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| artificial limbsSummarySummary: Prosthetic replacements for arms, legs, and parts thereof. Top Publications
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Publications
Adaptations to mass perturbations in transtibial amputees: kinetic or kinematic invariance?Ruud W Selles
Department of Rehabilitation Medicine, Erasmus Medical Center Rotterdam, The Netherlands
Arch Phys Med Rehabil 85:2046-52. 2004..To establish the adaptation strategy transtibial amputees use after mass perturbation of their prosthetic lower leg...
Upper limb amputees can be induced to experience a rubber hand as their ownH Henrik Ehrsson
Department of Neuroscience, Karolinska Institutet, Stockholm, Sweden
Brain 131:3443-52. 2008..sensations from the stump to a prosthetic limb by tricking the brain, thereby making an important contribution to the field of neuroprosthetics where a major goal is to develop artificial limbs that feel like a real parts of the body.
Referral of sensation to an advanced humanoid robotic hand prosthesisBirgitta Rosén
Department of Hand Surgery, Malmo University Hospital, Malmo, Sweden
Scand J Plast Reconstr Surg Hand Surg 43:260-6. 2009..These observations indicate that the previously described "rubber hand illusion" is also valid for an advanced hand prosthesis, even when it has a robotic-like appearance...
The use of targeted muscle reinnervation for improved myoelectric prosthesis control in a bilateral shoulder disarticulation amputeeT A Kuiken
Rehabilitation Institute of Chicago, Department of PM and R at Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60611, USA
Prosthet Orthot Int 28:245-53. 2004..Subjectively the patient clearly preferred the new prosthesis. He reported that it was easier and faster to use, and felt more natural...
Direct neural sensory feedback and control of a prosthetic armGurpreet Singh Dhillon
Michael E DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA
IEEE Trans Neural Syst Rehabil Eng 13:468-72. 2005Evidence indicates that user acceptance of modern artificial limbs by amputees would be significantly enhanced by a system that provides appropriate, graded, distally referred sensations of touch and joint movement, and that the ..
Residual function in peripheral nerve stumps of amputees: implications for neural control of artificial limbsGurpreet S Dhillon
Department of Bioengineering, University of Utah, Salt Lake City, UT 84112, USA
J Hand Surg [Am] 29:605-15; discussion 616-8. 2004..This implies that peripheral nerve interfaces could be used to provide amputees with prosthetic limbs that have more natural feel and control than is possible with current myoelectric and body-powered control systems...
Double nerve intraneural interface implant on a human amputee for robotic hand controlPaolo M Rossini
Dept of Neurology, University Campus Bio Medico, Rome, Italy
Clin Neurophysiol 121:777-83. 2010..Aim of this study is to evaluate a novel peripheral intraneural multielectrode for multi-movement prosthesis control and for sensory feed-back, while assessing cortical reorganization following the re-acquired stream of data...
The social meanings of prosthesis useCraig D Murray
Department of Psychology, Manchester University, UK
J Health Psychol 10:425-41. 2005The present research explores the social meanings surrounding the use of artificial limbs. Semi-structured email and face-to-face interviews were conducted with 35 prosthesis users, along with analysis of the posts made on an email ..
Targeted muscle reinnervation for real-time myoelectric control of multifunction artificial armsTodd A Kuiken
Neural Engineering Center for Artificial Limbs, Rehabilitation Institute of Chicago, 345 E Superior St, Room 1309, Chicago, IL 60611, USA
JAMA 301:619-28. 2009..After reinnervation, these target muscles produce electromyogram (EMG) signals on the surface of the skin that can be measured and used to control prosthetic arms...
Principal components analysis based control of a multi-DoF underactuated prosthetic handGiulia C Matrone
Department of Computer Engineering and Systems Science, University of Pavia, Via Ferrata 1, 27100 Pavia, Italy
J Neuroeng Rehabil 7:16. 2010....
Design of a cybernetic hand for perception and actionM C Carrozza
ARTS Lab, Scuola Superiore Sant Anna, Pontedera Pi, Italy
Biol Cybern 95:629-44. 2006....
Multi-subject/daily-life activity EMG-based control of mechanical handsClaudio Castellini
DIST, University of Genova, viale F Causa 13, 16145 Genova, Italy
J Neuroeng Rehabil 6:41. 2009..e., training a model on a subject and testing it on another one. The use of pre-trained models could be useful in shortening the time required by the subject/patient to become proficient in using the hand...
Reaching with alien limbs: visual exposure to prosthetic hands in a mirror biases proprioception without accompanying illusions of ownershipNicholas P Holmes
University of Oxford, Oxford, England
Percept Psychophys 68:685-701. 2006..This research suggests that proprioception is recalibrated following visual exposure to prosthetic hands and that this recalibration is independent of the rubber hand illusion...
Residual motor signal in long-term human severed peripheral nerves and feasibility of neural signal-controlled artificial limbXiaofeng Jia
Department of Orthopedic Surgery, Zhong Shan Hospital, Fudan University, Shanghai, PR China
J Hand Surg Am 32:657-66. 2007..We sampled potentials from peripheral nerve stumps with intrafascicular electrodes to study residual motor transmission and explore the feasibility of nerve signal-controlled artificial limbs.
Two multiarticulated hydraulic hand prosthesesChristian Pylatiuk
Institute for Applied Computer Sciences IAI, Forschungszentrum Karlsruhe, Karlsruhe, Germany
Artif Organs 28:980-6. 2004..Consumers want new prosthetic hand designs that have increased functionality, better cosmetic appearance, and lower weight...
Use and satisfaction with prosthetic limb devices and related servicesLiliana E Pezzin
Health Policy Institute, Medical College of Wisconsin, Milwaukee, WI 53226, USA
Arch Phys Med Rehabil 85:723-9. 2004..To examine the use and satisfaction with prosthetic limb devices and satisfaction with prosthetist services in a large and diverse sample of persons with limb loss...
