Index
A Amelia, bilateral upper-extremi-
Abnormalities, surgical correc-
tion of, 247
Above-elbow amputations, 6-7
in brachial plexus injury, 84
Above-elbow amputees, pedia-
tric, 230-231
Above-elbow limb absence, bi-
lateral, 156-160
Above-elbow prosthesis, 35
cosmetic, 37
Activities of daily living (ADL)
in bilateral amelia, 148
in bilateral upper-extremity
amputations, 52-53
myoelectric training in, 68-70
in single upper-extremity am-
putation, 49
specific
bathing, grooming, and hy-
giene skills, 51, 54, 68-70
dressing, 46, 50, 155-158,
161
driving car, 48
eating, 51, 154, 245
food preparation, 46, 69
homemaking skills, 46, 69,
160
leisure, 70
toileting, 158-160, 163
writing, 48, 50, 161
wrist rotator and, 130
ADEPT (Anatomically Design-
Engineered Polymer
Technology) devices,
106-107
Aglossia-adactylia, congenital,
93
Alt-Ruppin hand, 29
ty, 143-148, 161-164,
241-242, 244
development of function in,
144
prosthesis in
adding second limb or new
components, 148
criteria for fitting, 144-145
first passive, 145-146
patient evaluation, 146
training in
activation of terminal de-
vice-learning controls,
147-148
with passive prosthesis,
146-147
use, 148
Amputation levels, 30
and techniques, 1-10
above-elbow, 6-7
below-elbow, 6
in children, 7-9
digital, 3-5
elbow disarticulation, 6
forequarter, 7
partial hand, 5
shoulder disarticulation, 7
wrist disarticulation, 5-6
Amputee population, estimates
of, 29-30
Anatomically Design-Engi-
neered Polymer Technol-
ogy (ADEPT) TDs, 106-
107
Angulation osteotomy, 155,248
Arm, Utah, see Utah arm,
hand, and terminal devel-
opment
Arm and shoulder muscles, 18-
19
Axon reflext test, 80
B
Ballif arm (1812), 29
Bathing, grooming, and hygiene,
51,54,68-70
Behavioral methods of altering
interpretation of pain sig-
nals,73
Below-elbow amputation
with immediate fit prosthesis
and terminal prosthetic
devices for stroke pa-
tients,89
rigid cast dressing in, 83
techniques for, 6
Below-elbow amputee(s)
congenital, 229-230
without prosthesis, 243
fitted with myoelectric pros-
thesis, 183
Below-elbow limb absence or
deficiency
bilateral, 153-154
unilateral, 137-140
Below-elbow prosthesis
infant passive, 139
myoelectric, 176, 177
hand, functional considera-
tions with, 112
and wrist prosthesis, 32-34
Bilateral amputee(s)
function use training for, 48,
50-54
Utah arm and, 201-202
wrist rotator for, 130
254
Bilateral upper-extremity limb
loss, high-level, hook
and, 100-101
Biofeedback training, 205-206
Biomedical engineering, 173-
185, 187-189; see also
Myoelectric prosthesis
rehabilitation and, 174-175
Bock prostheses, see Otto Bock
prostheses
Body power versus external
power, 28-29
Body-powered upper-limb com-
ponents, 28-38
Boston elbow for high-level am-
putees, 211-220
choosing right-powered, 212
control modules for, 219-220
control options and specifica-
tions for, 218
development of, 211
modularity of, 218-220
myoelectric
with cable-operated hook,
212-213
sequential, and gripper and
wrist rotator, 214
with servo-controlled grip-
per, 214
with switch-controlled grip-
per, 213-214
present-day,211-212
specifications of, 212
switch
with cable-operated hook,
214-215
and myoelectric hand/grip-
per, 215
with switch-controlled grip-
per, 215
Bowden cable, 216
Brachial plexus anatomy, 79
Brachial plexus injury, surgical
options in, 79-84
C ticity in stroke patients, 89
Cable grafts, nerve, 81, 82
CAPP (Child Amputee Prosthet-
ics Project), prostheses
preflexed friction wrist, 117-
1I8
terminal devices, 101-103,
139
two-way shoulder joint, 117
Car, driving, 48
Centri passive hands and
gloves, 115
Cervical myelogram, 80
Chemical methods of altering
interpretation of pain
stimuli, 74
Chest harness, infant, 139
Child Amputee Prosthetics Proj-
ect, 101-103; see also
CAPP prostheses
Children; see also Pediatric en-
tries
amputation techniques in, 7-9
congenitally limb deficient,
242
foot users, 148, 159; see
also Foot prehension or
