Occupational therapy protocol for amputees with targeted muscle reinnervation

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44 Scopus citations


Targeted muscle reinnervation (TMR) is a surgical intervention to improve the control of myoelectric prostheses in high-level upper-limb amputation. This article briefly describes the procedure and presents the protocol for postoperative, preprosthetic care. We also recommend a guide to patient training using standard-of-care prosthetic devices controlled by up to four intuitive, independent, and isolated myoelectric signals. We discuss the advantages of this new control paradigm and methods for optimizing clinical outcomes for patients with high-level upper-limb amputations. This material is based on more than 6 years of experience treating patients with TMR in a research setting. Detailed results of this research are reported elsewhere.

Original languageEnglish (US)
Pages (from-to)481-488
Number of pages8
JournalJournal of rehabilitation research and development
Issue number4
StatePublished - 2009


  • Amputation
  • Myoelectric control
  • Nerve transfer
  • Occupational therapy
  • Preprosthetic training
  • Prosthetic training
  • Rehabilitation
  • Simultaneous control
  • Targeted muscle reinnervation
  • Upper limb

ASJC Scopus subject areas

  • Rehabilitation

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