Mobility outcome following unilateral lower limb amputationB Davies
Northern General Hospital, Sheffield, England, UK
Prosthet Orthot Int 27:186-90. 2003..This study concludes that mobility rates one year after prosthetic provision for unilateral trans-tibial and trans-femoral amputees worsen with increasing age at amputation and a higher level of amputation...
Myoelectric signal processing for control of powered limb prosthesesP Parker
Institute of Biomedical Engineering, Department of Electrical and Computer Engineering, University of New Brunswick, 15 Dineen Drive, P O Box 4400, Fredericton, NB, Canada E3B 5A3
J Electromyogr Kinesiol 16:541-8. 2006..The paper demonstrates that considerable progress has been made in providing clients with useful and reliable myoelectric communication channels, and that exciting work and developments are on the horizon...
Sensitivity and reproducibility of accelerometry and heart rate in physical strain assessment during prosthetic gaitJohannes B J Bussmann
Department of Rehabilitation Medicine, Erasmus MC, University Medical Center Rotterdam, P O Box 2040, 3000 CA Rotterdam, The Netherlands
Eur J Appl Physiol 91:71-8. 2004..The use of accelerometry as an indicator of the level of physical strain in persons with an amputation is not feasible. The added value of a calibration procedure has to be studied...
A robust, real-time control scheme for multifunction myoelectric controlKevin Englehart
Department of Biomedical Engineering, University of New Brunswick, 25 Dineen Drive, Fredericton, NB E3B5A3, Canada
IEEE Trans Biomed Eng 50:848-54. 2003..Finally, minimal storage capacity is required, which is an important factor in embedded control systems...
Quantifying pattern recognition-based myoelectric control of multifunctional transradial prosthesesGuanglin Li
Neural Engineering Center for Artificial Limbs, Rehabilitation Institute of Chicago, Chicago, IL 60611, USA
IEEE Trans Neural Syst Rehabil Eng 18:185-92. 2010....
Control of multifunctional prosthetic hands by processing the electromyographic signalM Zecca
ARTS Lab, Scuola Superiore Sant'Anna, Pontedera, Italy
Crit Rev Biomed Eng 30:459-85. 2002....
Improved myoelectric prosthesis control using targeted reinnervation surgery: a case seriesLaura A Miller
Neural Engineering Center for Artificial Limbs, Rehabilitation Institute of Chicago, Chicago, IL 60611, USA
IEEE Trans Neural Syst Rehabil Eng 16:46-50. 2008..Performance on timed tests, including the box-and-blocks test and clothespin test, has increased two to six times. Options for new control strategies are discussed...
Decoding a new neural machine interface for control of artificial limbsPing Zhou
Neural Engineering Center for Artificial Limbs, Rehabilitation Institute of Chicago, IL, USA
J Neurophysiol 98:2974-82. 2007..In addition, the results demonstrate that the central motor control system is capable of eliciting complex efferent commands for a missing limb, in the absence of peripheral feedback and without retraining of the pathways involved...
Surface EMG in advanced hand prostheticsClaudio Castellini
LIRA Lab, University of Genova, viale F Causa, 13, 16145, Genova, Italy
Biol Cybern 100:35-47. 2009....
A real-time EMG pattern recognition system based on linear-nonlinear feature projection for a multifunction myoelectric handJun-Uk Chu
Korea Orthopedics and Rehabilitation Engineering Center, Incheon 403-712, Korea
IEEE Trans Biomed Eng 53:2232-9. 2006..Our experimental results show that all processes, including virtual hand control, are completed within 125 ms, and the proposed method is applicable to real-time myoelectric hand control without an operational time delay...
Biomechanical analysis of postural control of persons with transtibial or transfemoral amputationP R Rougier
Laboratoire de Physiologie de l Exercice, EA 4338, UFR CISM, Universite de Savoie, Campus Scientifique de Savoie Technolac, Le Bourget du Lac, France
Am J Phys Med Rehabil 88:896-903. 2009..This study is aimed at assessing these mechanisms and the influence of the level of amputation...
Osseointegrated trans-femoral amputation prostheses: prospective results of general and condition-specific quality of life in 18 patients at 2-year follow-upKerstin Hagberg
Department of Prosthetics and Orthotics, Sahlgrenska University Hospital, Goteborg University, Goteborg, Sweden
Prosthet Orthot Int 32:29-41. 2008..Thus, osseointegrated prostheses represent a promising development in the rehabilitation of individuals with transfemoral amputation and increase their quality of life...
One hundred patients treated with osseointegrated transfemoral amputation prostheses--rehabilitation perspectiveKerstin Hagberg
Centre of Orthopaedic Osseointegration, Department of Orthopaedics, Sahlgrenska University Hospital, University of Gothenburg, Gothenburg, Sweden
J Rehabil Res Dev 46:331-44. 2009..The majority of treatment failures occurred in patients before we established the OPRA protocol. The implementation of graded rehabilitation is considered to be of utmost importance for improved results...
Targeted reinnervation for enhanced prosthetic arm function in a woman with a proximal amputation: a case studyTodd A Kuiken
Neural Engineering Center for Artificial Limbs, Rehabilitation Institute of Chicago, Chicago, IL 60611, USA
Lancet 369:371-80. 2007..We developed a technique that used nerve transfers to muscle to develop new electromyogram control signals and nerve transfers to skin, to provide a pathway for cutaneous sensory feedback to the missing hand...
Dermatologic conditions associated with use of a lower-extremity prosthesisNancy L Dudek
Division of Physical Medicine and Rehabilitation, Department of Medicine, University of Ottawa, ON, Canada
Arch Phys Med Rehabil 86:659-63. 2005..To document the frequency of skin problems among lower-limb prosthesis users and to assess for factors associated with skin problems among patients using a prosthesis...
