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UE Prosthesis

This document summarizes components of upper extremity prostheses including terminal devices, wrists, sockets, elbow hinges, harness systems, and suspension options. It describes both passive and body-powered terminal devices, as well as voluntary opening and closing styles. Wrist units provide pronation and supination while sockets provide comfort, stability, and energy transfer. Elbow hinges can be either flexible or rigid depending on the amputation level. Common harness styles are the figure-eight, figure-nine, and chest strap with shoulder saddle designs.

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Julia Salvio
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180 views23 pages

UE Prosthesis

This document summarizes components of upper extremity prostheses including terminal devices, wrists, sockets, elbow hinges, harness systems, and suspension options. It describes both passive and body-powered terminal devices, as well as voluntary opening and closing styles. Wrist units provide pronation and supination while sockets provide comfort, stability, and energy transfer. Elbow hinges can be either flexible or rigid depending on the amputation level. Common harness styles are the figure-eight, figure-nine, and chest strap with shoulder saddle designs.

Uploaded by

Julia Salvio
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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UE Prosthesis

UE transradial prosthetic components


Terminal devices
Wrist
Socket
Elbow hinge
Upper arm cuff
Harness
Terminal devices
Passive
Body powered
Externally powered
Passive
Body powered
Prosthetic hand
 Provides 3 jaw chuck pinch
Hook
 Provides the equivalent of lateral pinch
Voluntary-opening (VO) terminal device
Most common and practical type
Device maintained in closed position by rubber bands or
tension springs.
The amputee uses cable-control harness powered by proximal
muscles to open the terminal device against the force of the
rubber bands or spring
To grasp, patient releases the opened terminal device on an
object; the rubber bands or spring provide the prehensile force
The pinch force is determined by the number and type of
rubber bands or springs (each rubber band provides about one
pound of pinch force)
To control the amount of prehensile force, the patient must
generate a continued opening force
Voluntary-closing (VC) terminal device
More physiological function than voluntary opening
Device is maintained in an open position and has to
be closed voluntarily by pulling with the cable on the
harness system to grasp an object
To release, the patient releases the pull on the
harness, and a spring in the terminal device opens it
The maximum prehensile force is determined by the
strength of the individual
Disadvantage: prolonged prehension requires
constant pull on the harness,
heavier and less durable than voluntary opening units.
Externally powered (electric-powered) TDs
Are controlled by switches or myoelectric signals and
are powered with energy provided from external
batteries.
Prosthetic wrist units
Wrist units are used for attaching terminal devices to
prostheses as well as providing pronation and
supination to place the terminal device in its proper
position.
The rotation function is passive; the amputee rotates
the terminal device in the wrist unit with his sound
hand or by pushing against a part of the body or other
surface to produce either pronation or supination.
Two types of wrists:
Friction wrists permit pronation and supination of the
terminal device and hold it in a selected position by
means of friction derived from a compressed rubber
washer or from forces applied to the stud of the
terminal device.
Locking wrists permit manual rotation and then lock
the terminal device in its fixed position.
Transradial Harness Suspension and Control
Systems
 Three types:
a. Figure-eight
b. Figure-nine
c. Chest-strap with shoulder saddle
Below elbow sockets
The socket must provide a comfortable but stable, total
contact interface with the residual limb, efficient
energy transfer from the residual limb to the prosthetic
device, secure suspension and adequate appearance.
To accomplish these goals, most sockets are double
walled with the inner wall giving total contact fit and
the outer wall matching the contour and the length of
the contralateral forearm.
Proximally, the socket extends posteriorly to the
olecranon and anteriorly to the elbow crease. The
shorter the residual limb, the closer is the trimline to
the crease.
Elbow Hinges
1. Flexible elbow hinge
– Used primarily to suspend the forearm socket
– Permits active pronation and supination of the forearm
– Used where sufficient voluntary pronation and
supination are available to make it desirable to maintain
these functions: wrist-disarticulations and long
transradial amputations
 2. Rigid elbow hinge
– Used in short transradial amputations when normal
elbow flexion is present but there Rigid elbow hinge
– Used in short transradial amputations when normal
elbow flexion is present but there
Figure-eight (O-ring harness)
Most commonly used harness. The axilla loop, worn
on the sound side, acts as a reaction point for the
transmission of body force to the terminal device
Figure-nine
– Figure-nine harness is often employed with a self-
suspended transradial socket (e.g.,Muenster socket)
that requires a harness only for controlling the TD
Consists of an axilla loop and a control attachment
strap
Pros: is lighter and provides a greater freedom and
comfort by the elimination of theusual front support
strap and triceps pad or cuff
Chest-strap with shoulder saddle
– Chest-strap with shoulder saddle is used if the
patient cannot tolerate the axilla loop
Also used with those who will be doing heavy lifting.

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