This standard specifies a method for describing upper limb amputation stumps and records the information described. GB/T 15721.3-1995 Prostheses and orthotics for limb loss Part 3: Method for describing upper limb amputation stumps GB/T15721.3-1995 Standard download decompression password: www.bzxz.net

GB/T15721.3-1995
This standard is equivalent to the international standard ISO8548-3:1993 "Prostheses and orthoses - Limb loss - Part 3: Description of upper limb amputation stumps".
For disabled people with limb loss due to congenital malformation or amputation, their treatment, rehabilitation, education, employment, installation of prostheses and participation in disabled sports, etc., all involve the classification and description of limb loss. If there is no universal and unified method for the classification and description of limb loss, it will inevitably cause trouble and confusion. Therefore, the International Organization for Standardization ISO/TC168 Prosthetics and Orthotics Committee began to develop the ISO8548 international standard for the classification and description of limb loss in 1989. So far, the following three parts of the ISO8548 international standard have been released: 1508548-11989 Description of congenital limb loss ISO8548-2:1993 Description of lower limb amputation stumps 1308548-3:1993 Description of upper limb amputation stumps In my country, there are a large number of disabled people with limb loss. The state and society are very concerned about their treatment, rehabilitation, education, employment, etc. Therefore, it is necessary to formulate a national standard for the classification and description of limb loss. In order to unify the cause of disabled people in my country with the international community, we have adopted the ISO8548 international standard. This standard is a recommended standard. From the date of implementation, it is recommended that physicians, therapists, prosthetic technicians and social workers engaged in serving the disabled should follow the provisions of this standard in the classification and description of limb loss. Appendix A of this standard is a suggestive appendix.
This standard was proposed by the Ministry of Civil Affairs of the People's Republic of China. The standard is under the jurisdiction of the National Technical Committee for Standardization of Rehabilitation and Special Equipment for the Disabled. The responsible drafting unit of this standard is the Beijing Institute of Prosthetics of the Ministry of Civil Affairs. The main organizers of this standard are Zhu Jianmin, Yang Chengrui, Jin Ping and Bai Zili. 224
GB/T15721.3-1995
ISOForeword
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ISO (International Organization for Standardization) is a worldwide federation composed of national standardization bodies (ISO member bodies). The work of formulating international standards is usually done by ISO's technical committees. If each member body is interested in a project established by a technical committee, it has the right to participate in the work of the committee. International organizations (official or unofficial) that maintain contact with ISO may also participate in the relevant work. In the field of electrotechnical standardization, ISO maintains a close cooperative relationship with the International Electrotechnical Commission (IEC). The draft international standard adopted by the technical committee is submitted to the member groups for voting. It can only be officially published as an international standard if it is agreed by at least 75% of the member groups participating in the voting. ISO8548-1 international standard was developed by ISO/TC168 Prosthetics and Orthotics Technical Committee. ISO8548 consists of the following parts, which belong to the general title (Prosthetics and Orthotics Limb Loss): Part 1: Methods for describing congenital limb loss conditions Part 2: Methods for describing lower limb amputation stumps Part 3: Methods for describing upper limb amputation stumps Part 4: Causes of amputation
Part 5: Patient self-report
Annex A of ISO8548-3 is for reference only.
GB/T15721.3-1995
There are many ways to classify amputation stumps, but there is no universally accepted method, and the reasons are varied. Clinical team members are located in different countries and have different patients, so they can only study different methods to suit their respective needs. There is a need for an internationally accepted method to compare the differences between publications and between patients. A standard method for describing residual limbs is accepted and used by a variety of medical personnel, including surgeons with different training (especially those related to rehabilitation), physical and occupational therapists and prosthetists. This method is also valuable to epidemiologists and government officials responsible for health. The method that has been developed should meet the needs of different members of the treatment team and be able to record the description of the residual limb in a way that can be easily reflected in the medical record. GB/T 15721.3 (idt ISO 8548-3) aims to define the minimum information for description, which should be able to be adopted by computer analysis.
National Standard of the People's Republic of China
Prostheses and orthotics
Limb deficiencies
Part 3: Method of describing upper limb amputation stumps1 Scope
This standard specifies
2 Referenced standards
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GB/T15721.3—1995
idtISO8548.3.1993
A method of describing upper limb amputation stumps and recording the information described. The provisions contained in the following standards constitute the provisions of this standard through reference in this standard. When this standard is published, the versions shown are valid. All standards will be revised, and parties using this standard should explore the possibility of using the latest versions of the following standards. GB/T15721.1--1995 Prostheses and orthoses Limb loss Part 1: Method for describing congenital limb loss (idtISO8548-1:1989)
ISO8549-1:1989 Prostheses and orthoses-Terminology-Part 1: General terms ISO8549-2:1989 Prostheses and orthoses-Terminology-Part 2: Terms related to prostheses and wearers 3 Definitions
This standard adopts the definitions of ISO8549-1 and ISO8549-2. Measurement of upper limb residual limbs
4.1 Reference levels and reference planes
Define the reference positions and planes related to the various amputation sites described in 4.1.1 and 4.1.2. The patient is preferably in a standing position with the residual limb in a natural hanging state.
