Very short transradial ideas - RESPONSES 1/2
Aaron WilliamsOZ
Description
Collection
Title:
Very short transradial ideas - RESPONSES 1/2
Creator:
Aaron WilliamsOZ
Date:
4/17/2001
Text:
Thanks to everyone who responded to this! It has been
invaluable...
------------------------------------------------------
Hi there my name is Steve Wilson and i am a
prosthetist in arlington texas... my goddaughter is a
conegnital transradial with a resdiual limb about the
same size as what you have to work with..she has been
fit and worn myo electric since she was 8 and we have
found she does better with out the prosthesis..it was
heavy and bulky but i think alot has to do with the
shape of her residual limb she has a fuly formed and
functioning wrist in the distal aspect that she can
flex ..she flexes the elbow and then flexes the wrist
and can grasp with the biceps,, I dont know if your
young lady had the same ability our not..hind site is
20/20 had i known then what i know now i wouldnt have
gone to all the trouble and expense on myos would have
done a cosmetic restoration for dates and left it at
that...but just so you know she was fit with a
conventional supracondylar socket and it functioned
well....
-------------------------------------------------------
Altho the points you make a fairly valid, probably the
best indicator of whether she will wear it is whether
she wants to, whether her parents will push her to,
and how much benefit she gets from it.
Assuming that she wants to go ahead , here are a few
ideas from our experience.
An erkoflex inner works well, because it is a bit
grippy and holds the resid better. You will need to
bring the ant trim line up into the elbow crease for
better susp, as per the OB casting method. This will
restrict flexion somewhat, but not really a big deal.
When you cast, elongate and thin down the resid while
casting, to provide a longer socket and use a stocking
to pull in.
Make the outer lamination thin, probably glass, 1 nyg,
glass and two ladies stockings. Consider putting the
battery on a lead, to get the weight off the
prosthesis.
As you say, she may reject it, but my experience of a
hundred or so fittings is that there is no way to
predict this and the best thing is to go ahead and
make one, and see how she goes.
Don't go with a TH style, because I'm pretty sure she
will reject that one!!
Give me a call if I can help.
Rod Lawlor
Prosthetist/Orthotist
Royal Children's Hospital
Melbourne, Australia
Ph 61 3 93455870
Fax 61 3 93455106
------------------------------------------------------
if you want to try to fit at a transradial level,
check the back issues of the ACPOC newsletter and see
how they did this for a couple kids in toronto. maybe
one of them will write you.
if you don't have a copy, go to acpoc.org and email
the office to see if you can get a reprint.
Ramona M. Okumura, CP
Lecturer, Division Prosthetics Orthotics
Dept. of Rehabilitation Medicine, #356490
School of Medicine
University of Washington
Seattle, WA 98195-6490 USA
<Email Address Redacted>
FAX (206) 598-4761
<URL Redacted>
-------------------------------------------------------
You might try a conventional step-up hinge elbow, or
perhaps get creative with a cable/housing attachment
devoted to the elbow and hinges for flexion.
Then find the electrode attachments for the hand
(biceps and triceps?) within a modified humeral cuff.
Training and support and training and support (and
more training and support) are going to be mandatory.
Got an OTon staff?
John Zeffer CP, OTR
-------------------------------------------------------
Aaron- I would give REALLY strong consideration to not
fitting her at all, unless there is a specific
activity or activities she cannot do with her
existing arms. If she has any elbow function, it is
probably very useful to her and most importantly has
good *sensation*. Anything you do will likely end up
on the shelf or in the closet, especially if she can
pickthings up with the arm as it is, but probably even
if she can't.
I starred the sentence you wrote that would appear to
be absolutely on target. If her parents are pushing
you, you may want to get them involved with the I-CAN
pedsamputee list or website. I know from personal
experience that giving the advice- or even the option-
not to fit is oftennot well receieved, so I wish you
well. An occupational therapist who will look at
adaptive aids and techniques may be of help.
<Email Address Redacted> ...and EVERY mom is a
working mom! (OK, dads too.)
-------------------------------------------------------
AARON,
Try a silicone liner & lock with (if needed) a humeral
cuff suspension.
Even limited elbow flexion is better than none.
I suspect complience will be the main problem.
Hey, what are you doing anyway?
If you have time let me know.
regards
Les
End part 1
__________________________________________________
Do You Yahoo!?
