Implement TMR with Your Patients and Improve Their Quality of
Life
Developed by Dr. Todd A. Kuiken and Dr. Gregory A. Dumanian,
targeted muscle reinnervation (TMR) is a new approach to accessing
motor control signals from peripheral nerves after amputation and
providing sensory feedback to prosthesis users. This practical
approach has many advantages over other neural-machine interfaces
for the improved control of artificial limbs. Targeted Muscle
Reinnervation: A Neural Interface for Artificial Limbs provides a
template for the clinical implementation of TMR and a resource for
further research in this new area of science.
After describing the basic scientific concepts and key
principles underlying TMR, the book presents surgical approaches to
transhumeral and shoulder disarticulation amputations. It explores
the possible role of TMR in the prevention and treatment of
end-neuromas and details the principles of rehabilitation,
prosthetic fitting, and occupational therapy for TMR patients. The
book also describes transfer sensation and discusses the surgical
and functional outcomes of the first several TMR patients. It
concludes with emerging research on using TMR to further improve
the function and quality of life for people with limb loss.
With contributions from renowned leaders in the field, including
Drs. Kuiken and Dumanian, this book is a useful guide to
implementing TMR in patients with high-level upper limb
amputations. It also supplies the foundation to enable improvements
in TMR techniques and advances in prosthetic technology.
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