What are some common comorbidities that you often see with a prosthesis?
Answer
Great question. It is not uncommon for me to see some carpel tunnel, elbow tendonitis in the opposite side. Not uncommon for me to see diabetes and patients having to utilize insulin pumps, and then also having paresthesias in their intact hand, which is not uncommon and becomes even more common if the individual has been a long-time user of prosthesis use or even a long-time non-user so that they really have overuse going on. They may develop thoracic outlet syndrome, rotator cuff injuries and a lot of shoulder problems.
I often see patients who have neck pain, shoulder pain and asymmetry so I do try to get them on a Pilates program as soon as possible. Another thing that I always send them home with, or often send them home with if they're going to be using myoelectric technology is exercising their myocytes, but also engaging them in core strengthening and deep breathing because I can find that to be incredibly helpful with controlling some of these signals during the management phase.
Debra Latour, OTD, M.Ed. Advanced Practice of Occupational Therapy, OTR/L
Dr. Debra Latour, OTD, M.Ed., OTR/L is a registered occupational therapist and owner of Single-Handed Solutions, LLC, providing clinical, educational, and research consulting services to manufacturers, providers, and individuals with upper limb loss/difference. She offers clinical interventions through her affiliation with Handspring Clinical Service. Debi graduated from BSOT/Tufts University and earned her M.Ed. (Advanced Practice OT) from Springfield College and post-professional OTD at A.T. Still University. She is a full-time academic faculty at Western New England University. Debi is active with the Amputee Coalition and is a member of ACPOC, AAOP, ATA, and AOTA. Debi has a congenital upper limb difference, is an active prosthesis-user and shares her experiences and tips through her blog at www.Single-HandedSolutions.blogspot.com. She is the inventor of record of patented prosthetic technology, and has authored published articles and chapters in occupational therapy text books, as well as copyrighted educational materials distributed by ContinuEd and MedBridge. Debi has consulted with Scholastic Books as a sensitivity reader for diverse publications, was mentioned in the book “Inventology” (by Pagan Kennedy), and is a subject in the “We Design” exhibit of Design Museum, that opened October 3 in Boston, MA.
Related Courses
1https://www.occupationaltherapy.com/ot-ceus/course/current-topics-in-upper-limb-4477Current Topics in Upper Limb Loss and Difference: Unlimbited Wellness and Secondary ConditionsIndividuals with upper limb loss/difference (ULL/D) are likely to encounter secondary conditions that include pain, overuse and perceptions of isolation, and social stigma often require specialized services, including occupational therapy that may be difficult to access. Today’s course highlights the development, implementation, and evaluation of a telehealth program that offered preventive information, strategies, and peer interaction. This course is Day 1 of the virtual conference: Current Topics in Upper Limb Loss and Difference.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comCurrent Topics in Upper Limb Loss and Difference: Unlimbited Wellness and Secondary ConditionsIndividuals with upper limb loss/difference (ULL/D) are likely to encounter secondary conditions that include pain, overuse and perceptions of isolation, and social stigma often require specialized services, including occupational therapy that may be difficult to access. Today’s course highlights the development, implementation, and evaluation of a telehealth program that offered preventive information, strategies, and peer interaction. This course is Day 1 of the virtual conference: Current Topics in Upper Limb Loss and Difference.4477OnlinePT60M
'this course was very helpful for the Burn population who also have loss'Read Reviews
AOTA/0.1 Advanced, OT Service Delivery; CE Broker/1.0 Home Study, General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-750880; IACET/0.1; NBCOT PDUs/1.25 Advanced, Rehabilitation; RESNA/0.1 Advanced
Individuals with upper limb loss/difference (ULL/D) are likely to encounter secondary conditions that include pain, overuse and perceptions of isolation, and social stigma often require specialized services, including occupational therapy that may be difficult to access. Today’s course highlights the development, implementation, and evaluation of a telehealth program that offered preventive information, strategies, and peer interaction. This course is Day 1 of the virtual conference: Current Topics in Upper Limb Loss and Difference.
2https://www.occupationaltherapy.com/ot-ceus/course/completing-common-bilateral-tasks-with-6097Bilateral Tasks: One Hand Versus Body-Powered ProsthesisCompleting common bilateral tasks using one hand and a body-powered prosthesis will be reviewed in part 1 of this upper extremity series.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comBilateral Tasks: One Hand Versus Body-Powered ProsthesisCompleting common bilateral tasks using one hand and a body-powered prosthesis will be reviewed in part 1 of this upper extremity series.6097OnlinePT60M
'This course was very practical the side- by- side video is a great teaching tool, as well as the quick transitions to show the one-hand and body-powered strategies'Read Reviews
AOTA/0.1 Advanced, OT Service Delivery, 07810; CE Broker/1.0 General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-1107666; IACET/0.1; NBCOT PDUs/1.25 Advanced, Rehabilitation
3https://www.occupationaltherapy.com/ot-ceus/course/teaching-common-bilateral-tasks-with-6098Teaching Bilateral Tasks: Prosthesis SimulatorCompleting common bilateral tasks using one hand and a prosthesis simulator will be reviewed in part 2 of this upper extremity series.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comTeaching Bilateral Tasks: Prosthesis SimulatorCompleting common bilateral tasks using one hand and a prosthesis simulator will be reviewed in part 2 of this upper extremity series.6098OnlinePT60M
AOTA/0.1 Advanced, OT Service Delivery, 07810; CE Broker/1.0 General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-1117352; IACET/0.1; NBCOT PDUs/1.25 Advanced, Rehabilitation
4https://www.occupationaltherapy.com/ot-ceus/course/bilateral-tasks-one-hand-versus-6104Bilateral Tasks: One Hand Versus Externally-Powered ProsthesisCompleting common bilateral tasks using one hand and an externally-powered prosthesis will be reviewed in part 3 of this upper extremity series.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comBilateral Tasks: One Hand Versus Externally-Powered ProsthesisCompleting common bilateral tasks using one hand and an externally-powered prosthesis will be reviewed in part 3 of this upper extremity series.6104OnlinePT60M
'Excellent examples both 1 handed and with device'Read Reviews
AOTA/0.1 Advanced, OT Service Delivery, 07810; CE Broker/1.0 General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-1160436; IACET/0.1; NBCOT PDUs/1.25 Advanced, Rehabilitation
5https://www.occupationaltherapy.com/ot-ceus/course/bilateral-tasks-one-hand-versus-6105Bilateral Tasks: One Hand Versus Static ProsthesisCompleting common bilateral tasks using one hand and a static prosthesis will be reviewed in part 4 of this upper extremity series.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comBilateral Tasks: One Hand Versus Static ProsthesisCompleting common bilateral tasks using one hand and a static prosthesis will be reviewed in part 4 of this upper extremity series.6105OnlinePT60M
AOTA/0.1 Advanced, OT Service Delivery, 07810; CE Broker/1.0 General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-1160482; IACET/0.1; NBCOT PDUs/1.25 Advanced, Rehabilitation