The Physiology of Industrial Organisation And the Re Employment of the Disabled

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Whether a leg or an arm is in question for the moment I am neglecting the lesser mutilations the aim is to fit upon the stomp an appliance which replaces the amputated segment, and which is mechanically controlled by the muscular force still available. Now anatomy and physiology teach us what movements have been suppressed, and must be re-established, and in what measure the stump will be able to produce them, as regards their force and amplitude. These details are familiar ; we will only remar...k that the articulation of the shoulder and that of the hip are the fundamental articulations ; each controls the whole member of which it forms a part, and ensures its effectual action ; the muscles actuating these joints possess a development which enables them to assist in distributing the motive force to the lesser segments.
There is always a limit to the rational utilisation of the stump.
For the upper limbs this limit is reached in the case of amputations which leave a stump of not more than two inches in length, measured from the line of the armpit.


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