usage
growing up using prostheses,
243
parental counseling with, 240
without prosthesis, 242
prosthetic fitting in
principles of, 231-232, 241-
243
time frames of, 228-230,
243
and teenagers, prosthetic
components for, 99-120
training for
functional, 243-251
in groups, 251
occupational therapy, 245-
248
physical therapy, 243-245
after prosthetic fitting, 250-
251
Club hand(s), 8-9
multiple bilateral radial, 151-
153
Communication skill training,
69-70
Constricting band syndromes,
congenital, 94-95
Contractures of hand and spas-
Cosmetic glove, 106
Cosmetic prostheses, 36-39; see
also Passive prostheses
Counseling or therapy to aid
amputees, 204
Craniosynostosis-radical defect
(Baller-Gerold) syn-
drome,94
Index
Cranofacial disorders, congeni-
tal,93-94
D
Developmental status and treat-
ment program, 95
Digital amputation techniques,
3-5
Dressing activities, 46, 50, 155-
158, 161
Dressing prostheses, 157
Driving adaptations, 160
E
Eating activities, 51, 154,245
Elbow(s), electric, 113,
130-134
functional considerations
with, 114
hands and grippers for use
with, 215
Liberty Mutual, 114
myoelectric, 213, 218
New York, 113,221-223
Utah, 114
Variety Village, 113-114, 130-
134
Elbow contractions, surgery for,
in stroke patient, 87
Elbow disarticulation, bilateral,
154-156
Elbow disarticulation prosthe-
ses, 34
Elbow disarticulation surgical
techniques, 6
Electrical prosthesis compo-
nents, 121-136
Bock 6-V, 134
control systems, 134-135
elbow(s), I13-114, 130-134,
147
New York, 221-223
hands, 123-129
list of manufacturers of, 135-
136
patient consideration in,
122
pediatric
fitting ages and time frame,
122
powered, 123-134
Utah arm, 131, 134, 194-210
Index
Variety Ability Systems Inc.
three-state system, 134-
135
wrist rotator, 130
Variety Village, 130-134
Electromyographic (EMG) con-
trol sites for Utah arm, 203
Electromyographic (EMG) mus-
cle testing, 203
Electromyographic (EMG) sig-
nals, myoelectric pros-
thesis function and, 9, 62
Emotional impact of limb loss,
17
Engineering, biomedical, 173-
185, 187-189; see also
Myoelectric entries
External power versus body
power, 28-29
F for children, 103-106
Familial and social history of
pediatric amputee, 92-93,
96
Family, preprosthesis period/
orientation for, 138-139
in bilateral upper-extremity
amelia, 143-148
Feet, use of, see Foot prehen-
sion or usage
Fidelity VANU hands, 126
Financial sponsorship, 12
Flap(s)
reconstruction by pedicle or
regional, 23-24
rotation, local, scar revision
and,23
Foot prehension or usage, 159,
162-163, 241
training in, 245, 247
Forequarter amputation tech-
niques, 7
Forequarter amputee with
shoulder-cap-type sus-
pension, 201
Form board, 44-45
Fractures, 2
Free-tissue transfer, microsur-
gery utilizing, 24-25
G electric, 110-111
Gloves, Centri passive hands
and, 115
Greifer terminal device, 202
Otto Bock, 124, 125-126
Grip I and Grip II terminal de-
vices, 106-107
Gripper(s) for use with elbow
electric hands and, 215
principles for controlling, 213
servo-controlled, 214
switch-controlled, 213-214
and wrist rotator, 214
H Harnesses, 35-36
Hand
spasticity and contractures of,
in stroke patients, 89
surgery of, in stroke patients,
87-89
training, 191-192
Hand(s), artificial
cable-operated mechanical,
Centri passive, 115
cosmetic, 153
for children and teenagers,
116
electric, 123-129
and grippers for use with
elbow, 215
myoelectric control systems
for child's size, 112-113
switch and myoelectric
controls for, 109-113
fidelity V ANU, 126
functional prostheses, 153-
154
hooks versus, 30-31
Hosmer child's size passive,
115
myoelectric
advantages of, 202
nonslip, graded pressure
control of, 69
New York, 104-105, 106
Otto Bock, 105-106, 111-112,
124-125
baby mitten, 115
child's, 115
8E8, 181
Z6, 126
Steeper, 103-104, 106, 123-
124
foam-filled passive, 115
Super Sport, 116-117
255
Systemteknik, 109-110, 126-
127, 128, 183
Variety Ability Systems Inc.
