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"Artificial Limbs"
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Artificial limbs
\"Artificial limbs, or prosthetics, have been recorded in history as early as ancient Egypt. Innovations over the centuries mean that many who are missing or have lost a limb, whether through trauma, disease, or congenital condition, can be fitted with limbs that not only look authentic, but also effectuate the movements of human limbs. This wide-ranging work details the kinds of prostheses available today, how they're made, how they work, the challenges that face those who use them, and exciting advances in prosthetic technology. Readers will marvel at these medical wonders as well as the people who fabricate and utilize them.\" -- Publisher's website.
Book
Active lower limb prosthetics: a systematic review of design issues and solutions
This paper presents a review on design issues and solutions found in active lower limb prostheses. This review is based on a systematic literature search with a methodical search strategy. The search was carried out across four major technical databases and the retrieved records were screened for their relevance. A total of 21 different active prostheses, including 8 above-knee, 9 below-knee and 4 combined knee-ankle prostheses were identified. While an active prosthesis may help to restore the functional performance of an amputee, the requirements regarding the actuation unit as well as for the control system are high and the development becomes a challenging task. Regarding mechanical design and the actuation unit high force/torque delivery, high efficiency, low size and low weight are conflicting goals. The actuation principle and variable impedance actuators are discussed. The control system is paramount for a \"natural functioning\" of the prosthesis. The control system has to enable locomotion and should react to the amputee's intent. For this, multi-level control approaches are reviewed.
Journal Article
Machine man
\"Scientist Charles Neumann loses a leg in an industrial accident. It's not a tragedy. It's an opportunity. Charlie always thought his body could be better. He begins to explore a few ideas. To build parts. Better parts. Prosthetist Lola Shanks loves a good artificial limb. In Charlie, she sees a man on his way to becoming artificial everything. But others see a madman. Or a product. Or a weapon. A story for the age of pervasive technology, Machine Man is a gruesomely funny unraveling of one man's quest for ultimate self-improvement.\"--Publisher's description
Book
Differences in myoelectric and body-powered upper-limb prostheses: Systematic literature review
The choice of a myoelectric or body-powered upper-limb prosthesis can be determined using factors including control, function, feedback, cosmesis, and rejection. Although body-powered and myoelectric control strategies offer unique functions, many prosthesis users must choose one. A systematic review was conducted to determine differences between myoelectric and body-powered prostheses to inform evidence-based clinical practice regarding prescription of these devices and training of users. A search of 9 databases identified 462 unique publications. Ultimately, 31 of them were included and 11 empirical evidence statements were developed. Conflicting evidence has been found in terms of the relative functional performance of body-powered and myoelectric prostheses. Body-powered prostheses have been shown to have advantages in durability, training time, frequency of adjustment, maintenance, and feedback; however, they could still benefit from improvements of control. Myoelectric prostheses have been shown to improve cosmesis and phantom-limb pain and are more accepted for light=intensity work. Currently, evidence is insufficient to conclude that either system provides a significant general advantage. Prosthetic selection should be based on a patient's individual needs and include personal preferences, prosthetic experience, and functional needs. This work demonstrates that there is a lack of empirical evidence regarding functional differences in upper-limb prostheses.
Journal Article
Unstoppable : true stories of amazing bionic animals
\"In this title, readers learn the stories of animals that are both benefitting from and helping out the world of prosthetic science - covering all species, situations, and science backgrounds. From the high-tech science of 3D printing, to inflatables, to toy wheels, this title has it all, including visits with subjects who are accessible for interviews and photography. INSPIRING is a perfect fit for animal lovers and science enthusiasts alike.\"-- Provided by publisher.
Book
Implementation of 3D Printing Technology in the Field of Prosthetics: Past, Present, and Future
There is an interesting and long history of prostheses designed for those with upper-limb difference, and yet issues still persist that have not yet been solved. Prosthesis needs for children are particularly complex, due in part to their growth rates. Access to a device can have a significant impact on a child's psychosocial development. Often, devices supporting both cosmetic form and user function are not accessible to children due to high costs, insurance policies, medical availability, and their perceived durability and complexity of control. These challenges have encouraged a grassroots effort globally to offer a viable solution for the millions of people living with limb difference around the world. The innovative application of 3D printing for customizable and user-specific hardware has led to open-source Do It Yourself \"DIY\" production of assistive devices, having an incredible impact globally for families with little recourse. This paper examines new research and development of prostheses by the maker community and nonprofit organizations, as well as a novel case study exploring the development of technology and the training methods available. These design efforts are discussed further in the context of the medical regulatory framework in the United States and highlight new associated clinical studies designed to measure the quality of life impact of such devices.
Journal Article
Review of secondary physical conditions associated with lower-limb amputation and long-term prosthesis use
Musculoskeletal imbalances or pathologies often develop into secondary physical conditions or complications that may affect the mobility and quality of life of people with lower-limb amputation. Using one or more prostheses causes people with amputation to alter the biomechanics of their movement. For example, people with lower-limb amputation often favor and stress their intact lower limb more during everyday activities. This can lead to degenerative changes such as osteoarthritis of the knee and/or hip joints of the intact limb. Since people with amputation spend less time on their residual limb, osteopenia and subsequent osteoporosis often occur secondary to insufficient loading through the long bones of the lower limb. A proper prosthetic fit increases the probability of equal force distribution across the intact and prosthetic limbs during ambulation, thus decreasing the risk of osteoarthritis. People with limb loss commonly complain of back pain, which is linked to poor prosthetic fit and alignment, postural changes, leg-length discrepancy, amputation level, and general deconditioning. We review the literature on secondary complications among people with lower-limb loss who are long-term prosthesis wearers.
Journal Article
Prosthesis use in persons with lower- and upper-limb amputation
This study identified clinical (e.g., etiology) and demographic factors related to prosthesis use in persons with upper- and lower-limb amputation (ULA and LLA, respectively) and the effect of phantom limb pain (PLP) and residual limb pain (RLP) on prosthesis use. A total of 752 respondents with LLA and 107 respondents with ULA completed surveys. Factors related to greater use (hours per day) for persons with LLA included younger age, full- or part-time employment, marriage, a distal amputation, an amputation of traumatic etiology, and an absence of PLP. Less use was associated with reports that prosthesis use worsened RLP, and greater prosthesis use was associated with reports that prosthesis use did not affect PLP. Having a proximal amputation and reporting lower average PLP were related to greater use in hours per day for persons with an ULA, while having a distal amputation and being married were associated with greater use in days per month. Finally, participants with LLA were significantly more likely to wear a prosthesis than those with ULA. These results underscore the importance of examining factors related to prosthesis use and the differential effect that these variables may have when the etiology and location of amputation are considered.
Journal Article
