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Encyclopedia of Health and Medicine

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prosthetic limb 351<br />

as PARKINSON’S DISEASE <strong>and</strong> also with ALCOHOL<br />

intoxication. The classic field SOBRIETY test is a<br />

measure <strong>of</strong> proprioceptive loss.<br />

See also VESTIBULAR NEURONITIS.<br />

prosthetic limb An artificial arm, h<strong>and</strong>, leg, or<br />

foot that provides functional replacement for an<br />

amputated or missing limb. A prosthesis represents<br />

a balance between function <strong>and</strong> presentable<br />

appearance. Prosthetic limbs available today can<br />

provide a very high level <strong>of</strong> function, allowing<br />

many people to return to nearly the same lifestyle<br />

as before the amputation.<br />

Selection <strong>and</strong> fitting <strong>of</strong> the prosthesis can take<br />

place as soon as the AMPUTATION stump heals from<br />

the surgery. The prosthesis must attach firmly to<br />

the amputation stump, which is more difficult<br />

with high amputations (shoulder or hip). Factors<br />

that are important to consider include comfort<br />

<strong>and</strong> durability <strong>of</strong> the prosthesis. Most <strong>of</strong>ten it is<br />

advantageous to begin using the prosthesis as soon<br />

as possible after the amputation, to return to normal<br />

daily living.<br />

There are numerous designs <strong>and</strong> styles <strong>of</strong> prosthetic<br />

limbs; the prosthesis is fitted to the person<br />

to meet the person’s unique individual needs.<br />

Some prosthetic limb designs, particularly upper<br />

extremity, strive to appear as natural as possible.<br />

Other designs are primarily functional. Some<br />

designs are mechanical <strong>and</strong> others are electronic.<br />

Some prostheses are for specific purposes, such as<br />

athletic activities (running, hiking, bicycling,<br />

downhill skiing). Other prostheses may be more<br />

oriented toward allowing the person to return to a<br />

particular occupation or skill.<br />

See also OCCUPATIONAL THERAPY; QUALITY OF LIFE.

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