Kuiken / Schultz Feuser / Barlow Targeted Muscle Reinnervation

A Neural Interface for Artificial Limbs
Erscheinungsjahr 2012
ISBN: 978-1-4398-6081-6
Verlag: Taylor & Francis
Format: PDF
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)

E-Book, Englisch, 225 Seiten

Reihe: Series in Medical Physics and Biomedical Engineering

This reference covers clinical and bioengineering aspects of muscle reinnervation, a popular new technique at the boundary of biomedical and rehabilitation engineering and neuroscience. With contributions from pioneers in the field, the book provides a review of muscle reinnervation from a biomedical engineering and clinical perspective. It describes neuroscience and other related neuroprosthetic techniques. A companion website offers a wide range of videos and multimedia material to aid in comprehension and application.

Zielgruppe

Biomedical engineers, prosthetic engineers, neuroscientists, prosthetic clinicians, clinical neurophysiologists, and students in biomedical engineering.

Autoren/Hrsg.

Kuiken, Todd A.

Schultz Feuser, Aimee E.

Barlow, Ann K.

Fachgebiete

• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Medizintechnik, Biomedizintechnik, Medizinische Werkstoffe
• Naturwissenschaften Biowissenschaften Biowissenschaften Neurobiologie, Verhaltensbiologie
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizinische Fachgebiete Bildgebende Verfahren, Nuklearmedizin, Strahlentherapie Radiologie, Bildgebende Verfahren

Inhaltsverzeichnis

Introduction to Targeted Reinnervation
Overview of TMR
A brief history of TMR
Current success and state of the science
The future of TMR
Importance of a multidisciplinary team
Overview of the monograph

Scientific Basis for Targeted Reinnervation
Hyper-reinnervation of rat skeletal muscle
Finite element modeling of surface EMG signals

Targeted Reinnervation Surgical Techniques
Basic principles
Preoperative considerations
Surgical procedure for transhumeral amputees
Surgical procedure for shoulder disarticulation amputees
Surgical outcomes to date

Prosthetic Fitting of the Targeted Reinnervation Amputee
Prosthetic treatment prior to recovery
Initial myotesting
Initial transhumeral fitting
Initial shoulder disarticulation fitting
Software adjustment and considerations
Final fitting and fabrication
Component selection

Occupational Therapy Following Targeted Reinnervation
Presurgical performance measures
Postsurgical program
Diagnostic (check socket) fitting
Multifunction prosthesis training
Measures of performance using TMR-controlled prosthesis

Examination and Application of Targeted Sensory Reinnervation
Introduction to transfer sensation
Transfer sensation in targeted reinnervation amputees
Using transfer sensation to provide sensory feedback to amputees: preliminary work

Outcomes of Targeted Reinnervation to Date
Targeted reinnervation in the transhumeral amputee: outcomes to date
Targeted reinnervation in the shoulder disarticulation amputee: outcomes to date

The Future of Targeted Reinnervation
Advanced clinical systems and techniques
Advanced multifunction prosthetic arm systems
Advanced control/signal processing
Targeted reinnervation for transhumeral, transfemoral, and transtibial amputees
Conclusions