(V ASI), 127-130
child's lightweight electric,
110, 111
VV 2-6, 127
Hand deformity, insensitive rig-
id claw, 83
Hand-heart (Holt-Oram or
Lewis-Franceschetti)
syndrome, 94
for Boston elbow, 219-220
figure-8, drawback to, 199
Head protection for amelic and
phocomelic children,
163-164
High-level amputees
bilateral, 100-101
Boston elbow for, see Boston
elbow for high-level am-
putees
forequarter, 7
shoulder disarticulation, 7
and interscapular thoracic,
35, 200-201
socket for, 217
Histamine test, 80
Hollister(R) Skin Adhesive,
158
Homemaking skills, 46, 69, 160
Hook(s)
cable-operated
advantages of, 198
myoelectric Boston elbow
with,212-213
switch Boston elbow with,
214-215
canted, 153
for children, 99-101
fine motor ability with, 55
versus hands, 30-31
Hosmer Dorrance
for children, 99-100
5XA, 31
#3 and #7 "work," 47
lyre-shaped, 153
myoelectric elbow hybrid, pa-
tients using, 202-203
Otto Bock "Greifer," 124,
125-126
as partial hand prosthesis, 32
Hosmer Dorrance hooks, 99-
100
256
Hosmer Dorrance hooks (cont.)
lOP and lOX, Michigan Exter-
nal Power System for,
107-108, 147-148
Hosmer prostheses
baby mitt, 115
child's size passive hands, 115
prehension actuator, 108-109
Hybrid prosthesis, 37-38
Hygiene of limb, 14, 55
Hygiene skills, 41, 54, 68-70
I Muscles, absence of, 95
Incisional pain, II
Independence, maximizing, 14
Infant chest harness, 139
Infant passive below-elbow
prostheses, 139
Infant terminal devices, 115-116
K site selection for, 61-62
Krukenberg-Albrecht method, 26
Krukenberg procedure, 7, 248
L one-site three-state, 180-
Leisure skills and interests, 70
Liberty Mutual electric elbow,
114
Limb loss, psychological adap-
tation to, 165-172
Little hands or fingers, useful,
8-9, 246-247
M tem(s), 9, 176-185
Marquardt angulation osteoto-
my, 155
Michigan electric hook, 223
Michigan External Power Sys-
tem for Hosmer Dorrance
hooks, 107-108, 147-148
Microsurgery reconstruction
with free-tissue transfer,
24-25
Mitt, Hosmer baby, 115
Mitten hand, Otto Bock baby,
1I5
Mobius' syndrome, 93
Motion, range of, 12, 13, 18
Muenster socket, 34
Multiple limb anomalies, func-
tional skills in, 150-164
above-elbow limb absence,
156-160
amelia, 161-164
below-elbow limb absence,
153-154
elbow disarticulation, 154-156
phocomelia, 160-161
radial club hands, 151-153
Multiposition switch, 216
Muscle and prosthesis, 2
Muscle strength, postoperative,
increasing, 13
Myelogram of multiple traumat-
ic pseudo-meningocele of
brachial plexus, 80
Myoelectric control
for elbow and gripper, princi-
ple of, 213
for hand, independent, 217
limitation of, 181-182
systems
for child's size electric
hands, 1I2-113
four-state, 181
181
selection of, 190-191
two-state, 180
Myoelectric elbow, 218
and gripper, principles for
controlling, 213
with two-function selector
board (BESI75), 218
Myoelectric prosthesis(es)/sys-
appliance, 182-183
battery, 182
calibration in, 192
clinical considerations in,
183-185
controller, 179-182
electrodes, 177-179
site location for, 191
manufacturers and distribu-
tors of related compo-
nents and, 186-187
prescription criteria for, 183-
184
prosthesis considerations in,
184
Index
selection of, 60-61
socket check for, 192
starting program for, 185
teamwork approach to, 184-
185
terminal devices, disadvan-
tages of, 202
therapy considerations in, 184
Myoelectric signal
control and, 187-189
origin of, 177
skin condition and, 204
Myoelectric site testing, 14
Myoelectric tester, 64
Myoelectric training
in activities of daily living
skills, 68-70
in muscle-site control, 63-64
orientation to, 64-65
pediatric, 190-193
physical rehabilitation and,
62-63
preprosthetic, 62-64
prosthetic, 64-70
control, 65-66
upper-extremity, 60-71
use, 66-68
advantages and disadvan-
tages of, 61
speed,67
N
Nerve grafts in brachial plexus