4.1.1 Reference Horizontal Planes
4.1.1.1 Axillary plane—the plane perpendicular to the centerline of the upper arm proximal to the upper extremity where the uppermost girth is measured. 4.1.1.2 Superior medial plane—a horizontal plane passing through the humerus.
4.1.1.3 Residual limb plane—
4.1.1.4 Ulnar styloid plane—a plane located at the distal end of the residual limb.
—a horizontal plane passing through the tip of the ulnar styloid. 4.1.1.5 Bone end plane—a horizontal plane of the bone end of the residual limb in transhumeral and transradial amputation. 4.1.1.6 Location of minimum girth—
—the location of minimum girth in the residual limb of an elbow amputation. 4.1.2 Reference plane
4.1.2.1 Posterior surface of ulna—the plane on the posterior surface of ulna, parallel to the anterior hip centerline when the elbow is flexed 90°. 4.1.2.2 Anterior crease plane of elbow—
The plane located at the anterior crease of elbow when the elbow is flexed 90°. This plane is perpendicular to the anterior hip centerline.
4.2 Measurement dimensions
Approved by the State Administration of Technical Supervision on September 8, 1995 and implemented on March 1, 1996
GB/T15721.3--1995
4.2.1 Length dimensions
Measure and record the length dimensions according to the provisions of the corresponding tables (Tables 1 to 7) for various amputation sites. 4.2.2 Circumference dimensions
Measure and record the circumference dimensions according to the provisions of the corresponding tables (Tables 1 to 7) for various amputation sites. 4.3 Assessment of Joint Function
4.3.1 General
Records of joint function include abnormalities in range of motion, significant weakness, and any joint instability. 4.3.2 Determination of Abnormal Joint Motion
Test and record using the American Society of Prosthetics and Orthotics' joint motion test method, adopted in 1964, starting from a defined zero position and all movements of the test joint. 4.3.3 Assessment of Joint Strength
Record any weakness that may significantly affect movement. Note: Muscle strength can be tested objectively, but requires expensive, cumbersome equipment that is not commonly available. Strength scales used in polio cases are completely inappropriate.
Subjective judgment of significant weakness is based on an assessment of the ability of the demonstrated strength to stably control the proximal joint, with the residual limb in a well-made prosthetic socket.
4.3.4 Assessment of joint stability
Record the assessment of joint stability.
Note: Joint stability is determined by a combination of factors such as bones, ligaments, nerves and muscles. In this standard, the record of joint instability refers only to bone or ligament defects and other factors.
5 Description of upper limb amputation stumps
5.1 Overview
Use the relevant terms in the corresponding tables (Tables 1 to 7) and refer to Appendix A to describe the stump. 5.2 Shoulder-leg girdle amputation
Use the terms in Table 1.
Table 1 Description of shoulder girdle amputation (see 5.2 and Appendix A)Description items
Appearance of residual limb
Residual shoulder and spleen bone
Residual clavicle
Residual limb skin
None/partial residue
None/partial residue
If possible, the position of the plane corresponding to the amputation site on the opposite side should be recordedHealed/not healed
Movable/adhesions
Intact skin surface/skin surface affected
Normal sensation/paresthesia
None/yes/severe
Description items
Soft tissue of residual limb
Obvious pain
Spontaneous pain
Neuroma pain
Phantom limb pain
5.3 Atrial height fracture
Use the descriptive words in Table 2.
GB/T15721.3—1395
Table 1 (end)
Moderate/too little/too much
Moderate/soft/hard
No/yes
No/yes (whole)/yes (partial)
No/yes
No/yes
Note: "Shoulder disarticulation\refers to the disarticulation of the shoulder from the humerus joint, or the amputation of the limb that usually retains the upper end of the humerus (see 5.4). Table 2 Description of shoulder disarticulation ( See 5.3 and Appendix A) Description items
Appearance of residual limb
Residue at the upper end of the amine arm
Residual limb skin
Residual limb soft tissue
Obvious pain
Spontaneous pain
Neuroma painwwW.bzxz.Net
Phantom limb pain
5.4 Upper arm amputation (humeral amputation)
No/Yes (convex)/Yes (not concave)
If possible, the relative position of the contralateral limb to the limb should be recorded Corresponding plane position healed/unhealed
movable/adhesion
intact skin surface/damaged skin surface
normal sensation/abnormal sensation
no other scars/other scars
no/yes/excessive
moderate/too little/excessive
moderate/soft/hard
no/yes
no/yes (overall)/yes (local)
no/yes
no/
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Use the descriptive words in Table 3.
