Upper Limb Prosthesis in Younger Children

概要

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We have made the treatment and investigation on the six younger children amputees; five being by congenital malformation associated with thalidomide and one by a surgical shoulder disarticulation.From our experience, we take several considerations in prosthetic trainning of these children as follows.1) It is essential to keep in mind that the child is different than the adult, especially in social and physical factor.2) Prosthetic trainning should be started as early as possible and also be programed according to the intelligence and body development of individual.3) The involved limb should be activated on the applied prosthesis by the intensive functional trainning. In most cases surgery is not indicated before puberty.4) The function of involved limb should be evaluated in details from the view point of functional surgery and the standard prosthesis must be improved upon individual cases.5) The younger children are trained practically by manupulating the child's body so that the terminal device will be opened with verbal instruction at the same time.6) Following discharge from the trainning program, regular follow-up is scheduled at intervals of more than 4 times in a year, and the readmission is required, if it is indicated for the child to add the new prosthetic function.
社団法人日本リハビリテーション医学会の論文