The effects of prosthetic foot design on physiologic measurements, self-selected walking velocity, and physical activity in people with transtibial amputationMiao Ju Hsu
Institute and Faculty of Physical Therapy, National Yang Ming University, Taipei City, Taiwan
Arch Phys Med Rehabil 87:123-9. 2006..To investigate the physiologic differences during multispeed treadmill walking and physical activity profiles for the Otto Bock C-Walk foot (C-Walk), Flex-Foot, and solid ankle cushion heel (SACH) foot in people with transtibial amputation...
Visual enhancement of touch and the bodily selfMatthew R Longo
Institute of Cognitive Neuroscience, University College London, 17 Queen Square, London WC1N 3AR, UK
Conscious Cogn 17:1181-91. 2008..These results demonstrate a clear functional relation between the bodily self and basic tactile perception...
Intelligent multifunction myoelectric control of hand prosthesesC M Light
Electronics and Computer Science, University of Southampton, Highfield, Southampton SO17 1BJ, UK
J Med Eng Technol 26:139-46. 2002..A digital signal processor (DSP) regulates the grip pressure of a new six-degree-of-freedom hand prosthesis thereby ensuring secure prehension without continuous visual feedback...
Comparison of methods for the calculation of energy storage and return in a dynamic elastic response prosthesisM D Geil
Department of Health and Performance Sciences, Georgia Institute of Technology, 30332, Atlanta, GA, USA
J Biomech 33:1745-50. 2000..This research is the first application of the new models to prosthetic feet, and suggests the need for additional research in gait analysis with energy-storing prostheses...
Mobility scales for lower limb-prosthetic patient: the locomotor capabilities indexFranco Franchignoni
Arch Phys Med Rehabil 83:582-3; author reply 583. 2002
Finite element analysis of bone stress and strain around a distal osseointegrated implant for prosthetic limb attachmentW Xu
School of Mechanical and Materials Engineering, University of Surrey, Guildford, UK
Proc Inst Mech Eng H 214:595-602. 2000..The significance of each implant geometry was identified for improving implant design in the light of benefit to the bone/implant osseointegration and the bone remodelling of the femur...
Outcome after trans-tibial amputation for vascular disease. A follow-up after eight yearsY Hermodsson
Department of Orthopaedics, Helsingborg Hospital, Sweden
Scand J Caring Sci 12:73-80. 1998..006) and greater ability to walk alone outdoors before the amputation (p = 0.01). There was no significant age difference in this comparison. The finding that it is more favourable to be amputated on the left leg merits further study...
Consequences of non-vascular trans-femoral amputation: a survey of quality of life, prosthetic use and problemsK Hagberg
Department of Orthopaedics, Goteborg University, Sahlgren University Hospital, Gothenburg, Sweden
Prosthet Orthot Int 25:186-94. 2001..Efforts to improve the physical and the psychological well-being for this group, with a long life expectancy, are needed...
The bionic man: restoring mobilityWilliam Craelius
Department of Biomedical Engineering, Rutgers University, Piscataway, NJ 08855 0909, USA
Science 295:1018-21. 2002..With crucial help from their pioneering users, they are learning how and where the residual sensorimotor system can be tapped in order to transmit its intents to replacement or reactivated body parts...
Rehabilitation of the geriatric vascular amputee patient: a population-based studyD D Fletcher
Department of Physical Medicine and Rehabilitation, Mayo Clinic Rochester, Rochester, MN 55902, USA
Arch Phys Med Rehabil 82:776-9. 2001..However, selected individuals can successfully be fitted with a prosthesis; knowledge of predictors of prosthetic fitting may facilitate setting of realistic goals during presurgical counseling in this age group...
Kinematic and kinetic gait analysis in the sagittal plane of trans-femoral amputees before and after special gait re-educationC Sjödahl
Department of Physical Therapy, Lund University, Sweden
Prosthet Orthot Int 26:101-12. 2002..The limp of amputees is usually observed in the frontal plane, but the authors' special focus on the sagittal plane here illustrates gait propulsion influences. The positive training results remained after six months...
Lower extremity prosthetic mobility: a comparison of 3 self-report scalesW C Miller
Faculty of Medicine, School of Rehabilitation Sciences, University of British Columbia, Vancouver, BC, Canada
Arch Phys Med Rehabil 82:1432-40. 2001....
Rehabilitation of the trans-femoral amputee with an osseointegrated prosthesis: the United Kingdom experienceJ Sullivan
Roehampton Rehabilitation Centre, Queen Mary's Hospital, London, UK
Prosthet Orthot Int 27:114-20. 2003..However, some aspects of this promising developmental procedure for the management of the trans-femoral amputee need to be critically evaluated before it becomes a routine clinical procedure in the United Kingdom...
A wavelet-based continuous classification scheme for multifunction myoelectric controlK Englehart
Department of Electrical and Computer Engineering and the Institute of Biomedical Engineering, University of New Brunswick, Fredericton, Canada
IEEE Trans Biomed Eng 48:302-11. 2001..Although in its preliminary stages of development, this scheme promises a more natural and efficient means of myoelectric control than one based on discrete, transient bursts of activity...
Reliability, validity, and responsiveness of the locomotor capabilities index in adults with lower-limb amputation undergoing prosthetic trainingFranco Franchignoni
Unit of Occupational Rehabilitation and Ergonomics, Rehabilitation Institute of Veruno, Veruno, Italy
Arch Phys Med Rehabil 85:743-8. 2004..To assess the reliability, validity, and responsiveness of both the standard and revised Locomotor Capabilities Index (LCI) in people with lower-limb amputation who undergo prosthetic training...
