With the addition of a shoulder joint, this level incorporates all the components of a Transhumeral level. Body-powered, external powered (including myoelectric), oppositional and activity specific devices can be fit under certain patient characteristics. External powered controls or a hybrid of controls often provide better functional results at these high amputation levels. Experience and expertise in fitting and attaining appropriate function are key elements for positive results. Suspension is achieved by a harness system.
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