Targeted Muscle Reinnervation

Author : Todd A. Kuiken,Aimee E. Schultz Feuser,Ann K. Barlow
Publisher : Taylor & Francis
Page : 225 pages
File Size : 54,6 Mb
Release : 2013-07-23
Category : Medical
ISBN : 9781439860816

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Targeted Muscle Reinnervation by Todd A. Kuiken,Aimee E. Schultz Feuser,Ann K. Barlow Pdf

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.

Author : Scott T. Hollenbeck,Peter B. Arnold,Dennis P. Orgill
Publisher : Springer Nature
Page : 313 pages
File Size : 50,8 Mb
Release : 2020-04-01
Category : Medical
ISBN : 9783030410353

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Handbook of Lower Extremity Reconstruction by Scott T. Hollenbeck,Peter B. Arnold,Dennis P. Orgill Pdf

This focused, concise book offers an in-depth analysis of lower extremity reconstruction alongside region-specific photos and illustrations. As an anatomical atlas, it seeks to aid the visual learner in showcasing the key steps in setting up and raising the flap for a given defect. Organized into two sections, opening chapters are arranged by general location, focusing specifically on the lower limb. Each general location of a wound is accompanied by an examination of relevant anatomy, including blood supply, nerve supply, arc of rotation of the tissue, and local flap options. Following a description of the anatomy, subsequent paragraphs explain the application of relevant local flap options. Section two incorporates flap demonstration and application into each chapter, offering a more detailed description, true and specific to each anatomical site of the technique. Supplemented by high-quality images and figures, Handbook of Lower Extremity Reconstruction: Clinical Case-Based Review and Flap Atlas is an invaluable reference for practicing plastic and orthopedic surgeons and residents in training.

Author : Oskar C. Aszmann,Dario Farina
Publisher : Springer Nature
Page : 223 pages
File Size : 44,5 Mb
Release : 2021-01-04
Category : Medical
ISBN : 9783030607463

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Bionic Limb Reconstruction by Oskar C. Aszmann,Dario Farina Pdf

This book presents the latest techniques in amputation rehabilitation and summarizes the most recent research findings in the field of bionic limb reconstruction. Divided into seven parts written by experts in the field, it provides valuable information on e.g. upper extremity injuries, psychological considerations, prosthetic engineering, and surgical and rehabilitation strategies. Illustrative figures and photos of real-life settings further assist understanding. This book is of interest not only for plastic surgeons, but also for hand surgeons, orthopedic and trauma surgeons as well as therapists, prosthetists and engineers.

Author : Yazan Al-Ajam,Alexander Woollard,Norbert Kang
Publisher : OAE Publishing Inc.
Page : 13 pages
File Size : 40,9 Mb
Release : 2022-12-29
Category : Medical
ISBN : 8210379456XXX

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Advances in upper limb loss rehabilitation: the role of targeted muscle reinnervation and regenerative peripheral nerve interfaces by Yazan Al-Ajam,Alexander Woollard,Norbert Kang Pdf

Upper limb loss results in significant physical and psychological impairment and is a major financial burden for both patients and healthcare services. Current myoelectric prostheses rely on electromyographic (EMG) signals captured using surface electrodes placed directly over antagonistic muscles in the residual stump to drive a single degree of freedom in the prosthetic limb (e.g., hand open and close). In the absence of the appropriate muscle groups, patients rely on activation of biceps/triceps muscles alone (together with a mode switch) to control all degrees of freedom of the prosthesis. This is a non-physiological method of control since it is non-intuitive and contributes poorly to daily function. This leads to the high rate of prosthetic abandonment. Targeted muscle reinnervation (TMR) reroutes the ends of nerves in the amputation stump to nerves innervating “spare” muscles in the amputation stump or chest wall. These then become proxies for the missing muscles in the amputated limb. TMR has revolutionised prosthetic control, especially for high-level amputees (e.g., after shoulder disarticulation), resulting in more intuitive, fluid control of the prosthesis. TMR can also reduce the intensity of symptoms such as neuroma and phantom limb pain. Regenerative peripheral nerve interface (RPNI) is another technique for increasing the number of control signals without the limitations of finding suitable target muscles imposed by TMR. This involves wrapping a block of muscle around the free nerve ending, providing the regenerating axons with a target organ for reinnervation. These RPNIs act as signal amplifiers of the previously severed nerves and their EMG signals can be used to control prosthetic limbs. RPNI can also reduce neuroma and phantom limb pain. In this review article, we discuss the surgical technique of TMR and RPNI and present outcomes from our experience with TMR.