Targeted reinnervation to improve prosthesis control in transhumeral amputees. A report of three casesGregory A Dumanian
Division of Plastic Surgery, Department of Surgery, Feinberg School of Medicine, Northwestern University, 675 North St. Clair Street, 19th Floor Galter, Suite 250, Chicago, IL 60611, USA
J Bone Joint Surg Am 90:393-400. 2008
Monitoring of the load regime applied on the osseointegrated fixation of a trans-femoral amputee: a tool for evidence-based practiceLaurent Frossard
School of Engineering Systems, Queensland University of Technology, Brisbane, Australia
Prosthet Orthot Int 32:68-78. 2008..This study is a stepping stone in the development of future affordable, on-board and user-friendly load recording systems that can be used in evidence-based practice...
Kinematic and kinetic comparisons of transfemoral amputee gait using C-Leg and Mauch SNS prosthetic kneesAva D Segal
Center of Excellence for Limb Loss Prevention and Prosthetic Engineering, VA Puget Sound Health Care System, 1660 South Columbian Way, Mail Stop 151, Seattle, WA 98108, USA
J Rehabil Res Dev 43:857-70. 2006..30 +/- 0.1 vs 1.21 +/- 0.1 m/s, respectively; p = 0.004). The C-Leg prosthetic limb vertical ground reaction force decreased compared with the Mauch SNS (96.3 +/- 4.7 vs 100.3 +/- 7.5 % body weight, respectively; p = 0.0092)...
A photoelastic clinical study of the static load distribution at the stump/socket interface of PTB socketsP Sewell
Faculty of Computing, Engineering and Mathematical Sciences, University of the West of England, Bristol, UK
Prosthet Orthot Int 29:291-302. 2005..Given further development this photoelastic technique may therefore be suitable for qualitative analysis of the interactions between the stump and prosthetic socket...
Usability of gait analysis in the alignment of trans-tibial prostheses: a clinical studyJ M van Velzen
Rehabilitation Centre Heliomare, Wijk aan Zee, The Netherlands
Prosthet Orthot Int 29:255-67. 2005..It was suggested that the usability of the SYBAR system in clinical settings should be further explored...
A questionnaire survey of the effect of different interface types on patient satisfaction and perceived problems among trans-tibial amputeesF B van de Weg
Department of Rehabilitation, Rehabilitation Centre Amsterdam, Overtoom 283, Amsterdam 1054 HW, The Netherlands
Prosthet Orthot Int 29:231-9. 2005..A careful analysis of patients' preferences should be made to determine the best course of action. Further studies, preferably prospective, need to be conducted to determine which systems are most comfortable and offer least complaints...
Magnetic resonance imaging technology in transtibial socket research: a pilot studyArjan W P Buis
National Centre for Training and Education in Prosthetics and Orthotics, University of Strathclyde, Glasgow, Scotland G4 0LS
J Rehabil Res Dev 43:883-90. 2006..Results show that extracting the bone structure and using it as the reference grid to quantify the differences in volume and shape of the soft tissues of the residual limb is feasible...
Effects of prosthesis alignment on pressure distribution at the stump/socket interface in transtibial amputees during unsupported stance and gaitH A M Seelen
Rehabilitation Foundation Limburg, The Netherlands
Clin Rehabil 17:787-96. 2003..To assess the effects of antero-posterior realignment of the prosthesis on pressure distribution at the stump/socket interface in unilateral transtibial amputees during unsupported stance and gait...
Stump-socket interface pressure as an aid to socket design in prostheses for trans-femoral amputees--a preliminary studyV S Lee
Bioengineering Unit, University of Strathclyde, Glasgow
Proc Inst Mech Eng H 211:167-80. 1997..The results obtained from this study were compared with those found in published literature and the biomechanics of the two types of socket is discussed...
Modeling and simulation of muscle forces of trans-tibial amputee to study effect of prosthetic alignmentLidan Fang
Division of Intelligent and Biomechanical System, State Key Laboratory of Tribology, Tsinghua University, Room 3505, Building 9003, Beijing 100084, China
Clin Biomech (Bristol, Avon) 22:1125-31. 2007..It is necessary to predict and explain the patterns of muscle forces in the stump of a left trans-tibial amputee during walking, and to study the effects of the prosthetic alignment...
Early treatment of trans-tibial amputees: retrospective analysis of early fitting and elastic bandagingA D van Velzen
Department of Rehabilitation, Isala Klinieken, locatie Sophia, Zwolle, The Netherlands
Prosthet Orthot Int 29:3-12. 2005..If it is possible to apply a plaster cast in the operating room, the authors would prefer the immediate fitting method...
Componentry for lower extremity prosthesesKaren Friel
Department of Physical Therapy, New York Institute of Technology, Old Westbury, NY 11568, USA
J Am Acad Orthop Surg 13:326-35. 2005..In addition, specific considerations must be kept in mind when fitting a patient with peripheral vascular disease or diabetes...
Pediatric prosthetics: an updateDonald R Cummings
Department of Prosthetics, Texas Scottish Rite Hospital for Children, 2222 Welborn, Dallas, TX 75219, USA
Phys Med Rehabil Clin N Am 17:15-21. 2006..The focus of clinicians, therapists, and researchers should be to determine the best way of matching components, techniques, and socket designs to the dynamic needs of the child as he or she develops from infant to adult...
Changes in lower extremity prosthetic practiceTed A Trower
A S C Orthotics and Prosthetics, 1407 East Michigan Avenue, Jackson, MI 49202, USA
Phys Med Rehabil Clin N Am 17:23-30, v-vi. 2006..If the fit and alignment are on the mark, an amputee can function at remarkably high levels with rudimentary components. This article discusses the basics of lower extremity prosthetic practice and addresses challenges for the future...
