Abstract
Targeted Muscle Reinnervation (TMR) provides an opportunity to improve prosthesis control for patients with high upper limb amputations. During surgery, nerves of the arm are rerouted to muscles of the stump region thus yielding additional myo-signals which can be used to control prosthesis more intuitively. This study reveals a new protocol for successful prosthetic training of these patients, the so-called “TechNeuroRehabiliation”. It is initiated after surgery and takes about 1.5 years, depending on the level of amputation. During this time, the patient has to learn how to control his new neuro-muscular interface. This rehabilitation process can be divided into 4 stages: 1) reinnervation i.e. wound healing following surgery; 2) signal training: the patient has to learn to control and separate signals; 3) prosthetic fitting if the patient can already reliably control sufficient signals; and 4) follow ups and further training. In this process stage 2 requires maximum therapeutic effort and is highly cognitive. After finishing stage 3, the patient should be capable of using the prosthesis in daily life.
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© 2014 Springer International Publishing Switzerland
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Sturma, A., Herceg, M., Bischof, B., Fialka-Moser, V., Aszmann, O.C. (2014). Rehabilitation Following Targeted Muscle Reinnervation in Amputees. In: Jensen, W., Andersen, O., Akay, M. (eds) Replace, Repair, Restore, Relieve – Bridging Clinical and Engineering Solutions in Neurorehabilitation. Biosystems & Biorobotics, vol 7. Springer, Cham. https://doi.org/10.1007/978-3-319-08072-7_107
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DOI: https://doi.org/10.1007/978-3-319-08072-7_107
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-08071-0
Online ISBN: 978-3-319-08072-7
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