Yahoo! Auctions - buy the things you want at great prices
<URL Redacted>
invaluable...
------------------------------------------------------
Hi there my name is Steve Wilson and i am a
prosthetist in arlington texas... my goddaughter is a
conegnital transradial with a resdiual limb about the
same size as what you have to work with..she has been
fit and worn myo electric since she was 8 and we have
found she does better with out the prosthesis..it was
heavy and bulky but i think alot has to do with the
shape of her residual limb she has a fuly formed and
functioning wrist in the distal aspect that she can
flex ..she flexes the elbow and then flexes the wrist
and can grasp with the biceps,, I dont know if your
young lady had the same ability our not..hind site is
20/20 had i known then what i know now i wouldnt have
gone to all the trouble and expense on myos would have
done a cosmetic restoration for dates and left it at
that...but just so you know she was fit with a
conventional supracondylar socket and it functioned
well....
-------------------------------------------------------
Altho the points you make a fairly valid, probably the
best indicator of whether she will wear it is whether
she wants to, whether her parents will push her to,
and how much benefit she gets from it.
Assuming that she wants to go ahead , here are a few
ideas from our experience.
An erkoflex inner works well, because it is a bit
grippy and holds the resid better. You will need to
bring the ant trim line up into the elbow crease for
better susp, as per the OB casting method. This will
restrict flexion somewhat, but not really a big deal.
When you cast, elongate and thin down the resid while
casting, to provide a longer socket and use a stocking
to pull in.
Make the outer lamination thin, probably glass, 1 nyg,
glass and two ladies stockings. Consider putting the
battery on a lead, to get the weight off the
prosthesis.
As you say, she may reject it, but my experience of a
hundred or so fittings is that there is no way to
predict this and the best thing is to go ahead and
make one, and see how she goes.
Don't go with a TH style, because I'm pretty sure she
will reject that one!!
Give me a call if I can help.
Rod Lawlor
Prosthetist/Orthotist
Royal Children's Hospital
Melbourne, Australia
Ph 61 3 93455870
Fax 61 3 93455106
------------------------------------------------------
if you want to try to fit at a transradial level,
check the back issues of the ACPOC newsletter and see
how they did this for a couple kids in toronto. maybe
one of them will write you.
if you don't have a copy, go to acpoc.org and email
the office to see if you can get a reprint.
Ramona M. Okumura, CP
Lecturer, Division Prosthetics Orthotics
Dept. of Rehabilitation Medicine, #356490
School of Medicine
University of Washington
Seattle, WA 98195-6490 USA
<Email Address Redacted>
FAX (206) 598-4761
<URL Redacted>
-------------------------------------------------------
You might try a conventional step-up hinge elbow, or
perhaps get creative with a cable/housing attachment
devoted to the elbow and hinges for flexion.
Then find the electrode attachments for the hand
(biceps and triceps?) within a modified humeral cuff.
Training and support and training and support (and
more training and support) are going to be mandatory.
Got an OTon staff?
John Zeffer CP, OTR
-------------------------------------------------------
Aaron- I would give REALLY strong consideration to not
fitting her at all, unless there is a specific
activity or activities she cannot do with her
existing arms. If she has any elbow function, it is
probably very useful to her and most importantly has
good *sensation*. Anything you do will likely end up
on the shelf or in the closet, especially if she can
pickthings up with the arm as it is, but probably even
if she can't.
I starred the sentence you wrote that would appear to
be absolutely on target. If her parents are pushing
you, you may want to get them involved with the I-CAN
pedsamputee list or website. I know from personal
experience that giving the advice- or even the option-
not to fit is oftennot well receieved, so I wish you
well. An occupational therapist who will look at
adaptive aids and techniques may be of help.
<Email Address Redacted> ...and EVERY mom is a
working mom! (OK, dads too.)
-------------------------------------------------------
AARON,
Try a silicone liner & lock with (if needed) a humeral
cuff suspension.
Even limited elbow flexion is better than none.
I suspect complience will be the main problem.
Hey, what are you doing anyway?
If you have time let me know.
regards
Les
End part 1
__________________________________________________
Do You Yahoo!?
Yahoo! Auctions - buy the things you want at great prices
<URL Redacted>
Citation
Aaron WilliamsOZ, “Very short transradial ideas - RESPONSES 1/2,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/216439.