Lower extremity socket design and suspensionKevin Carroll
Hanger Prosthetics and Orthotics, Hanger Orthopedic Group, Inc, Orlando, FL, USA
Phys Med Rehabil Clin N Am 17:31-48. 2006..Various available suspension systems address the needs of virtually all users. Finally, emerging technologies indicate an even brighter future for all individuals who use a lower extremity prosthesis (Fig. 13)...
Effects of fluid insert volume changes on socket pressures and shear stresses: case studies from two trans-tibial amputee subjectsJ E Sanders
Department of Bioengineering, University of Washington, Seattle, Washington, USA
Prosthet Orthot Int 30:257-69. 2006....
Achieving functional ambulation in a patient with Chopart amputationJennifer Baima
SRH Brigham Women s Orthopedic and Arthritis Center, Harvard Medical School, Chestnut Hill, Massachusetts, USA
Am J Phys Med Rehabil 87:510-3. 2008..At his follow-up clinic visit, he no longer had pain, and he was able to play soccer. This device provides a functional alternative for those patients with Chopart amputation who are unable to participate in athletic activities...
Intradermal botulinum toxin type A injection effectively reduces residual limb hyperhidrosis in amputees: a case seriesAlexandra Charrow
Department of Neurology, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA
Arch Phys Med Rehabil 89:1407-9. 2008..To study the effectiveness of botulinum toxin type A (BTX-A) therapy for residual limb hyperhidrosis, prosthesis fit and function, and residual and phantom limb pain in patients with limb amputation...
Acquired limb deficiencies. 3. Prosthetic components, prescriptions, and indicationsM E Huang
Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA 23298, USA
Arch Phys Med Rehabil 82:S17-24. 2001..OVERALL ARTICLE OBJECTIVE: To describe indications for prosthetic components and prescription formulation for adults with acquired limb deficiency...
Acquired limb deficiencies. 4. TroubleshootingC E Levy
Physical Medicine and Rehabilitation Service and Brain Rehabilitation Research Service, North Florida/South Georgia Veterans Health System, Dept of Orthopaedics and Rehabilitation, College of Medicine, University of Florida, Gainesville, FL 32608, USA
Arch Phys Med Rehabil 82:S25-30. 2001..Diagnostic and treatment approaches to skin breakdown in the transtibial amputee and to knee instability in the transfemoral amputee are also presented. OVERALL ARTICLE OBJECTIVE: To analyze common clinical problems of amputees...
[Exoskeletal prosthetic treatment following congenital or acquired defects of the upper extremities]M Schafer
Orthopädietechniker Meister, c o Pohlig GmbH, Grabenstätter Strasse 1, Traunstein
Handchir Mikrochir Plast Chir 40:46-59. 2008..On the basis of various care examples, the requirements and individual approaches in exoskeletal prosthetic care of the upper extremities will be illustrated...
Development of the transtibial prosthesis controlled pneumatically and electrically by microcomputer systemYouichi Shimada
Kanazawa Institute of Technology, Ishikawa 921-8501, Japan
Biomed Sci Instrum 42:452-7. 2006..The primary walking pattern for an individual amputee should be developed through the gait analysis with video...
Successful prosthetic fitting of elderly trans-femoral amputees with Intelligent Prosthesis (IP): a clinical pilot studyTakaaki Chin
Hyogo Rehabilitation Center, Kobe, Japan
Prosthet Orthot Int 31:271-6. 2007..It was concluded that elderly trans-femoral amputees who are judged to be in good physical condition appear to merit the application of knee joints with superior swing phase control functions such as IP, regardless of their age...
Postoperative management of lower extremity amputationsTim Goldberg
ProsthetiCare Fort Worth, 1550 West Rosedale Street, Suite 100, Fort Worth, TX 76104, USA
Phys Med Rehabil Clin N Am 17:173-80, vii. 2006..The atmosphere of rapid rehabilitation for amputees stresses return to normal function as quickly as possible. Early ambulation is the obvious goal for most new amputees...
Measuring mobility in people with lower limb amputation: Rasch analysis of the mobility section of the prosthesis evaluation questionnaireFranco Franchignoni
Unit of Occupational Rehabilitation and Ergonomics, Rehabilitation Institute of Veruno, Veruno, Italy
J Rehabil Med 39:138-44. 2007..To assess the psychometric properties of the Mobility Section of the Prosthesis Evaluation Questionnaire (PEQ-MS)...
Residual-limb skin temperature in transtibial socketsJeffrey T Peery
Department of Veterans Affairs (VA, Rehabilitation Research and Development Center of Excellence for Limb Loss Prevention and Prosthetic Engineering, VA Puget Sound, Seattle, WA, USA
J Rehabil Res Dev 42:147-54. 2005..This information may aid in understanding where and why skin problems develop on lower-limb residual limbs and may provide design requirements for new prosthetic socket systems intended to alleviate temperature-related discomfort...
[Dynamic loads at knee joint of trans-tibial amputee on different terrains]Xiaohong Jia
Division of Intelligent and Biomechanical System, State Key Laboratory of Tribology, Tsinghua University, Beijing 100084, China
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi 22:221-4. 2005..The quantitative findings provide the theoretical basis of gait analysis and prosthesis design for trans-tibial amputee...
Energy expenditure and biomechanical characteristics of lower limb amputee gait: the influence of prosthetic alignment and different prosthetic componentsThomas Schmalz
Department of Research, Otto Bock Health Care, Duderstadt, Germany
Gait Posture 16:255-63. 2002..All investigated variations can be clearly characterized by the sagittal moments acting on the joints of the prosthetic limb during gait...
Walking in a vacuum-assisted socket shifts the stump fluid balanceJ Goswami
Health, Physical Education, Recreation and Sport Science, St. Cloud University, Minnesota 56301-4498, USA
Prosthet Orthot Int 27:107-13. 2003..This change in fluid balance towards a net gain supports the findings by Board et al. (2001) that vacuum-assist ensures a good fit during the day in ambulatory trans-tibial traumatic amputees with mature stumps...
