU-Hosmer)
Marquardt angulation osteoto- appliance, 182-183 prostheses
my, 155 battery, 182 electric elbow, 113, 221-223
Michigan electric hook, 223 calibration in, 192 hands, 104-105, 106
Michigan External Power Sys- clinical considerations in, prehension actuator, 108-109,
tem for Hosmer Dorrance 183-185 223-224
hooks, 107-108, 147-148 controller, 179-182 Night traction, 158-159
Microsurgery reconstruction electrodes, 177-179 NU-VA (Northwestern Univer-
with free-tissue transfer, site location for, 191 sity-Veterans Administra-
24-25 manufacturers and distribu- tion) synergetic prehen-
Mitt, Hosmer baby, 115 tors of related compo- sor, 224-226
Mitten hand, Otto Bock baby, nents and, 186-187
1I5 prescription criteria for, 183-
Mobius' syndrome, 93 184 o
Motion, range of, 12, 13, 18 prosthesis considerations in, Opposition pad, 31
Muenster socket, 34 184 Opposition post, 31
Index 257
Otto Bock prostheses, 191 counseling in, 96, 97-98 Poland's syndrome, 94
electric wrist, 195, 197 evaluation of, 92-98 Polydactyly and syndactyly, 95
Greifer (8E26), 124, 125-126 initial, 95-96 Popliteal pterygium syndrome,
hands, 105-106, 124-125 partial-hand, 230-231 93-94
baby mitten, 115 prosthesis training for, 232- Postoperative care/program, 10-
child's, 115 235 12
control system, 112-113, 191 follow-up, 235-238 Prehension actuator, New York,
electric, 111-112, 181 role of parents of, 237-238 223-224
UNB 3-state control and, Swedish study of, 229-238 Prehensor, NU-VA synergetic,
176 Pediatric myoelectric training, 224-226
Z6, 126 190-193 Preprosthetic therapy program,
6- V system, 134 functional, 193 12-14
wrist rotator IOS12-6, 130 at home, 192-193 Proprioceptive Neuromuscular
in muscle control, 190 Facilitation (PNF), 244
in muscle identification, 190 home training program for,
p for older children and adults, 205-208
Pain 192, 193 Prosthesis(es)
management of, in brachial for voluntary control, 191-192 biomedical engineering in,
plexus injury, 83 for young children, 193 175-185
phantom limb, 11-12, 72-74, Pediatric prosthesis evaluation care and maintenance of, 14,
96 in bilateral upper-extremity 55,56
secondary to spastic muscles amelia, 143-148 care of residual limb and, 41
in stroke patient, 85 developmental approach to, check-out form for amputee,
systemic or referred, 76 137-143 42-43
Painful residual limb, 74-76 of finished prostheses, 139-140 dressing, 157
neuroma and, 74-75 first passive prosthesis and, "failures" of, 161-162
reflex sympathetic dystrophy 139-140 feet versus, 241-242, 245-247
and,74 preprosthesis period/orienta- fitting of, 195-203
Parents, counseling and instruc- tion for family and, 138- development and, 137-138
tion and role of, 12, 237- 139 training after, 250-251
238, 240, 251 in unilateral below-elbow limb trial, 204-205
Partial-hand amputation, 5 deficiency, 137-140 passive training with, 141-142
Partial-hand amputees, 230-231 Pediatric prosthesis training, patient considerations when
Partial-hand prosthesis, 31-32 activation of terminal device, prescribing, 231-232
wrist-controlled, 230 141-142 pneumatic, 241
Passive prostheses in bilateral upper-extremity prescribing bilateral, 148
above-elbow, 37 amelia, 146-148 prescription and fabrication
in amelia, first, 145-146 Heidelberg experience with, of, 14-15
endoskeletal shoulder disarti- 250-251 types of, see also Elbow(s),
culation, 145 learning controls, 142 electric; Hand(s), artifi-
infant below-elbow, 139 myoelectric, 190-193 cial; Hook(s); Utah elec-
shoulder, 36 with passive prosthesis, 141- tric arm, hand, and ter-
training with, 141-142 142 minal device
Pediatric and adult prosthetic Swedish, 232-235 above-elbow, 112, 139, 176,
components, use, 142-143 177
electric, 121-136 Phantom sensation and phantom body-powered,28-38
Pediatric amputees, 227-238 pain, 72-74 cosmetic, 36-39
above-elbow, 230-231 control of, 11-12 elbow disarticulation, 34
acquired, 95-97 pediatric, 96 first passive, pediatric eval-
below-elbow, 230 versus phantom limb, 11 uation of, 139-140
ages and time-frame guide- Phenol injection technique, 86 hybrid, 37-38
lines for, 228-230 Phocomelic child, 241-242, 244; myoelectric, see Myoelec-
congenital, 92-95 see also Amelia tric entries
below-elbow, 229-230 bilateral, 160-161 open-end, 241
258 Index