Note: When measuring length, the upper reference position is the axillary plane, but in the case of flexion deformity, the upper reference position of the length should be the highest position of the length measured at an appropriate angle to the center line of the residual limb.
Residual limb appearance
Description items
Distal end of humerus
Residual limb skin
Skin color
Temperature Degree (check by hand)
Soft tissue of residual limb
Obvious pain
Spontaneous pain
Neuroma pain
Phantom limb pain
Joint function
Shoulder joint (including scapulohumeral
GB/T15721-3-1995
Table 3 Upper arm amputation (brain amputation) (see 5.4 and Figure 1 and Appendix A) Record
Record the following measured dimensions
Glue plane to residual limb Length of the distal end of the limb, l
The length from the distal end of the ulnar styloid process to the distal end of the residual limb,
-The length of the contralateral limb from the axillary plane to the ulnar styloid process, la, the length of the contralateral limb from the axillary plane to the medial superior iliac crest, ls: The length of the contralateral limb from the axillary plane to the posterior plane of the ulnar shaft when the limb is flexed 90°, Ci
The length of the distal end of the ulnar shaft, C.
If possible, the plane position of the contralateral limb corresponding to the amputation site should be recorded, as well as the cylindrical/conical/spherical Shape
No bulge/bulge
Healed/unhealed
Movable/adhesion
Intact skin surface/damaged skin surface
Normal feeling/Abnormal feeling
No other blister marks/Other scars
Normal/Bluish purple/Other abnormal colors
Normal/Cool
No/Yes/Too much
Moderate/Too little/Too much
Moderate/Soft/Hard||t t||No/Yes
No/Yes (whole body)/Yes (local body)
No/Yes
No/Yes
Joints and shoulder, spleen, and thoracic joints)
Range of motion
Stability
Normal/Abnormal (specific)
No significant reduction/significant reduction
Normal/impaired
No/Yes
Disconnection at 5.5
Use the terms in Table 4.
GB/T15721.3-1995
-Bone bundle end plane
-Superior medial plane
Lumbar plane
Figure 1 Measurement of dimensional dimensions of humeral amputation
Distal end plane of residual limb
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Note: When measuring length, the upper end reference position is the axillary plane, but in the case of flexion deformity, the upper end reference position of the length should be the highest position measuring the circumference at an appropriate angle to the center line of the residual limb.
Table 4 Description of elbow amputation (see 5.5 and Figure 2 and Appendix A) Description Items
Shape of residual limb
Skin of residual limb
Record the following measurements:
Length from the imaging plane to the end of the residual thigh, 1
Length of a pair of limbs from the axillary plane to the ulnar styloid process, l, Length of a pair of limbs from the axillary plane to the medial superior malleolus, a circumference of the axillary plane, Ci;
Minimum circumference of the residual limb, C.
Circumference of the medial superior malleolus,,
If possible, record the distance between the contralateral limb and the amputated limb. Corresponding plane position of limb parts Cylindrical/conical/spherical
Acne healed/unhealed
Movable/adhesion
Skin surface intact/skin surface damaged
No other scars/other scars
Description items
Soft tissue of residual limb
Color of skin joint
Temperature (check by hand)
Obvious pain
Spontaneous pain
Neuroma pain
Red limb pain
Joint function
Shoulder joint (including shoulder head
|tt||Joints and shoulder-foot-chest joints)
Range of motion
Stability
GB/T15721.3—1995
Table 4 (end)
Moderate/too little/too much
Moderate/soft/hard
Normal/purple/other abnormal colors
Normal/cool
No/yes/excessive
No/yes
No/yes (overall)/yes (local)
No/yes
No/yes
Normal/ Abnormal (specified)
No obvious weakening/obvious weakening
Normal/impaired
No/yes
Hungary plane
Drum length position
Medial superior plane
Limb end plane
Ulnar plane
Figure 2 Measurement of elbow amputation
5.6 Anterior amputation (radial amputation)
GB/T15721.3--1995
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Use the descriptive terms in Table 5.
