婴儿,儿童和青少年的终端设备
经过琥珀亨森,,,,on Jul 26, 2022
对于那些刚开始寻找更多信息的假肢或青少年的父母来说,终端设备是替代假体结束时的手。像手一样,终端设备被用来与周围的人和事物互动。
虽然还有更多terminal device options for adults而不是儿童,可用的人对年轻患者有帮助。
孩子可以安装假肢的年龄取决于其肢体差异的水平。首先,我们将讨论缺少上肢或更多手的儿童的选择,然后解决部分手动差异的孩子的时间和选择。
一个被动假体我们的临床团队通常建议将其作为先天上肢差异的婴儿的第一批假体。终端设备没有主动的掌握,但它可以帮助婴儿习惯于穿假体,蝙蝠在物体上,并通过在假体和完整的手之间按下玩具和其他物品。We often suggest that an infant be fit at about six monthssince the prosthesis can help them with sitting balance, crawling and pulling up to standing. Our prosthetists can custom fit small, passive terminal devices that our young patients have found success with. TRS Prosthetics is one company that makes such devices.
在18个月时,我们可能建议改为假体,该假体使孩子可以打开和关闭设备-一个肌电假体。他们通过在残留的肢体中收缩肌肉来学习如何打开和关闭终端装置。肌肉收缩会产生电信号,这些电信号由假体内的电极“读取”并触及孩子的皮肤。信号是移动终端设备并允许对象握住,固定和释放的信号。对于幼儿和儿童,只有一种类型的肌电终端设备可用:单运动手。Otto Bock offers one of these types of hands, the Electrohand 2000. Adolescents have more options as they grow closer to being adult size. There are electric hooks in addition to single motor hand options, and more companies are now offering smaller sized,多关节肌电手对于身材娇小的人来说,对于青少年来说也是一个很好的规模。
Once a child is around three years old,车身动力设备may also be a great choice for kids that want to be able to get their prosthesis dirty or wet. A body-powered terminal device can be opened and closed by harnessing and moving a higher portion of the body. For example, if a child is missing their hand, a harness can be applied to the child’s shoulder(s) with a cable that connects to a body-powered hook or hand. When the child moves the shoulders or upper back, tension is applied on the cable, either opening or closing the device to grasp and release objects. TRS also offers child size body-powered prosthetic components.
活动特定的设备对于想要玩运动或演奏乐器的孩子非常有帮助。你可以看到我们的病人一个mber Peterson在下面的照片中,她带着她的两个不同活动特定的设备。
对于有部分手动差的儿童,要么是由于象征性,,,,other congenital reasons or an injury, similar prosthetic options are available. However, it may be preferable to wait until their hand has grown enough to be an appropriate size for the applicable finger or partial hand components. We offer different, customized options based on the patient’s age, hand size, goals and amputation level. Check out Kimmie's video below to see what our team was able to create for her:
一个re you ready to speak with our clinical team about what options are available for your child?请联系我们!您是穿着假肢的青少年还是小时候穿着假肢装置并想告诉我们的读者您的经历的成年人?我们希望您在下面发表评论。谢谢阅读!