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首页> 外文期刊>Journal of prosthetics and orthotics: JPO >Early Upper Limb Prosthesis Fitting: When and What Do We Fit
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Early Upper Limb Prosthesis Fitting: When and What Do We Fit

机译：早期上肢假体拟合：我们何时以及什么拟合

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A survey of child amputee clinics in North America explored early fitting of children with unilateral below-elbow limb absence. Responses from 45 of 80 (56%) clinics revealed that most clinics prefer to fit at 6 months and add an active control system by 18 months. These are earlier ages than had been reported in the literature. Myoelectric hands with single site controls are often applied before 1 year. Responders indicated that child development guides the timing for initial fitting and the change to an active terminal device. Independent sitting is the most-used indicator for first fitting; awareness of cause and effect indicates readiness for activation. Passive hands are most often fitted initially. Approximately equal numbers of clinics prefer to use voluntary opening and voluntary closing terminal devices in the active fitting. Myoelectric hands are increasingly used. No significant differences were found between timing and terminal device preferences among clinics in various regions of the US and Canada and between Shriners and non-Shriners Hospitals. Financial considerations were not important in selecting the terminal device except in one-third of clinics at the time of activation. Parents are doing more of the training than was reported in the past, and few clinics use objective tests to measure outcomes of fitting. Responders identified many features they would like to include in a child's new terminal device.
机译：对北美儿童截肢者诊所的一项调查探讨了单侧肘下肢缺如儿童的早期适应情况。 80家诊所中有45家（56％）的回复显示，大多数诊所都希望在6个月时适应并在18个月时增加主动控制系统。这些年龄早于文献报道的年龄。具有单一部位控制的肌电手通常在一年之前使用。响应者表示，孩子的成长将指导初次安装和更换主动终端设备的时间。独立坐姿是首次试穿的最常用指标;对因果关系的了解表明已做好激活准备。被动式手最通常是最初安装的。大约相等数量的诊所更喜欢在活动配件中使用自动打开和自动关闭终端设备。肌电手越来越多地被使用。在美国和加拿大不同地区的诊所之间以及Shriners医院和非Shriners医院之间，在定时和终端设备偏好之间没有发现显着差异。在激活终端时，除了三分之一的诊所外，财务因素对于选择终端设备并不重要。父母比过去进行的培训更多，而且很少诊所使用客观测试来衡量合身效果。响应者确定了他们希望包含在孩子的新终端设备中的许多功能。

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