Gaining daily prosthetic use in an adolescent with unilateral ulnar longitudinal deficiency

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  • 日常生活での義手使用が定着した片側尺側形成障害の一青年例

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<p>Few reports have been published on the use of an upper limb prosthesis for people with ulnar longitudinal deficiency; furthermore, benefits of using the upper limb prosthesis for activities of daily living (ADL) are not certain. We tried prescriptions, fits, fabrications and rehabilitation for the upper limb prosthesis and orthosis with a person with unilateral ulnar longitudinal deficiency who desired to use them for the first time at age 16. There was no limitation to his ADL while using his sound limb and compensation for gripping with the intact limb, although he had extremely limited range of motion of the elbow joint and a deficiency of digits. In the use of the prosthesis, it was necessary to identify the function of the prosthesis required for his ADL. Currently, he uses the passive prosthesis and he has well established his life, besides utilizing the prosthetic in his ADL, especially during bimanual hand movements and the performance of deskwork. This paper puts its focus on changes to his ADL and psychological aspects by using the upper limb prosthesis in daily life.</p>

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