Ebook: Comprehensive Management of the Upper-Limb Amputee

Each year in the United States, an estimated 40,000 persons lose a limb. Of these amputees, approximately 30% lose a hand or an arm. This loss is most frequently related to trauma occurring in the healthy young adult male and is often work related. Approximately 3% of all amputees are born with congenital limb absence. In children, the ratio of congenital to acquired amputation is 2: 1, and the ratio of upper-limb to lower-limb amputees is 1. 2: 1. Therefore, since relatively few amputations result in upper-limb loss, only a small number of health practitioners, even those specializing in amputee rehabilitation, have the opportunity to provide services for a significant number of arm amputees. As a result, clinicians need to share their experiences so that the full range of options for optimum care and rehabilitation of the patient population may be considered. To meet this challenge for wider communication of clinical experience, a group of upper-limb amputee specialists met in Houston, Texas, in 1981 to serve as the core faculty for a course entitled "Contemporary Issues in Upper Extremity Amputation and Prosthetic Function. " This program provided the opportunity for surgeons, physiatrists, engineers, prosthetists, social workers, psychologists, occupational therapists, and physical therapists from the United States and Canada to discuss their extensive experience in working with upper­ extremity amputees. A second conference continuing the discussion of upper­ limb amputee rehabilitation was held one year later.

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This work is the first comprehensive guide to the rehabilitation of the upper limb amputee with the use of prostheses. The text covers the use of body powered as well as myoelectric prostheses in both children and adults. The book serves as a source book for clinical procedures as well as a reference work for assesssing the value of the various prosthetic devices. Written by internationally recognized contributors from the areas of orthopedic surgery, plastic surgery, rehabilitation/occupational therapy, prosthetics, and bioengineering, the book presents a historical perspective of the issues from surgical planning through prosthesis design, selection and therapy, and follow-up of patient compliance. The work also addresses the particular concerns of pain management and contains a special contribution on the implications for amputation in stroke and brachial plexus injury.

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This work is the first comprehensive guide to the rehabilitation of the upper limb amputee with the use of prostheses. The text covers the use of body powered as well as myoelectric prostheses in both children and adults. The book serves as a source book for clinical procedures as well as a reference work for assesssing the value of the various prosthetic devices. Written by internationally recognized contributors from the areas of orthopedic surgery, plastic surgery, rehabilitation/occupational therapy, prosthetics, and bioengineering, the book presents a historical perspective of the issues from surgical planning through prosthesis design, selection and therapy, and follow-up of patient compliance. The work also addresses the particular concerns of pain management and contains a special contribution on the implications for amputation in stroke and brachial plexus injury.
Content:
Front Matter....Pages i-xii
Amputation Levels and Surgical Techniques....Pages 1-10
Postoperative and Preprosthetic Therapy Programs....Pages 11-15
Evaluation of and Planning for Acquired Upper-Limb Amputee Rehabilitation....Pages 16-21
Surgical Reconstruction of the Amputated Arm....Pages 22-27
Body-Powered Upper-Limb Components....Pages 28-38
Adult Upper-Limb Prosthetic Training....Pages 39-59
Adult Myoelectric Upper-Limb Prosthetic Training....Pages 60-71
The Painful Residual Limb: Treatment Strategies....Pages 72-77
Surgical Options for Brachial Plexus and Stroke Patients....Pages 78-91
Evaluation of the Pediatric Amputee....Pages 92-98
Upper-Limb Prosthetic Components for Children and Teenagers....Pages 99-120
Electric Pediatric and Adult Prosthetic Components....Pages 121-136
Developmental Approach to Pediatric Prosthetic Evaluation and Training....Pages 137-149
Functional Skills in Multiple Limb Anomalies....Pages 150-164
Psychological Adaptation to Limb Loss....Pages 165-172
Biomedical Engineering in Upper-Extremity Prosthetics....Pages 173-189
The Toronto Experience with Pediatric Myoelectric Training....Pages 190-193
Experience with the Utah Arm, Hand, and Terminal Device....Pages 194-210
Use of the Boston Elbow for High-Level Amputees....Pages 211-220
The New York Electric Elbow, the New York Prehension Actuator, and the NU-VA Synergetic Prehensor....Pages 221-226
Upper-Extremity Amputees: Swedish Experiences Concerning Children....Pages 227-239
The Heidelberg Experience....Pages 240-252
Back Matter....Pages 253-260

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This work is the first comprehensive guide to the rehabilitation of the upper limb amputee with the use of prostheses. The text covers the use of body powered as well as myoelectric prostheses in both children and adults. The book serves as a source book for clinical procedures as well as a reference work for assesssing the value of the various prosthetic devices. Written by internationally recognized contributors from the areas of orthopedic surgery, plastic surgery, rehabilitation/occupational therapy, prosthetics, and bioengineering, the book presents a historical perspective of the issues from surgical planning through prosthesis design, selection and therapy, and follow-up of patient compliance. The work also addresses the particular concerns of pain management and contains a special contribution on the implications for amputation in stroke and brachial plexus injury.
Content:
Front Matter....Pages i-xii
Amputation Levels and Surgical Techniques....Pages 1-10
Postoperative and Preprosthetic Therapy Programs....Pages 11-15
Evaluation of and Planning for Acquired Upper-Limb Amputee Rehabilitation....Pages 16-21
Surgical Reconstruction of the Amputated Arm....Pages 22-27
Body-Powered Upper-Limb Components....Pages 28-38
Adult Upper-Limb Prosthetic Training....Pages 39-59
Adult Myoelectric Upper-Limb Prosthetic Training....Pages 60-71
The Painful Residual Limb: Treatment Strategies....Pages 72-77
Surgical Options for Brachial Plexus and Stroke Patients....Pages 78-91
Evaluation of the Pediatric Amputee....Pages 92-98
Upper-Limb Prosthetic Components for Children and Teenagers....Pages 99-120
Electric Pediatric and Adult Prosthetic Components....Pages 121-136
Developmental Approach to Pediatric Prosthetic Evaluation and Training....Pages 137-149
Functional Skills in Multiple Limb Anomalies....Pages 150-164
Psychological Adaptation to Limb Loss....Pages 165-172
Biomedical Engineering in Upper-Extremity Prosthetics....Pages 173-189
The Toronto Experience with Pediatric Myoelectric Training....Pages 190-193
Experience with the Utah Arm, Hand, and Terminal Device....Pages 194-210
Use of the Boston Elbow for High-Level Amputees....Pages 211-220
The New York Electric Elbow, the New York Prehension Actuator, and the NU-VA Synergetic Prehensor....Pages 221-226
Upper-Extremity Amputees: Swedish Experiences Concerning Children....Pages 227-239
The Heidelberg Experience....Pages 240-252
Back Matter....Pages 253-260
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