Author : Burak Guclu
Publisher : Academic Press
Page : 716 pages
File Size : 44,8 Mb
Release : 2021-07-19
Category : Science
ISBN : 9780128230008

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Somatosensory Feedback for Neuroprosthetics by Burak Guclu Pdf

Although somatosensory system works in tandem with the motor system in biology, the majority of the prosthetics research and commercial efforts had focused on accommodating movement deficits. With the development of neuroprostheses in the last 15 years, it has become evident that somatosensory input (mainly as touch and proprioception) is essential for motor control, manipulating objects, and embodiment, in addition to its primary role for sensory perception. Somatosensory Feedback for Neuroprosthetics covers all relevant aspects to facilitate learning and doing research and development in the field. To understand the properties of the body to create viable solutions, this book starts with chapters reviewing the basic anatomy, physiology, and psychophysics of the somatosensory system, sensorimotor control, and instrumentation. Some sections are dedicated to invasive (peripheral and central, mainly cortical) and noninvasive (vibrotactile, electrotactile, etc.) approaches. Final chapters cover future technologies such as novel sensors and electrodes, safety, and clinical testing, and help to make up future prospects for this field with an emphasis on development and end use. With contributions from renowned experts, the contents include their recent findings and technical details necessary to understand those findings. Provides a concise review of the somatosensory system and latest advances in the use of somatosensory feedback for neuroprosthetics Analyzes many approaches to somatosensory feedback Provides the most detailed work on somatosensory neuroprostheses, their development, and applications in real life work.

Author : Giorgio Pietramaggiori,Saja Scherer
Publisher : Springer Nature
Page : 79 pages
File Size : 47,9 Mb
Release : 2020-10-05
Category : Medical
ISBN : 9783030501884

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Minimally Invasive Surgery for Chronic Pain Management by Giorgio Pietramaggiori,Saja Scherer Pdf

This book presents the essential steps involved in diagnosing and treating pain due to peripheral nerve injury and compression. In the first chapter, the relevant anatomy and diagnostic tools to identify peripheral-nerve-related issues are described. The main part of the book, however, deals with the surgical techniques to address specific types of peripheral nerve pain, e.g. neuroma, thoracic outlet or migraine. A step-by-step, practical approach is provided, including important aspects to consider both pre- and post-op. The procedures presented are minimally-invasive and maximally effective. Each chapter features detailed surgical illustrations and anatomical images. Chronic pain control is a growing need and minimally invasive yet effective surgical techniques, combining the competences of neurosurgery, plastic surgery, orthopedics, general surgery, pain management and neurology are in high demand. The increasing demand on the part of patients suffering from neuropathic pain is to date not matched by adequate practical training in peripheral nerve surgery to control pain. The authors are experts in this discipline “from head to toe” and present a valuable guide that provides medical students and experienced clinicians alike with useful information for their daily practice.

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on the Use of Selected Assistive Products and Technologies in Eliminating or Reducing the Effects of Impairments
Publisher : National Academies Press
Page : 503 pages
File Size : 47,6 Mb
Release : 2017-08-01
Category : Medical
ISBN : 9780309457873

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The Promise of Assistive Technology to Enhance Activity and Work Participation by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on the Use of Selected Assistive Products and Technologies in Eliminating or Reducing the Effects of Impairments Pdf

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.