Let: When measuring length, the upper reference position is the medial superior plane, but in the case of flexion deformity, the upper reference position of the length should be the highest position measuring the girth at an appropriate angle to the center line of the residual limb,
Table 5 Description of forearm amputation (radial amputation) (see 5.6 and Figure 3 and Appendix A) Description Items
Appearance of residual limb
Extremity of radius
Extremity of ulna
Skin of residual limb
Skin color
Temperature (check by hand)
Soft tissue of residual limb
Obvious pain
Spontaneous pain
Neuroma pain
Phantom limb pain
Joint function
Shoulder joint (including scapulohumeral joint and scapulo-femoral joint)
Range of motion
Stability
Time Joint
Range of motion
Stability
Proximal joint pain
Record the following measurements:
Length from the axillary plane to the medial superior aspect;
Length from the medial superior aspect to the distal end of the residual limb;
Length from the distal end of the forearm to the distal end of the residual limb;
Length from the distal end of the forearm to the distal end of the forearm;
Length from the distal end of the forearm to the distal end of the forearm;
Length from the distal end of the forearm to the medial superior aspect;
Length from the axillary plane to the ulnar styloid process of the contralateral limb;
Length from the distal end of the forearm to the distal end of the forearm ... Plane position, the plane position of the proximal ulna and the end of the ulna should also be recorded
Cylindrical/dimensional/spherical
No bulge/bulge
No bulge/bulge
Healed/unhealed
Movable·Adhesion
Intact skin code/damaged skin surface
Normal sensation/abnormal sensation
No other scars/other scars
Normal/cyanotic/other abnormal color
Normal/cool
No/yes/too much
Moderate/too little/too much Multiple
Moderate/Soft/Hard
No/Yes
·No/Yes (whole)/Yes (local)
No/Yes
No/Yes
Normal/Abnormal (specified)
No obvious weakening/obvious weakening
Normal/Accepted
Normal/Abnormal (to be specified)
No obvious weakening/obvious weakening
Normal/Impaired
No/Yes
5.7 Wrist separation
Ulnar base plane
Use the descriptive words in Table 6.
GB/T15721.3--1995
Bone end plane
Bone plane
Limb level
Figure 3 Dimension measurement of radial amputation
Radial joint
Anterior flexion plane
Note: When measuring length, the upper reference position is the medial superior flexion plane, but in the flexion and flexion state, the upper reference position of the length should be the highest position at which the circumference is measured at an appropriate angle to the center line of the residual limb.
Table 6 Description of wrist amputation (see 5.7 and Figure 4 and Appendix A) Description Items
Appearance of residual limb
Skin of residual limb
Color of skin joint
Temperature (checked by hand)
Record the following measurements:
Length from axillary plane to medial epicondyle,
Length from medial epicondyle plane to end of residual limb,
Length from axillary plane to ulnar styloid process of contralateral limb, lstLength from axillary plane to medial epicondyle of contralateral limb, CsGirth of anterocubital crease plane when elbow joint is flexed 90°, CsProminence of ulnar styloid process The length of the circle, Cs, should be recorded if possible. The plane position of the contralateral limb relative to the amputation site should be recorded. Cylindrical/spherical
No bulge/bulge
Healing/unhealing
Movable/adhesion
Intact skin surface/damaged skin surface
Normal sensation/abnormal sensation
No other scars/other scars
Normal/cyanotic/other abnormal color
Normal/cool
No/yes/excessive
Description item
Soft tissue of residual limb
Obvious pain
White Pain
Neuroma pain
Phantom limb pain
Joint function
Shoulder joint (including scapulohumeral joint and thoracic joint)
Range of activities
Stability
Elbow joint
Range of activities
Acute
Proximal joint pain
Ulnar-styloid plane
GB/T15721.3-1995
Table 6 (end)
Moderate/too little/too much
Moderate/soft/hard
No/yes||t t||No/Yes (whole)/Yes (local)
No/Yes
No/Yes
Normal/Abnormal (specific)
No obvious weakening/obvious weakening
Normal/Impaired
Normal/Abnormal (specific: flexion/extension or abduction/adduction)No obvious weakening/obvious weakening
Normal/Impaired
No/Yes
Avoidance plane
Transmission plane
Figure 4 Measurement of wrist fracture size
Elbow joint
Front collar fold plane 1
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Table 6 (end)
Moderate/too little/too much
Moderate/soft/hard
No/yes
No/yes (whole)/yes (local)
No/yes
No/yes
Normal/abnormal (specific)
No obvious weakening/obvious weakening
Normal/impaired
Normal/abnormal (specific: flexion/extension or abduction/adduction)No obvious weakening/obvious weakening
Normal/impaired
No/yes
Avoidance plane
Transmission plane
Figure 4 Measurement of wrist separation size
Elbow joint
Front collar fold plane 1
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Table 6 (end)
Moderate/too little/too much
Moderate/soft/hard
No/yes
No/yes (whole)/yes (local)
No/yes
No/yes
Normal/abnormal (specific)
No obvious weakening/obvious weakening
Normal/impaired
Normal/abnormal (specific: flexion/extension or abduction/adduction)No obvious weakening/obvious weakening
Normal/impaired
No/yes
Avoidance plane
Transmission plane
Figure 4 Measurement of wrist separation size
Elbow joint
Front collar fold plane 1
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