Introduction to Targeted Muscle Reinnervation (TMR) for Therapists


This introductory session will focus on the key components of the preoperative and postoperative treatment plan for the upper limb amputee, with a focus on TMR. The session will provide technological updates in prosthetic solutions and surgical techniques; and how to integrate these new technologies into daily activities for upper limb prosthetic users. Course topics will include nerve actions in response to differing amputation levels; pain management; psychosocial interventions; and donning and doffing procedures. This course will also ensure the attendee understands patient and output research trends, and more specifically, how health care teams can collaborate with physicians and patients alike to improve patient care for this traditionally underserved upper limb population.

*Availability based on schedule of our presenters, be sure to reach out to your local coordinator or submit your request here if interested in hosting the session for your team.

Course Syllabus

Course Handout

Course Objectives

Upon completion of this program, participants should be able to:

  • Describe targeted muscle reinnervation surgery procedures
  • Differentiate traditional myoelectric control from pattern recognition
  • Recall different stages of rehabilitation for the patient with upper limb amputation
  • Identify rehabilitation protocol differences between TMR and non-TMR patients

AOTA Classification Codes

  • Domain of OT: Client Factors
  • OT Process: Evaluation, Intervention

Hanger Clinic is an AOTA approved provider of occupational therapy continuing education. This course has been approved for 1.0 CE Contact Hours. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. AOTA APP No: 8417.