BibTex format
@article{Sturma:2022:10.1016/j.jht.2020.10.002,
author = {Sturma, A and Stamm, T and Hruby, LA and Bischof, B and Salminger, S and Gstoettner, C and Prahm, C and Pittermann, A and Wakolbinger, R and Hofer, C and Farina, D and Aszmann, OC},
doi = {10.1016/j.jht.2020.10.002},
journal = {Journal of Hand Therapy},
pages = {58--66},
title = {Rehabilitation of high upper limb amputees after Targeted Muscle Reinnervation},
url = {http://dx.doi.org/10.1016/j.jht.2020.10.002},
volume = {35},
year = {2022}
}
RIS format (EndNote, RefMan)
TY - JOUR
AB - STUDY DESIGN: This is a Delphi study based on a scoping literature review. INTRODUCTION: Targeted muscle reinnervation (TMR) enables patients with high upper limb amputations to intuitively control a prosthetic arm with up to six independent control signals. Although there is a broad agreement regarding the importance of structured motor learning and prosthetic training after such nerve transfers, to date, no evidence-based protocol for rehabilitation after TMR exists. PURPOSE OF THE STUDY: We aimed at developing a structured rehabilitation protocol after TMR surgery after major upper limb amputation. The purpose of the protocol is to guide clinicians through the full rehabilitation process, from presurgical patient education to functional prosthetic training. METHODS: European clinicians and researchers working in upper limb prosthetic rehabilitation were invited to contribute to a web-based Delphi study. Within the first round, clinical experts were presented a summary of recent literature and were asked to describe the rehabilitation steps based on their own experience and scientific evidence. The second round was used to refine these steps, while the importance of each step was rated within the third round. RESULTS: Experts agreed on a rehabilitation protocol that consists of 16 steps and starts before surgery. It is based on two overarching principles, namely the necessity of multiprofessional teamwork and a careful selection and education of patients within the rehabilitation team. Among the different steps in therapy, experts rated the training with electromyographic biofeedback as the most important one. DISCUSSION: Within this study, a first rehabilitation protocol for TMR patients based on a broad experts' consensus and relevant literature could be developed. The detailed steps for rehabilitation start well before surgery and prosthetic fitting, and include relatively novel interventions as motor imagery and biofeedback. Future studies need to further inve
AU - Sturma,A
AU - Stamm,T
AU - Hruby,LA
AU - Bischof,B
AU - Salminger,S
AU - Gstoettner,C
AU - Prahm,C
AU - Pittermann,A
AU - Wakolbinger,R
AU - Hofer,C
AU - Farina,D
AU - Aszmann,OC
DO - 10.1016/j.jht.2020.10.002
EP - 66
PY - 2022///
SN - 0894-1130
SP - 58
TI - Rehabilitation of high upper limb amputees after Targeted Muscle Reinnervation
T2 - Journal of Hand Therapy
UR - http://dx.doi.org/10.1016/j.jht.2020.10.002
UR - https://www.ncbi.nlm.nih.gov/pubmed/33250398
UR - http://hdl.handle.net/10044/1/85603
VL - 35
ER -