A comparison of trans-tibial amputee suction and vacuum socket conditionsW J Board
Department of Health, Physical Education and Sports Science, Saint Cloud State University, Minnesota 56301-4498, USA
Prosthet Orthot Int 25:202-9. 2001..The combination of reduced pistoning and maintenance of volume is thought to account for the more symmetrical gait observed with the vacuum...
The effect of a shock-absorbing pylon on the gait of persons with unilateral transtibial amputationSteven A Gard
Department of Veterans Affairs VA Chicago Health Care System, Lakeside Division, Chicago, IL, USA
J Rehabil Res Dev 40:109-24. 2003..We conclude that SAPs may provide significant benefit for persons with transtibial amputations who are able to routinely walk at speeds above approximately 1.3 m/s...
[The functional and professional future of lower limb amputees with prosthesis]M Mezghani-Masmoudi
Service de médecine physique de rééducation et réadaptation fonctionnelle, CHU Habib Bourguiba, 3000 Sfax, Tunisie
Ann Readapt Med Phys 47:114-8. 2004..The objective of our study is to evaluate the functional and professional becoming of lower limb amputated population with prosthesis...
Transtibial energy-storage-and-return prosthetic devices: a review of energy concepts and a proposed nomenclatureBrian J Hafner
Department of Bioengineering, University of Washington, Seattle 98195, USA
J Rehabil Res Dev 39:1-11. 2002..This review and proposed classification scheme should help to alleviate confusion and should facilitate enhancement of the design, selection, and fitting of prosthetic limbs for amputee patients...
Aided gait of people with lower-limb amputations: comparison of 4-footed and 2-wheeled walkersH Amy Tsai
School of Biomedical, Dalhousie University, Halifax, NS, Canada
Arch Phys Med Rehabil 84:584-91. 2003..The findings have implications for ambulation training and the prescription of ambulation aids...
Physiological responses to multiple speed treadmill walking for Syme vs. transtibial amputation--a case reportS Lin-Chan
Graduate Program in Physical Therapy and Rehabilitation Science, Division of Associated Medical Sciences, College of Medicine, The University of Iowa, Iowa City, USA
Disabil Rehabil 25:1333-8. 2003..Additional comparison was made between the SACH foot prosthesis and a dynamic response foot prosthesis...
CIR sand casting system for trans-tibial socketY Wu
Centre for International Rehabilitation, Chicago, IL 60611, USA
Prosthet Orthot Int 27:146-52. 2003..Compatibility with all existing prosthetic components is retained. It is believed the CIR socket fabrication system may be a competitive alternative for prosthetic service providers in developing countries...
Laboratory and clinical tests of a prototype pressure sensor for clincial assessment of prosthetic socket fitA A Polliack
Rehabilitation Engineering Program, Rancho Los Amigos National Rehabilitation Center, Downey, CA, USA
Prosthet Orthot Int 26:23-34. 2002..The results from this study were encouraging and the authors hope to conduct further laboratory and clinical trials to assess the influence of shear force and dynamic loading on sensor response...
The biomechanical effects of the inclusion of a torque absorber on trans-femoral amputee gait, a pilot studyM L van der Linden
School of Health Care Professions, University of Salford, England, UK
Prosthet Orthot Int 26:35-43. 2002..Further, including a TA may reduce the relative motion between the stump and the socket and therefore may decrease skin breakdown due to diminished shear forces...
Gait analysis in prosthetics: opinions, ideas and conclusionsJ S Rietman
Department of Rehabilitation, University of Hospital Groningen, The Netherlands
Prosthet Orthot Int 26:50-7. 2002..A considerable part of the studies concerned the adaptive strategies of the amputee in walking and running and the evaluation of different prosthetic feet. All aspects and outcomes were reviewed concerning the clinical relevance...
Energy storage and return prostheses: does patient perception correlate with biomechanical analysis?Brian J Hafner
Department of Bioengineering, University of Washington, Harris Hydraulics 309, Box 357962, Seattle 98195, USA
Clin Biomech (Bristol, Avon) 17:325-44. 2002....
Walking and running inter-limb asymmetry for Paralympic trans-femoral amputees, a biomechanical analysisB Burkett
School of Human Movement Studies, Queensland University of Technology, Queensland, Australia
Prosthet Orthot Int 27:36-47. 2003..This study objectively identified that when Paralympic level amputees ran on their standard running prosthesis, the inter-limb asymmetry was exacerbated...
Standing interface stresses as a predictor of walking interface stresses in the trans-tibial prosthesisS G Zachariah
Departments of Bioengineering and Rehabilitation Medicine, University of Washington, Seattle, USA
Prosthet Orthot Int 25:34-40. 2001....
Adjustments in gait symmetry with walking speed in trans-femoral and trans-tibial amputeesLee Nolan
Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK
Gait Posture 17:142-51. 2003....
Gait patterns of transtibial amputee patients walking indoors barefootTai Ryoon Han
Department of Rehabilitation Medicine, Seoul National University College of Medicine, Korea
Am J Phys Med Rehabil 82:96-100. 2003..These gait patterns improved, however, with use of a single-axis prosthetic foot, which permits a further plantar flexion after the initial contact...
Transverse rotation and longitudinal translation during prosthetic gait--a literature reviewMartin Twiste
Directorate of Prosthetics and Orthotics, University of Salford, Manchester, UK
J Rehabil Res Dev 40:9-18. 2003..This literature review is an investigation into these motions between the socket and the prosthetic foot, with particular reference to gait characteristics and prosthetic design criteria...
Comparative study between patellar-tendon-bearing and pressure cast prosthetic socketsJames Cho Hong Goh
Department of Orthopaedic Surgery, National University of Singapore, 5 Lower Kent Ridge Road, Singapore 119074, Singapore
J Rehabil Res Dev 41:491-501. 2004....
