Title: Targeted Muscle Reinnervation: A Neural Interface for Artificial Limbs
Authors: Todd A. Kuiken, MD, PhD, Aimee E. Schultz Feuser, MS, Ann K. Barlow, PhD
Publisher: CRC Press, 193 pages
Reviewed by: Ryan Blanck, LCPO, national upper extremity specialist, Hanger Clinic
Authors with clinical, surgical, and research expertise in targeted muscle reinnervation (TMR) provide an overview of the history, present practices, and future of the procedure and its clinical applications. The text is clinically pertinent to occupational therapists, prosthetists, physiatrists, and surgeons who are interested in TMR and who seek to understand its promise in the treatment of upper-, and to a lesser extent, lower-limb amputations.
Editor Todd Kuiken, MD, pioneered the research that has led to the clinically accepted standard of TMR procedures we have today. Specifically, Kuiken addresses the challenges of higher-level upper limb functionality. Greg Dumanian, MD, and Jason Souza, MD, provide an excellent overview of the TMR surgical techniques for transhumeral and shoulder disarticulation limb loss and the factors affecting the achievement of optimized functionality. The text offers particularly practical information on how best to assist individual patients to develop treatment goals post-TMR. Jason Ko, MD, Douglas Smith, MD, and Peter Kim, MD, detail their work over the last 10 years that has focused on functional TMR and its potential for treatment or prevention of neuroma in patients with not only upper-level amputations, but also with the transfemoral and transtibial amputations. The authors also concisely address clinical care and prosthetic fittings timelines, sensory reinnervation, and the current and future benefits of TMR.
Summary: The overall strength of the text is the diversity of its clinical and research contributors for a relatively small publication. The combined clinical and research experience of the authors is significant and makes this text relevant for a wide variety of clinical focuses. Any prosthetic clinical facility and rehabilitation clinic would benefit from owning and using this text.
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