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MUSCLE TRAINING FOR PECTORAL CINEPLASTY

Authors
Journal
Australian Journal of Physiotherapy
0004-9514
Publisher
Elsevier
Volume
5
Issue
3
Identifiers
DOI: 10.1016/s0004-9514(14)60697-8
Disciplines
  • Logic

Abstract

Amputation through the upper arm produces the dual problem in any prosthetic replacement of restoring elbow flexion as well as closing the terminal hand unit. These two actions can be separately provided in a long above-elbow amputation by using stump flexion or abduction to activate the elbow mechanism and a shoulder harness for the hand movements. It is in the short above-elbow stump or shoulder disarticulation, where stump function is severely reduced, that an extra motor is required to work in conjunction with the shoulder harness. Pectoral cineplasty is reserved for these short humeral stump patients who may then independently activate the hand unit by the pectoral muscle motor while flexing the elbow by shrugging the shoulder.

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