幻肢(その1)
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概要
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Phantom limb seems to be a reflection of psychological complications due to the bodily and psychological unbalance brought about by the amputation of limb. Furthermore, the way in which phantom limb makes its apperance seems to be related with the site of amputation, the extent of ADL disturbances before and after the amputation or with fitness and the efficiency of the artificial limb itself. None of artificial upperlimbs approaches close to the function of the human band and therefore, it is necessary that a far superior artificial hand should be devised as soon as possible. Generally the ROM (range of motion) of the amputated stump coincides with the ROM of the phantom limb. By means of projection charts of phantom limbs they are classifies into the following five types : Type I (actual size type) : Phantom that retains approximately the original shape of limb. Type II (free type) : Phanotom that is detached from the amputated stump, retaining only a portion of the original limb. Type III (amputated stump appears to be adhered to the wrist or the ankle joint) : Phantom that appears to be shortened, and the wrist or the ankle joint of phantom limb are directly adhered to the amputated stump. This is further subdivided into two sub-groups. (i) Hand (foot) type ; Phantom whoes wrist joint (ankle joint) is adhered to the distal end of the amputated stump. (ii) Finger (toe) type : Phantom whose whose fingers (toes) are adhered to the amputated stump. Tyep IV (scar type) : Phantom that rematins only as a scar at the amputated stump. Type V (inserted into the amputated end) : Phantom that is inserted into the amputated stump. In the case of multiple loss of limbs there seems to be a tendency that phantoms appear simultaneously, and in the bilateral amputation of the upper limbs or the lower limbs the same tendency is found.
- 社団法人日本リハビリテーション医学会の論文
- 1968-01-18
著者
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