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OCCUPATIONAL THERAPY OUTCOMES WITH TARGETED HYPER-REINNERVATION NERVE TRANSFER SURGERY : TWO CASE STUDIES

dc.contributor.author Stubblefield, K.A.
dc.contributor.author Miller, L.A.
dc.contributor.author Lipschutz, R.D.
dc.contributor.author Heckathorne, C.W.
dc.contributor.author Phillips, M.E.
dc.contributor.author Kuiken, T.A.
dc.date.accessioned 2010-07-22T17:19:31Z
dc.date.available 2010-07-22T17:19:31Z
dc.date.issued 2005
dc.identifier.citation Proceedings of the MEC’05 conference, UNB; 2005.
dc.identifier.uri https://hdl.handle.net/10161/2748
dc.description.abstract The control of prostheses, both externally powered and body powered, increases in complexity with higher levels of amputation. The externally powered prosthesis has a limited number of options for controlling multiple joints myo-electrically. Some method is necessary to switch control between functions (ie: elbow and hand). Targeted hyper-reinnervation nerve transfer surgery has the potential to greatly improve control of the electric prosthesis for the above elbow and shoulder disarticulation subjects by increasing the number of control options available. When the limb is lost the Brachial Plexus typically remains intact. The nerve supply to the missing limb is viable and connected to the motor cortex, but the motor end points served are gone. In nerve transfer surgery, the peripheral nerve is relocated to an area of denervated muscle tissue in the residual limb –a muscle that no longer moves the missing limb. Hyper-reinnervation occurs resulting in an area of say the Biceps, being controlled by the Median Nerve (in the intact limb, the Median Nerve supplied finger and wrist flexors). A muscle contraction occurs in the graft area of the Biceps when the subject attempts to close his hand. A myo-control site is added if the subject can isolate the contraction from that of the Biceps muscle served by the Musculocutaneous Nerve distribution.
dc.format.extent 39451 bytes
dc.format.mimetype application/pdf
dc.language.iso en_US
dc.publisher Myoelectric Symposium
dc.subject occupational therapy
dc.subject nerve transfer surgery
dc.title OCCUPATIONAL THERAPY OUTCOMES WITH TARGETED HYPER-REINNERVATION NERVE TRANSFER SURGERY : TWO CASE STUDIES
dc.type Other article


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