surgery, 81-82
Neuromas, 2
Neuropathies of arm and hand,
figure-8 harness and, 199
New York (NYU-Hosmer)
prostheses
electric elbow, 113, 221-223
hands, 104-105, 106
prehension actuator, 108-109,
223-224
Night traction, 158-159
NU-VA (Northwestern Univer-
sity-Veterans Administra-
tion) synergetic prehen-
sor, 224-226
o
Opposition pad, 31
Opposition post, 31
Index
Otto Bock prostheses, 191
electric wrist, 195, 197
Greifer (8E26), 124, 125-126
hands, 105-106, 124-125
baby mitten, 115
child's, 115
control system, 112-113, 191
electric, 111-112, 181
UNB 3-state control and,
176
Z6, 126
6- V system, 134
wrist rotator IOS12-6, 130
p for older children and adults,
Pain
management of, in brachial
plexus injury, 83
phantom limb, 11-12, 72-74,
96
secondary to spastic muscles
in stroke patient, 85
systemic or referred, 76
Painful residual limb, 74-76
neuroma and, 74-75
reflex sympathetic dystrophy
and,74
Parents, counseling and instruc-
tion and role of, 12, 237-
238, 240, 251
Partial-hand amputation, 5
Partial-hand amputees, 230-231
Partial-hand prosthesis, 31-32
wrist-controlled, 230
Passive prostheses
above-elbow, 37
in amelia, first, 145-146
endoskeletal shoulder disarti-
culation, 145
infant below-elbow, 139
shoulder, 36
training with, 141-142
Pediatric and adult prosthetic
components,
electric, 121-136
Pediatric amputees, 227-238
above-elbow, 230-231
acquired, 95-97
below-elbow, 230
ages and time-frame guide-
lines for, 228-230
congenital, 92-95
below-elbow, 229-230
counseling in, 96, 97-98
evaluation of, 92-98
initial, 95-96
partial-hand, 230-231
prosthesis training for, 232-
235
follow-up, 235-238
role of parents of, 237-238
Swedish study of, 229-238
Pediatric myoelectric training,
190-193
functional, 193
at home, 192-193
in muscle control, 190
in muscle identification, 190
192, 193
for voluntary control, 191-192
for young children, 193
Pediatric prosthesis evaluation
in bilateral upper-extremity
amelia, 143-148
developmental approach to,
137-143
of finished prostheses, 139-140
first passive prosthesis and,
139-140
preprosthesis period/orienta-
tion for family and, 138-
139
in unilateral below-elbow limb
deficiency, 137-140
Pediatric prosthesis training,
activation of terminal device,
141-142
in bilateral upper-extremity
amelia, 146-148
Heidelberg experience with,
250-251
learning controls, 142
myoelectric, 190-193
with passive prosthesis, 141-
142
Swedish, 232-235
use, 142-143
Phantom sensation and phantom
pain, 72-74
control of, 11-12
pediatric, 96
versus phantom limb, 11
Phenol injection technique, 86
Phocomelic child, 241-242, 244;
see also Amelia
bilateral, 160-161
257
Poland's syndrome, 94
Polydactyly and syndactyly, 95
Popliteal pterygium syndrome,
93-94
Postoperative care/program, 10-
12
Prehension actuator, New York,
223-224
Prehensor, NU-VA synergetic,
224-226
Preprosthetic therapy program,
12-14
Proprioceptive Neuromuscular
Facilitation (PNF), 244
home training program for,
205-208
Prosthesis(es)
biomedical engineering in,
175-185
care and maintenance of, 14,
55,56
care of residual limb and, 41
check-out form for amputee,
42-43
dressing, 157
"failures" of, 161-162
feet versus, 241-242, 245-247
fitting of, 195-203
development and, 137-138
training after, 250-251
trial, 204-205
passive training with, 141-142
patient considerations when
prescribing, 231-232
pneumatic, 241
prescribing bilateral, 148
prescription and fabrication
of, 14-15
types of, see also Elbow(s),
electric; Hand(s), artifi-
cial; Hook(s); Utah elec-
tric arm, hand, and ter-
minal device
above-elbow, 112, 139, 176,
177
body-powered,28-38
cosmetic, 36-39
elbow disarticulation, 34
first passive, pediatric eval-
uation of, 139-140
hybrid, 37-38
myoelectric, see Myoelec-
tric entries
open-end, 241
258
Prosthesis(es) (cant.)