[Outcome of early fitting by silicone liner with lock system for dysvascular below-knee amputation: assessment of walking abilities by a specific questionnaire]L Cazabon
Inserm ERITm 0207, , CHU de Dijon, 23, rue Gaffarel, 21079 Dijon Cedex, France
Ann Readapt Med Phys 48:118-25. 2005..CONCLUSION: Despite its beneficial initial effect, early fitting by the ICEROSS system did not improve walking ability at the steady functional state, which is more linked to advanced age and comorbidities...
Clinical field follow-up of high density polyethylene (HDPE)-Jaipur prosthetic technology for trans-tibial amputeesJ S Jensen
ISPO, Copenhagen, Denmark
Prosthet Orthot Int 28:230-44. 2004..The major inadequacy in outcome relates to the use for fabrication and fitting of individuals with inadequate education and training...
The Knud Jansen Lecture. Culture-sensitive innovations for quality living of lower limb amputeesSeishi Sawamura
Hyogo Rehabilitation Center, Kobe, Japan
Prosthet Orthot Int 28:212-5. 2004
Polyurethane gel liner usage in the Oxford Prosthetic ServiceA G Hatfield
Prosthetic Service, Mary Marlborough Centre, Nuffield Orthopaedic Centre, Windmill Road, Headington, Oxford, OX3 7LD England, UK
Prosthet Orthot Int 25:41-6. 2001..This group is a relatively mobile group of amputees. All those using cushion liners reported improved comfort. Some of the locking liner users reported improved comfort and suspension but this was not universally the case...
Optimal surgical preparation of the residual limb for prosthetic fitting in below-knee amputationsC P Chiodo
Brigham and Women's Hospital, Boston, Massachusetts, USA
Foot Ankle Clin 6:253-64. 2001..Attention to factors such as the preoperative evaluation and the surgical technique can ensure the best possible outcome for amputation patients...
Amputations: no longer the end of the roadB W Turney
Department of Surgery and Physiotherapy, Peterborough District Hospital, UK
J R Coll Surg Edinb 46:271-3. 2001..002). CONCLUSION: Lower limb amputees should participate in an aggressive in-patient physiotherapy regimen since reasonable mobility can be achieved in the majority of patients...
Using the theory of planned behaviour to develop an assessment of attitudes and beliefs towards prosthetic use in amputeesB G Callaghan
The National Centre for Training and Education in Prosthetics and Orthotics, University of Strathclyde, Glasgow, UK
Disabil Rehabil 26:924-30. 2004..To develop a questionnaire based on the theory of planned behaviour (TPB) to predict prosthetic use...
Comparison of clinical test and questionnaires for the evaluation of upper limb prosthetic use in childrenHelena Burger
Institute for Rehabilitation, Ljubljana, Slovenia
Disabil Rehabil 26:911-6. 2004....
Energy expenditure and gait characteristics of a bilateral amputee walking with C-leg prostheses compared with stubby and conventional articulating prosthesesJacquelin Perry
Rancho Los Amigos National Rehabilitation Center, Downey, CA 90242, USA
Arch Phys Med Rehabil 85:1711-7. 2004..To compare energy cost and stride characteristics during walking with 3 different types of prostheses in a person with bilateral knee disarticulations...
Research Grants
- NEUROMUSCULAR REORGANIZATION FOR PROSTHESIS CONTROLTodd Kuiken; Fiscal Year: 2002..board- certified physiatrist with clinical and research interests in the care of amputees and improvement of artificial limbs. Currently amputees can only control a single degree-of-freedom at a time with myoelectric prostheses, which ..
- Neural-Enabled Prosthesis with Sensorimotor IntegrationRanu Jung; Fiscal Year: 2010..will require seamless integration of the intact sensory-motor living system with advanced highly capable artificial limbs. Our bioengineering research partnership proposes to develop an advanced prosthetic system that uses ..
- Neural-Enabled Prosthesis with Sensorimotor IntegrationRanu Jung; Fiscal Year: 2007..will require seamless integration of the intact sensory-motor living system with advanced highly capable artificial limbs. Our bioengineering research partnership proposes to develop an advanced prosthetic system that uses ..
- Vibrotactile Feedback for Prosthetic LimbsRONALD RISO; Fiscal Year: 2005..The Specific Aim of this PHASE 1 project is to develop vibration actuators specifically for use with artificial limbs. The designed actuators will have minimal bulk and mass; consume only modest power; be inexpensive to ..
- CRCNS: Active Sensing and Odor Processing in the Olfactory BulbDALE M WACHOWIAK; Fiscal Year: 2010..important biomedical impact of this work is the development of improved prosthetic devices - for example, artificial limbs which use sensor-driven proprioceptive information to help control movement...
- A High Throughput System for Multichannel NeurophysiologyTIMOTHY TUCKER; Fiscal Year: 2007..interplay between large populations of neurons as well as the potential for neuroprosthetic control of artificial limbs or restoring sensory input...
- INTERFACE MECHANICS, MATERIALS, AND TISSUE RESPONSEJoan Sanders; Fiscal Year: 2003....
- Interface Materials for Patients with Limb AmputationJoan E Sanders; Fiscal Year: 2010....
- INTERFACE MECHANICS, MATERIALS AND TISSUE RESPONSEJoan Sanders; Fiscal Year: 2007..The development of methods to predict and overcome the detrimental effects of residual limb shape change and ultimately prevent soft-tissue breakdown will help to prevent secondary disability and morbidity in the amputee population. ..
- NEW BIOMATERIALS TO MINIMIZE SCAR TISSUE FORMATIONJoan Sanders; Fiscal Year: 2002..e. soft-tissue complications that require surgical repair through use of a biomaterial. The new materials will prevent scar tissue formation and reduce the occurrence of secondary complications. ..