Author : American Academy of Orthopaedic Surgeons
Publisher : Mosby Elsevier Health Science
Page : 946 pages
File Size : 52,5 Mb
Release : 1992
Category : Medical
ISBN : UOM:39015028401118

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Atlas of Limb Prosthetics by American Academy of Orthopaedic Surgeons Pdf

Author : G. Freilinger,J. Holle,B.M. Carlson
Publisher : Springer Science & Business Media
Page : 312 pages
File Size : 46,8 Mb
Release : 2012-12-06
Category : Medical
ISBN : 9783709186183

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Muscle Transplantation by G. Freilinger,J. Holle,B.M. Carlson Pdf

It was a long and troublesome history but an inspiring and excltmg one too-from the time of Zielonko, a Russian pathologist who in 1874 first transplanted muscles, to the present day microneurovascular muscle graft. Today we know that for functional recovery of muscle tissue vascularisation and neurotisation are of equal importance. With the establishment of microsurgery of small vessels and nerves, its application for myopias tic operations has gained increasing interest. It was my intention to bring together leading authorities from all over the world in the field of muscle transplantation. Open questions and unsolved problems had to be discussed between research workers in the basic medical sciences and our clinical colleagues; in this way progress can best be accomplished. This publication is the result of the "Vienna Muscle Symposium" (June 13-14, 1980). It gives an up-to-date viewpoint and should act as a stimulus to all who are interested in this particular field. I wish to express my sincere thanks to those who have contributed to this publication, to the two co-editors J. Holle and B. M. Carlson for their effective cooperation, and to Springer-Verlag Wien for their prompt and most efficient work.

Author : V.M.N. Prasad,M. Remacle
Publisher : Karger Medical and Scientific Publishers
Page : 190 pages
File Size : 42,5 Mb
Release : 2020-11-09
Category : Medical
ISBN : 9783318066289

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Advances in Neurolaryngology by V.M.N. Prasad,M. Remacle Pdf

Volume 85 in the series 'Advances in Oto-Rhino-Laryngology' contains a combination of our current understanding of neurolaryngological anatomy, physiology, pathology and management options. The content of 'Advances in Neurolaryngology' is divided into four sections, namely Anatomy and Physiology, Examination and Investigation, Conditions and Therapeutic Options, and Fresh Perspectives and the Future. All the chapters have been written by internationally recognized experts in their field who provide a valuable update on the latest research. Interesting aspects of many of areas in the basic science, diagnostics and treatment options in Neurolaryngology are provided. New approaches when evaluating (for example, Chapter 2 – Visual Neurolaryngology) or managing and understanding other subsets of patients (see Chapter 16 – The Hidden Anatomy of Opera Singers) make this publication both current and fascinating! This publication is aimed at all healthcare workers who are involved in the management of patients with neurolaryngological conditions namely ENT surgeons, neurologists, radiologists, electrophysiologists, speech and language therapists, respiratory physicians and their respective trainees.

Author : Scott W. Wolfe,William C. Pederson,Scott H. Kozin
Publisher : Elsevier Health Sciences
Page : 2396 pages
File Size : 50,6 Mb
Release : 2010-11-24
Category : Medical
ISBN : 9781455737413

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Green's Operative Hand Surgery E-Book by Scott W. Wolfe,William C. Pederson,Scott H. Kozin Pdf

Green’s Operative Hand Surgery, edited in its Sixth Edition by Scott W. Wolfe, MD, provides today’s most complete, authoritative guidance on the effective surgical and non-surgical management of all conditions of the hand, wrist, and elbow. Now featuring a new full-color format, photographs, and illustrations, plus operative videos and case studies online at Expert Consult, this new edition shows you more vividly than ever before how to perform all of the latest techniques and achieve optimal outcomes. Access the complete contents online, fully searchable, at expertconsult.com. Overcome your toughest clinical challenges with advice from world-renowned hand surgeons. Master all the latest approaches, including the newest hand implants and arthroplastic techniques. Get tips for overcoming difficult surgical challenges through "Author’s Preferred Technique" summaries. See how to perform key procedures step by step by watching operative videos online. Gain new insights on overcoming clinical challenges by reading online case studies. Consult it more easily thanks to a new, more user-friendly full-color format, with all of the photos and illustrations shown in color.

