Download Targeted Muscle Reinnervation: A Neural Interface for by Todd A. Kuiken, Aimee E. Schultz Feuser, Ann K. Barlow PDF

By Todd A. Kuiken, Aimee E. Schultz Feuser, Ann K. Barlow

Enforce TMR along with your sufferers and enhance Their caliber of existence built by way of Dr. Todd A. Kuiken and Dr. Gregory A. Dumanian, specified muscle reinnervation (TMR) is a brand new method of gaining access to motor keep watch over indications from peripheral nerves after amputation and delivering sensory suggestions to prosthesis clients. This functional technique has many benefits over different neural-machine interfaces for the enhanced keep watch over of man-made limbs. detailed Muscle Reinnervation: A Neural Interface for man made Limbs presents a template for the medical implementation of TMR and a source for extra learn during this new zone of technological know-how. After describing the fundamental medical thoughts and key rules underlying TMR, the e-book offers surgical techniques to transhumeral and shoulder disarticulation amputations. It explores the potential function of TMR within the prevention and therapy of end-neuromas and info the foundations of rehabilitation, prosthetic becoming, and occupational treatment for TMR sufferers. The e-book additionally describes move sensation and discusses the surgical and sensible results of the 1st numerous TMR sufferers. It concludes with rising study on utilizing TMR to extra enhance the functionality and caliber of lifestyles for individuals with limb loss. With contributions from popular leaders within the box, together with Drs. Kuiken and Dumanian, this publication is an invaluable consultant to imposing TMR in sufferers with high-level top limb amputations. It additionally offers the root to allow advancements in TMR suggestions and advances in prosthetic expertise.

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Extra info for Targeted Muscle Reinnervation: A Neural Interface for Artificial Limbs

Sample text

Overall, the goal is to transfer the healthy distal radial nerve to a functional segment of triceps, while preserving the innervation to the remaining triceps. Drains and a mildly compressive dressing are then applied, and the skin is closed in a similar fashion to that of the ventral closure. 1 Limiting Target Muscle Mobility The loss of distal insertion points for the biceps muscle in short transhumeral amputations may cause the muscle to pull out of the prosthetic socket and under the deltoid muscle when contracting.

I. Tillery, and A. B. Schwartz. 2002. Direct cortical control of 3D neuroprosthetic devices. Science 296 (5574):1829–1832. , S. Perel, M. C. Spalding, A. S. Whitford, and A. B. Schwartz. 2008. Cortical control of a prosthetic arm for self-feeding. Nature 453 (7198):1098–1101. Vignal, J. , L. Maillard, A. McGonigal, and P. Chauvel. 2007. The dreamy state: hallucinations of autobiographic memory evoked by temporal lobe stimulations and seizures. Brain 130:88–99. , E. J. MacKenzie, P. L. Ephraim, T.

If the proximal branch of the radial nerve is no longer connected to the triceps, the entire radial nerve can be transferred to the thoracodorsal or long thoracic nerves. Alternatively, the radial nerve has been successfully transferred to a pectoral nerve innervating the inferolateral border of the pectoralis major muscle, although this requires considerable residual radial nerve length. This pectoral motor nerve has also served as the recipient for a coaptation to the ulnar nerve. As previously mentioned, the pectoralis minor can act as an additional nerve transfer target, although it must be mobilized laterally into the axilla to provide a surface recording location that is distinct from the pectoralis major sites.

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