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首页> 外文期刊>Journal of prosthetics and orthotics: JPO >Occupational Therapy for Prosthetic Rehabilitation in Adults with Acquired Upper-Limb Loss: Body-Powered and Myoelectric Control Systems
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Occupational Therapy for Prosthetic Rehabilitation in Adults with Acquired Upper-Limb Loss: Body-Powered and Myoelectric Control Systems

机译：职业疗法为近肢损失成人的假体康复：体型和肌电控制系统

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摘要

There is uncertainty as to whether occupational therapy differs between patients fitted with upper-limb prostheses using different control systems. The aim was to describe occupational therapy in upper-limb prosthetic rehabilitation and discuss potential differences in therapy between patients fitted with body-powered or myoelectric control systems. An overview and description of occupational therapy methods for upper-limb prosthetic rehabilitation is provided based on literature and clinical experience from two independent occupational therapists. Ultimately, the same phased approach to occupational therapy is used for both control systems for upper-limb rehabilitation, inclusive of the evaluation, the pre- and postsurgery phase; preprosthetic therapy; prosthetic training including both controls and functional use training; and discharge planning. The one thing that differed between control systems was the methods for evaluation and training of controls, based on the underlying nature of the systems. The time required to acquire functional use skills differed between control systems-users of myoelectric devices, especially at transhumeral level or higher, and patients with bilateral limb loss often need more time in therapy in order to learn to operate the terminal device and perform bilateral activities. Occupational therapy for prosthetic rehabilitation in adults with acquired upper-limb loss follows a basic structure that is common to several types of prosthetic control systems. Increased time is required for functional use training with myoelectric systems. The shortage of validated outcome measures restricts the ability to cover all aspects of upper-limb prosthesis use. Further studies to provide evidence in support of different training methods for upper-limb prosthesis users are warranted.
机译：职业治疗是否与使用不同控制系统的高肢假体的患者之间的不确定性不同。目的是描述上肢上肢假体康复的职业治疗，并讨论患有体型或肌电控制系统的患者治疗的潜在差异。基于来自两个独立职业治疗师的文献和临床经验，提供了对高肢假肢康复的职业治疗方法的概述和描述。最终，相同的职业治疗方法用于中肢康复的控制系统，包括评估，预先和后期阶段;特点治疗;假肢培训，包括控制和功能使用培训;和排放规划。控制系统之间不同的一件事是基于系统的潜在性质评估和培训控制的方法。获取功能使用技能所需的时间不同，磁铁电气设备的控制系统 - 尤其是在跨肺水平或更高的情况下，双侧肢体损失的患者通常需要更多的治疗时间，以便学习操作终端设备并执行双边活动。具有收购的上肢损失的成年人的假体康复的职业治疗遵循若干类型的假体控制系统常见的基本结构。使用肌电系统功能使用培训需要增加的时间。验证结果措施的短缺限制了涵盖上肢假体使用的所有方面的能力。进一步的研究提供了支持支持不同培训方法的上肢假体用户的证据。

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