partial hand, 31-32
shoulder disarticulation
and interscapular-tho-
racic,35
terminal devices, 30, 89,
153-154
voluntary opening versus
voluntary closing, 31
wrist and below-elbow, 32-
34
Prosthetic components
body-powered upper-limb,
28-38
for children and teenagers,
99-120
cable-operated mechanical
hands, 103-106
CAPP preflexed friction
wrist, 1l7-1I8
CAPP terminal devices,
101-103
CAPP two-way shoulder
joint, 1I7
electric, switch or myoelec-
tric control, 109-115
hooks, 99-101
passive, 1I5-1I7
choice of, for Utah artificial
arm, 198-202
electric pediatric and adult,
121-136
harnesses for operation of ac-
tive,35-36
Prosthetic options, orientation
to, 14
Psychological adaptation to limb
loss, 165-172
dependent personality and,
168
depressed patient and, 168
developmental viewpoint and,
169-171
emotional impact, 17
narcissistic personality and,
168-169
normal reactions, 166-167
therapeutic use of rehabilita-
tion team in, l71-172
Psychological development of
child, orthopedic surgery
and, 240
Pterygium, 95
"Pusher," 154
Q with NYU-Hosmer electric
Quadruple limb deficiency, 157-
158
R nique, 7
Radial aplasia, 95
Radovan tissue expander, 25
Range of motion, joint, 12, 13,
18
Reconstruction, see Surgery for
reconstruction of ampu-
tated arm
Reflex sympathetic dystrophy,
74
Rehabilitation of acquired
upper-extremity amputee,
16-21
Rehabilitation planning, 20-21
Residual bone(s), 17
Residuallimb(s)
care of prosthesis and, 41
children with two above-
elbow, 241-242
desensitization of, 12
pain in, 74, 75-76
shrinkage and shaping of, 12,
218
total length of, 18
use of, 51
Residual motor to power pros-
thesis, 9
Revision amputation, 22-23
Rigid cast dressing in below-
elbow amputee, 83
Rigid claw hand deformity, 83
Rudimentary nubbins, 95
S painful, 2
Scar placement, 17-18
Scar revision and local flap ro-
tation, 23
Self-care skills, 69-70
Sensory examination, 20
Servo control, 123, 215-216
Shoulder arthrodesis, 83
using compression plate fixa-
tion, 81
Shoulder disarticulation
prostheses, 145, 146
for child, 107-108
and interscapular thoracic
prostheses, 35
Index
elbow and cable-operated
hook, 114
Utah arm, 200-201
Shoulder disarticulation tech-
Shoulder joint, CAPP two-way,
117
Shoulder prosthesis, passive, 36
Shoulder reconstruction in
stroke patient, 86-87
Skin characteristics for pros-
thesis, 1-2
Skin condition and myoelectric
signals, 204
Skin expansion, reconstruction
by 25-26
Skin grafting in reconstruction,
23
Socket
for high-level amputee, 217
modular, 217-218
for Utah arm
self-suspending, 200
total contact, 199-200
Spastic wrist and finger flexors
for surgical release, 88,
89
Splint, volar resting, 85
Steeper hands, 103-104, 106,
123-124
electric, 110-111
foam-filled passive, 115
Stroke, preventing contractures
following, 85
Stroke patient, surgical options
for, 84-90
Stump; see also Residual limb
capping, 242, 248-252
surgery to make more effec-
tive, 248-250
Sublimis to profundus transfers
(STP procedure), 88, 89
Super Sport hands for children,
1I6-117
Surgery
amputation levels and, 1-10
for correction of abnormali-
ties, 247
to make stumps more effec-
tive, 248-250
for reconstruction of amputat-
ed arm, 23-27
Index
microsurgery utilizing free-
tissue transfer, 24-25
pedicle or regional flaps,
23-24
revision amputation, 22-23
scar revision and local flap
rotation, 23
skin expansion, 25-26
skin grafting, 23
various methods, 26
shoulder reconstruction in
stroke patient, 86-87
tendon transfers
