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Upper Limb


RJ RosenbergRJROL has a comprehensive and advanced upper extremity program. Ryan Spill, CP, is a former instructor of myoelectric fitting techniques who is experienced in difficult, partial hand presentations.

We are trained and certified in all manufacturers’ products, including advanced technology in the Michelangelo Hand and Axon-Bus systems, i-limb quantum hands and i-digits, bebionic hands, the Utah Arm, and the multi-input DynamicArm for those patients who have undergone targeted muscle reinnervation (TMR).

Targeted Muscle Reinnervation is the medical term for the surgical procedure of reassigning the brachial plexus nerves to muscles that the patient has. These nerves that used to innervate the arm now are assigned to muscles within the person’s body. For higher level amputations, such as above the elbow or at the shoulder, the TMR procedure can result in more intuitive control of a myoelectric prosthesis.

Our expertise also encompasses pattern recognition systems such as COAPT. Pattern recognition controllers allow for additional EMG inputs for more intuitive control of multiple components such as an electric elbow, wrist rotator, and terminal device (electric hand or hook).

Below are some of the many products we fit for our upper limb loss patients.