Prosthetic Restoration And Rehabilitation Of The Upper And Lower Extremity

Prosthetic Restoration and Rehabilitation of the Upper and Lower Extremity is a well-illustrated, state-of-the-art reference on the science and practice of post-amputation care, prosthetic restoration, and functional rehabilitation, designed to maximize patient independence and quality of life. Chapters are written by physiatrists, prosthetists, surgeons, and therapists at the University of Michigan, clinicians and teachers who work with amputees on a daily basis. Clinically oriented, it covers both lower and upper extremity restoration and rehabilitation and serves as a handy reference for busy practitioners to support sound clinical decision-making. Beginning with basic anatomy, kinesiology, and a recap of surgical decisions principles and post-operative care for amputees, the book discusses biomechanics, clinical assessment, prosthetic options, how to write a complete and detailed prescription for the prosthesis, restoration and management of specific problems by region, and rehabilitation programs and strategies. Common medical issues such as phantom limb sensation and pain, skin problems, and sexual and psychological considerations are discussed as well. In-depth coverage of prosthetic restoration is provided for special populations such as infants, children, the elderly, athletes multi-extremity amputees, and those who have lost limbs to cancer. Chapters are written in expanded outline format for ease of use and feature numerous full-color diagrams, photos, and other illustrations. This text will guide physicians, trainees, and other members of the care team through the fundamentals of restoring function to individuals who have lost limbs or body parts. Key Features: Provides a state-of-the-art, accessible, clinical approach to post-amputation care, prosthetic restoration, and functional rehabilitation Covers both upper and lower extremities Addresses prostheses for special populations and sports and recreation Includes boxed clinical pearls at the start of each chapter, illustrated quick reference tables, and full-color photos throughout Supports clinical decision making and addresses practical questions and problems Advises on new requirements for Medicare and Medicaid patients, and includes patient education materials and sample prescription forms that can be customized for use in any clinic Outlines important information for returning to the community after amputation

Implement TMR with Your Patients and Improve Their Quality of Life Developed by Dr. Todd A. Kuiken and Dr. Gregory A. Dumanian, targeted muscle reinnervation (TMR) is a new approach to accessing motor control signals from peripheral nerves after amputation and providing sensory feedback to prosthesis users. This practical approach has many advantages over other neural-machine interfaces for the improved control of artificial limbs. Targeted Muscle Reinnervation: A Neural Interface for Artificial Limbs provides a template for the clinical implementation of TMR and a resource for further research in this new area of science. After describing the basic scientific concepts and key principles underlying TMR, the book presents surgical approaches to transhumeral and shoulder disarticulation amputations. It explores the possible role of TMR in the prevention and treatment of end-neuromas and details the principles of rehabilitation, prosthetic fitting, and occupational therapy for TMR patients. The book also describes transfer sensation and discusses the surgical and functional outcomes of the first several TMR patients. It concludes with emerging research on using TMR to further improve the function and quality of life for people with limb loss. With contributions from renowned leaders in the field, including Drs. Kuiken and Dumanian, this book is a useful guide to implementing TMR in patients with high-level upper limb amputations. It also supplies the foundation to enable improvements in TMR techniques and advances in prosthetic technology.

"This is the only comprehensive guide to the surgery, prosthetic fitting, and rehabilitation of individuals sustaining an arm amputation. It incorporates the major advances in prosthetics and rehabilitation that have occurred in recent years, and will improve the quality of service and the outcomes for those who sustain an arm amputation. Sections deal with the surgical aspects of arm amputation, the comprehensive management of the arm amputee, prosthetic restoration following arm amputation, the special concerns of upper extremity amputation in children, and clinical outcomes. The incidence, demographics, and functional outcomes are quite different from those of lower limb amputees. The arm amputee is most commonly a young man who sustains a traumatic injury, most often to his right, dominant arm. Because the incidence of arm amputation is low compared to that of the lower extremity, relatively few health professionals have much experience in providing surgery, therapy, rehabilitation, prosthetic care, or counseling for a significant number of arm amputees. This book is the definitive text for these individuals. The prosthetic field, including its allied healthcare team, takes on a formidable task in restoring physical capabilities to the upper extremity amputee. This feat cannot be accomplished solely using modern technology, and technology is not always the central issue. Optimal rehabilitation requires an underlying commitment in many essential areas of care: for one, sensitivity to the desires, anxieties and fears of the individual with amputation. Although the prosthetic practitioner has at his or her disposal more technology than ever before, restoring integral function for the amputee involves still more than mechanical application. Interdisciplinary, cooperative efforts in research, development, and treatment between prosthetic practitioners and other constituents of the allied healthcare team is paramount. The rehabilitation process must focus not only on the provision and use of a prosthesis, but also on issues related to surgical procedures, self-determination and pain management. To this end, Functional Restoration of Adults and Children with Upper Extremity Amputation provides the definitive guide for all surgeons, prosthetists, and rehabilitation professionals who work with upper limb amputees. "

Covering both upper and lower extremity prosthetics, this book provides the information clinicians need to manage a range of prosthetic patients, and their disorders. The authors cover practical solutions to everyday problems that clinicians encounter, from early prosthetic management to issues facing the more advanced prosthetic user. The text is broken down into four sections encompassing the range of subjects that confront practitioners, including Early Management; Rehabilitation of Patients with Lower Limb Amputation; Rehabilitation of Patients with Upper Limb Amputations; and Beyond the Basics, which includes special considerations for children and futuristic concepts.

The U.S. Census Bureau has reported that 56.7 million Americans had some type of disability in 2010, which represents 18.7 percent of the civilian noninstitutionalized population included in the 2010 Survey of Income and Program Participation. The U.S. Social Security Administration (SSA) provides disability benefits through the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. As of December 2015, approximately 11 million individuals were SSDI beneficiaries, and about 8 million were SSI beneficiaries. SSA currently considers assistive devices in the nonmedical and medical areas of its program guidelines. During determinations of substantial gainful activity and income eligibility for SSI benefits, the reasonable cost of items, devices, or services applicants need to enable them to work with their impairment is subtracted from eligible earnings, even if those items or services are used for activities of daily living in addition to work. In addition, SSA considers assistive devices in its medical disability determination process and assessment of work capacity. The Promise of Assistive Technology to Enhance Activity and Work Participation provides an analysis of selected assistive products and technologies, including wheeled and seated mobility devices, upper-extremity prostheses, and products and technologies selected by the committee that pertain to hearing and to communication and speech in adults.

Powered Prostheses: Design, Control, and Clinical Applications presents the state-of-the-art in design, control and application of assistive technologies used in rehabilitation, including powered prostheses used in lower and upper extremity amputees and orthosis used in the rehabilitation of various joint disorders. The progress made in this field over the last decade is so vast that any new researcher in this field will have to spend years digesting the main achievements and challenges that remain. This book provides a comprehensive vision of advances, along with the challenges that remain on the path to the development of true bionic technology. Describes the latest assistive technologies that can help individuals deal with joint pain or limb loss Presents a tangible and intuitive description of scientific achievements made Highlights the existing technologies and devices that are available and used by amputees or patients with mobility limitations Suggests solutions and new results that can further enhance assistive technologies