Comprehensive Management of the Upper-Limb Amputee

1. Front Matter

   Pages i-xii

   PDF

2. Amputation Levels and Surgical Techniques

   • James B. Bennett, Charlotte B. Alexander

   Pages 1-10

3. Postoperative and Preprosthetic Therapy Programs

   • Diane J. Atkins

   Pages 11-15

4. Evaluation of and Planning for Acquired Upper-Limb Amputee Rehabilitation

   • Robert H. Meier III

   Pages 16-21

5. Surgical Reconstruction of the Amputated Arm

   • Saleh M. Shenaq

   Pages 22-27

6. Body-Powered Upper-Limb Components

   • Alvin L. Muilenburg, Maurice A. LeBlanc

   Pages 28-38

7. Adult Upper-Limb Prosthetic Training

   • Diane J. Atkins

   Pages 39-59

8. Adult Myoelectric Upper-Limb Prosthetic Training

   • Sharon Root Spiegel

   Pages 60-71

9. The Painful Residual Limb: Treatment Strategies

   • Saleh M. Shenaq, Robert H. Meier III, Brent Brotzman

   Pages 72-77

10. Surgical Options for Brachial Plexus and Stroke Patients

    • James B. Bennett, Gary M. Gartsman

    Pages 78-91

11. Evaluation of the Pediatric Amputee

    • Yoshio Setoguchi

    Pages 92-98

12. Upper-Limb Prosthetic Components for Children and Teenagers

    • Joanna Grace Patton

    Pages 99-120

13. Electric Pediatric and Adult Prosthetic Components

    • William F. Sauter

    Pages 121-136

14. Developmental Approach to Pediatric Prosthetic Evaluation and Training

    • Joanna Grace Patton

    Pages 137-149

15. Functional Skills in Multiple Limb Anomalies

    • Liesl Friedmann

    Pages 150-164

16. Psychological Adaptation to Limb Loss

    • Jeanne E. Dise-Lewis

    Pages 165-172

17. Biomedical Engineering in Upper-Extremity Prosthetics

    • Robert N. Scott

    Pages 173-189

18. The Toronto Experience with Pediatric Myoelectric Training

    • Sheila Hubbard

    Pages 190-193

19. Experience with the Utah Arm, Hand, and Terminal Device

    • Harold H. Sears, J. Thomas Andrew, Stephen C. Jacobsen

    Pages 194-210

20. Use of the Boston Elbow for High-Level Amputees

    • T. Walley Williams III

    Pages 211-220

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.

• Amputation
• bioengineering
• biomedical engineering
• hand
• plastic surgery
• rehabilitation
• surgery
• surgical techniques
• conservative orthopedics

• Amputee Center, Department of Rehabilitation, Baylor College of Medicine The Institute for Rehabilitation and Research, Houston, USA

  Diane J. Atkins

• Amputee Center of America, Department of Rehabilitation Medicine, University of Colorado Health Sciences Center, Denver, USA

  Robert H. Meier

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