title: An implanted upper-extremity neuroprosthesis. Follow-up of five patients.
abstract: An implanted neuroprosthesis supplying functional neuromuscular stimulation was used to provide grasp and release to tetraplegic individuals. This article describes the results, at a minimum of three years, for the first five patients to have operative implantation of an eight-channel stimulator-receiver. All of the patients had a clinically complete spinal cord injury with motor function remaining at the level of the fifth or sixth cervical nerve root. In addition to implantation of the stimulator system, each patient had augmentative operations on the hand to improve function. The procedures included tendon transfers, side-to-side tendon anastomoses, arthrodesis of the interphalangeal joint of the thumb, and rotational osteotomy of the radius. The neuroprosthesis provides two grasp patterns controlled by voluntary motion of the shoulder or wrist. Functional evaluations included measurement of pinch force, a grasp-release test, evaluation of the level of functional independence, and usage surveys. Pinch force ranged from eight to twenty-five newtons. All five patients demonstrated functional grasp patterns, had increased independence, and were able to use the neuroprosthesis at home on a regular basis. The implanted stimulator has proved to be safe and reliable, with seven years as the longest time in situ at the time of writing.
authors.affiliation: Case Western Reserve University, Cleveland Veterans Affairs Medical Center, Ohio, USA.
authors.forename: K L
authors.initials: KL
authors.lastname: Kilgore
authors.forename: P H
authors.initials: PH
authors.lastname: Peckham
authors.forename: M W
authors.initials: MW
authors.lastname: Keith
authors.forename: G B
authors.initials: GB
authors.lastname: Thrope
authors.forename: K S
authors.initials: KS
authors.lastname: Wuolle
authors.forename: A M
authors.initials: AM
authors.lastname: Bryden
authors.forename: R L
authors.initials: RL
authors.lastname: Hart
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D004599:Electric Stimulation Therapy; D005260:Female; D018737:Hand Strength; D006801:Humans; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D011782:Quadriplegia / Q000534:rehabilitation / Q000628:therapy*