Upper Limb Summary Table 20 Implanted Neuroprostheses (Freehand System and CWRU)

Author

N

Intervention

Main Outcome(s)

Wuolle et al. 1999

34

Implanted Freehand System and 31 had adjunctive surgeries

+ve satisfaction (87%)
+ve life impact (90%)
+ve ADL (87%)
+ve independence (81%)
+ve occupation (74%)
+ve appearance
+ve usage (5.5 d/week median)
+ve activities
+ve QOL

 

Carroll et al. 2000

6

Implanted Freehand System and adjunctive surgeries

+ve lateral pinch and palmar grasp force
+ve GRT scores
+ve ADL (35/48) activities
5/6 still use the device

Peckham et al. 2001

51 implanted
(50 evaluated)

Implanted Neuroprosthesis and adjunctive surgeries

+ve lateral pinch
+ve palmar grasp
+ve Grasp Release Test
+ve satisfaction
=no change in ability and long term stability and function

Taylor et al. 2001

8

Implantation of Freehand System

=no change in level of personal care assistance
-ve system failure
+ve ADL and functional use

Memberg et al. 2003

10

5/11 Implanted Freehand System
6/11 CWRU
6/11 tendon transfer surgery for elbow extension

4 arms triceps electrode
11 triceps electrodes/10 UL

+ve elbow extension
+ve workspace assessment

Hobby et al. 2001

9

Implanted Freehand System and adjunctive surgeries

+ve ADL and functional use (80%)
+ve lateral grasp
+ve palmar grasp
+ve 5 finger grasp
-ve several electrode failures; stimulator failure; medical complications
7/9 use device daily

Taylor et al. 2002

9

Implantation of Freehand System

+ve Grasp Release Test
+ve Grip Strength
+ve ADL Assessment

Kilgore et al. 1997

5

Implanted Neuroprosthesis and adjunctive surgeries

+ve pinch force
+ve grasp strength
+ve Grasp Release Test
+ve ADL and functional use

Mulcahey et al. 1997

5

Implanted Freehand System and adjunctive surgeries

+ve Grasp Release Test
+ve ADL and functional use

Smith et al. 1994

5

Implanted Neuroprosthesis

-ve electrode failure

Bryden et al. 2000

4
(5 limbs)

Implantation of Freehand System with electrode to triceps

+ve elbow function (strength, ROM)
+ve ADL and functional use

Smith et al. 1996

5

Implanted Neuroprosthesis

+ve unilateral grasp and release abilities with FNS

Mulcahey et al. 2004

4

Implanted Freehand System

=UE strength
+ve ADL: QIF scores
+ve Satisfaction: COPM
+ve lateral and palmar pinch
=UE capacity: UEC

+ positive outcome; = no difference; – negative outcome

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