in brachial plexus injury,
82-83
for stroke patients,
88-89
for treatment of phantom
pain, 73-74
Switch-control elbow system
(BES 150), 218
Switch-control strap, 216-217
Synergetic prehensor, NU-VA,
224-226
Systemteknik hands, 109-110,
126-127, 128, 183
T in groups, 251
TAR syndrome (thrombocyto-
penia-absent radii syn-
drome),94
Tendon transfers
in brachial plexus injury, 82-
83
for stroke patients, 88-89
Terminal devices, 30, 153-154;
see also Hands; Hooks
CAPP, 101-103, 139
choice of, 202-203
as "functional assist," 47
Greifer, 124, 125-126, 202
Grip I and Grip II, 106-107
grippers, 213-215
infant, 115-116
functional considerations
with passive, 116
operation of, 44
options for
new, 198
Utah arm, 197
recreational, 57
Terminal digits, useful, 8-9,
246-247
Thalidomide children, 242
Therapeutic Recreation Systems
(TRS) terminal devices,
106-107
infant, 115
Super Sport hands, 116-117
Utah arm and, 198, 202-203
Thumb, 3-4
absence of, 151
surgery for function of, after
stroke, 88-89
Toileting, 54, 159-160, 163
Tools, using, 47
Training; see also Myoelectric
training; Pediatric pros-
thesis training
adult, 39-59
in body control motions, 41,
43
follow-up issues in, 56
functional skill, in multiple
limb abnormalities, 150-
151
functional use, 45-54
for bilateral amputee,
50-54
for unilateral amputee, 45-
48
home instructions, 55
initial assessment and visit
and, 40-41
orientation and, 39-41
PNF, 205-208
prosthesis
controls, 44-45
evaluation before, 42,
43-44
after prosthetic fitting, 250-
251
recreation and, 56-58
for Utah arm prostheses, 205-
209
in vocational activities,
54-55
Transcutaneous nerve stimula-
tion in brachial plexus in-
jury, 82
Traumatic amputations, revision
of, 2
TRS prostheses, see Therapeu-
tic recreation systems
terminal devices
Typewriting, devices for, 237
259
U
Unilateral amputee, 45-48
University of New Brunswick
(UNB) system, 113
3-state control, 183
and Otto Bock hand, 176
UNBIVariety Village one-
muscle 3-state system, 191
Utah arm, hand, and terminal
device, 194-210
arm, 131, 134
components for, 197, 198-
202
elbow, 114
modular design of, 197
evaluation of candidates for,
203-205
motivation and psychologi-
cal adjustment, 203-204
size and strength of individ-
ual,204
trial fitting, 204-205
feedback from users of, 209-
210
fitting considerations and re-
sults in, 195-203
funding issues in, 205
hand control with, 208
proportional (without myo-
electric elbow), 195-198
removable hybrid circuits
for proportional elbow
and, 197
specifications of arm and
hand controller, 195
terminal device, choice of,
202-203
new options, 198
training for, 205-209
biofeedback, 205
PNF exercises, 205-208
usage, 208-209
usage guidelines for, 209
V
Variety Ability Systems Inc.
(VAS I) hands, 127-130
Variety Village prostheses, 113
child's lightweight electric
hands, 110, III
electric elbows, 130-134
three-state system, 134-135
VV 2-6 hand, 127
260
Vascular problems necessitating
amputation, 1, 2
VATER or V ACTERL associa-
tion, 94
Voluntary closing grip II, 48
Voluntary control, training for,
191-192
Voluntary opening versus vol-
untary closing, 31
Index
W DUo Bock electric, 195, 197
Wound healing, 11 Wrist rotation with Utah arm,
Wrist disarticulation techniques, 199
surgical, 5-6 Wrist rotator, electric, 130
Wrist flexion surgery in stroke and sequential myoelectric
patient, 87 Boston elbow and grip-
Wrist prostheses per, 214
below-elbow and, 32-34 Writing, 48, 50, 161
CAPP preflexed friction, 117- Work, return to, 70
118