Author : Ashok Muzumdar
Publisher : Springer
Page : 208 pages
File Size : 54,7 Mb
Release : 2012-12-06
Category : Medical
ISBN : 9783642188121

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Powered Upper Limb Prostheses by Ashok Muzumdar Pdf

Powered Upper Limb Prostheses deals with the concept, implementation and clinical application of utilizing inherent electrical signals within normally innervated residual muscles under voluntary control of an upper limb amputee. This amplifies these signals by battery-powered electrical means to make a terminal device, the prosthetic hand, move to perform intended function. The reader is introduced to various facets of upper limb amputations and their clinical management in both children and adults. The authors from Canada, USA and Great Britain are well known practicioners, academics and researchers in the field. The book has over 130 illustrations and contains an extensive bibliography.

Author : Joseph Ivan Krajbich,Michael S. Pinzur,Benjamin Kyle Potter,Phillip M. Stevens
Publisher : Lippincott Williams & Wilkins
Page : 2869 pages
File Size : 50,9 Mb
Release : 2023-08-29
Category : Medical
ISBN : 9781975184476

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Atlas of Amputations and Limb Deficiencies by Joseph Ivan Krajbich,Michael S. Pinzur,Benjamin Kyle Potter,Phillip M. Stevens Pdf

Now in one convenient volume, Atlas of Amputations and Limb Deficiencies: Surgical, Prosthetic, and Rehabilitation Principles, Fifth Edition, remains the definitive reference on the surgical and prosthetic management of acquired and congenital limb loss. Developed in partnership with the American Academy of Orthopaedic Surgeons (AAOS) and edited by Joseph Ivan Krajbich, MD, FRCS(C), Michael S. Pinzur, MD, FAAOS, COL Benjamin K. Potter, MD, FAAOS, FACS, and Phillip M. Stevens, MEd, CPO, FAAOP, it discusses the most recent advances and future developments in prosthetic technology with in-depth treatment and management recommendations for adult and pediatric conditions. With coverage of every aspect of this complex field from recognized experts in amputation surgery, rehabilitation, and prosthetics, it is an invaluable resource for surgeons, physicians, prosthetists, physiatrists, therapists, and all others with an interest in this field.

Author : Simone Mocellin
Publisher : Springer Nature
Page : 718 pages
File Size : 41,7 Mb
Release : 2020-12-17
Category : Medical
ISBN : 9783030587109

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Soft Tissue Tumors by Simone Mocellin Pdf

The “world” of soft tissue sarcomas is a highly complex one, due to the large range of tumor types, each of which is characterized by specific features in terms of its epidemiology, pathology diagnosis, clinical behavior, therapy and biomarker pattern (of both diagnostic and therapeutic value). This book offers a practical, clearly structured reference guide, covering all of these aspects for each soft tissue tumor. Thanks to the consistent and user-friendly format, readers can quickly and easily find the information they need; in addition, up-to-date and authoritative literature information helps them to pursue further research. Overall, this book offers professionals and residents in the fields of oncology, surgery, and pathology an essential guide for study, review, and everyday clinical practice.

Author : Achim Schweikard,Floris Ernst
Publisher : Springer
Page : 424 pages
File Size : 42,8 Mb
Release : 2015-10-08
Category : Computers
ISBN : 9783319228914

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Medical Robotics by Achim Schweikard,Floris Ernst Pdf

This book provides a thorough background to the emerging field of medical robotics. It covers the mathematics needed to understand the use of robotic devices in medicine, including but not limited to robot kinematics, hand-eye and robot-world calibration, reconstruction, registration, motion planning, motion prediction, motion correlation, motion replication and motion learning. Additionally, basic methods behind state-of-the art robots like the DaVinci system, the CyberKnife, motorized C-arms and operating microscopes as well as stereotactic frames are presented. The book is a text book for undergraduates in computer science and engineering. The main idea of the book is to motivate the methods in robotics in medical applications rather than industrial applications. The book then follows the standard path for a robotics textbook. It is thus suitable for a first course in robotics for undergraduates. It is the first textbook on medical robotics.