- Assessment of Tissue Response to StressJoan Sanders; Fiscal Year: 2006..If effective, potentially this technology could be applied to other areas of rehabilitation, for example, shoe design for patients with insensate feet, cushion design for wheelchair users, and mattress design for bedridden patients ..
- Skin Adaptation to Mechanical StressJoan Sanders; Fiscal Year: 2006..By understanding the process of skin adaptation (natural skin strengthening) at both a cellular and molecular level, therapies to encourage skin adaptation before breakdown occurs can be intelligently pursued. ..
- Measuring In-Socket Residual Limb Volume FluctuationJoan Sanders; Fiscal Year: 2009..abstract_text> ..
- Measuring In-Socket Residual Limb Volume FluctuationJoan E Sanders; Fiscal Year: 2010..Thisinstrumentcouldbeextendedtowardstheimplementationand evaluationofnovelvolumecontrolstrategiesandalsoappliedtootherareasof rehabilitationwheremanagementofinterstitialfluidcontrolisclinicallyrelevant. ..
- New Iizarov technique for pediatric critical careMark Pitkin; Fiscal Year: 2006..If this aim of the Phase I study is achieved, the further study (Phase II) will be conducted to verify the effectiveness of the early application of external fixation. ..
- Manufacturing technology for skin integrated composite prosthetic pylonMark Pitkin; Fiscal Year: 2007..Providing US Veterans with infection-safe direct skeletal attachment of prostheses will improve the quality of their lives and eliminate the costs associated with the multiple fabrications and adjustments of the prosthetic sockets. ..
- Responses of the Ankle to Changes in Shoe Rocker RadiusAndrew Hansen; Fiscal Year: 2007....
- Multifunction Prosthesis Control using Implanted SensorsRichard Weir; Fiscal Year: 2007..A definitive design is anticipated to be ready for final testing and tweaking by the middle of year 4. The final year will be spent conducting the final systems integration. ..
- ROLLING JOINT PROSTHETIC LEGMark Pitkin; Fiscal Year: 2003..The RJ Leg will enhance performance of transfemoral amputees without increasing the cost, thus providing a highly competitive product in the field of prosthetic rehabilitation. ..
- ENDOTHELIAL CELL ADHESION TO POLYMERS STUDIED BY TIRFWilliam Reichert; Fiscal Year: 2007..abstract_text> ..
- A Novel Waveform for Electrical Nerve Conduction BlockKevin L Kilgore; Fiscal Year: 2010..This research will provide a significant tool in our ongoing efforts to reduce disability and improve quality of life. ..
- A Novel Waveform for Electrical Nerve Conduction BlockKevin Kilgore; Fiscal Year: 2003..The initial intended human application will be to alleviate pain in individuals with neuromas secondary to limb amputation. ..
- Aerobic Exercise Intervention for Knee OsteoarthritisKenton Kaufman; Fiscal Year: 2005..Hypothesis: A effective exercise prescription for adults with degenerative joint disease is dependent on knee compartment involvement, CIA stage, BMI, and type of exercise prescribed. ..
- Implantable Microsystems for Human NeuroprosthesisJohn Donoghue; Fiscal Year: 2007....
- Toward an Animal Model of Freely Moving HumanKRISHNA SHENOY; Fiscal Year: 2009..neuroscience investigations of motor control, applied neuroscience/neuroengineering aimed at designing robust and high-performance neural prostheses, and large patient populations whose quality of life will be dramatically improved ..
- Restoring Communication with an Intracortical Neural Interface SystemLeigh Hochberg; Fiscal Year: 2009..This research aims to test and develop a neural interface system that could restore the ability to type words, just imagining the movement of one's own hand. ..
- MOTOR CORTEX REORGANIZATIONJohn Donoghue; Fiscal Year: 1993..The results may suggest pharmacological or rehabilitative strategies for enhancing or suppressing cortical responses to damage of the motor system...
- AMPUTATION VS RECONSTRUCTION FOLLOWING LIMB INJURYEllen Mackenzie; Fiscal Year: 1993..These data will be used to address the study's aims and to develop an initial set of guidelines for treating massive lower extremity trauma...
- MICROSENSOR FOR INTRAMUSCULAR PRESSURE MEASUREMENTKenton Kaufman; Fiscal Year: 2000..The ultimate goal is to use this microsensor for clinical decision making to improve the mobility of disabled individuals. ..
- A Novel Waveform for Electrical Nerve Conduction BlockKevin Kilgore; Fiscal Year: 2009..This research will provide a significant tool in our ongoing efforts to reduce disability and improve quality of life. ..
- MICROSENSOR FOR INTRAMUSCULAR PRESSURE MEASUREMENTKenton Kaufman; Fiscal Year: 2007..g. motor neuron disease, peripheral neuropathy), disorders of neuromuscular transmission (e.g. myasthenia gravis, Lambert-Eaton syndrome) and myopathies (e.g. muscular dystrophies, polymyositis, metabolic myopathies). ..
- STATIC AND DYNAMIC ORGANIZATION OF PRIMATE MOTOR CORTEXJohn Donoghue; Fiscal Year: 2007..Finally, the results of these experiments will be useful in designing neural prosthetic devices to restore movement in paralyzed humans. ..
- 'Costs & Effectiveness of Trauma Care in the Elderly'Ellen Mackenzie; Fiscal Year: 2004....
- Improving Trauma Outcomes:A Patient Centered ApproachEllen Mackenzie; Fiscal Year: 2007....
- IDENTIFICATION & TREATMENT OF OSTEONECROSIS OF THE HIPRoy Aaron; Fiscal Year: 2003..If these aims were to be achieved, a new approach, i.e. early diagnosis and biological augmentation of bone repair, could be introduced for the treatment of osteonecrosis. ..
