Even though it’s still spring here in the Northern Hemisphere, the heat is already making its presence known. For individuals wearing upper limb prosthetic devices, rising temperatures bring a few key considerations: how your device handles heat, how your body responds (especially through sweat), and how to protect your skin and overall well-being.

First up, tolerance. Custom silicone restorationspassive and body-powered devices are hardy enough to go out no matter the weather. As for myoelectric devices, according to their respective manufacturers, most multi-articulating hands, single-motor hands, and ETDs can stand up to around 140°F. So, in most real-world conditions, your device will be just fine. For anyone using ETDs, body-powered hooks, or anything that is majority metal, keep in mind that the sun can heat those up quickly. What might seem like an absent-minded brush of your device on your sound arm, could leave you with a minor burn. In general, if it’s hot outside, your arm will get hot, and it’s the same idea with cold.

In addition, don't leave your prosthesis in the car on a hot day. The heat can damage the lamination on the frame, the batteries of a myoelectric device and some types of prosthetic gloves. We have also had patients whose device has been stolen from their car when it was visible through the windows.

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Sweat can be a huge issue for people wearing upper limb prosthetic devices. Not only can sweat, and the swelling of skin in hot weather, cause slipping issues, but sweat can also interrupt the electric signals that myoelectric devices need to function. There are a few solutions:

  • Antiperspirant isn't just for underarms — many products can be used on other areas of the body. Always check the label and consult your prosthetist or physician, especially if you have sensitive skin.
  • For those with more severe sweating, prescription-strength antiperspirants applied before a hot day can be helpful.
  • And sometimes, the best solution is simple: take a break — more on that next.

Many of us are so driven by the need to finish the project, the workout, whatever it is that’s making us sweat or keeping us in the sun, that we’ll postpone taking a break. But there’s a lot to be said for knowing your limit and not pushing past it. One is sweating  taking a break can allow the sweat to do its job, namely cool you down, especially if you can take off your device. Two is your skin. For those of you with acquired amputations, the skin on your residual limb may not be as resilient as the rest of your skin. Our patient Gerry, pictured below, is a bilateral amputee caused by an electric accident, meaning he has skin grafts on his arms. Gerry’s current life is full of farm chores and projects. “Even if I’m in the middle of something, I’ll take breaks after lunch to give myself a rest, give my arms a rest — especially in the summer when that sweat and moisture builds up inside the prosthetic sockets, I have to take them off to give the skin a break.” Gerry lives in Illinois, where the humidity can get pretty high and he knows the importance of maintaining good skin.

Gerry Kinney uses both of his prostheses to work every day

Another reason to take a break? Well, for some of us, it can be easier to get frustrated when we’re hot. Crankiness and overheating go together. When you’re frustrated, tasks you may be learning with your device can become seemingly impossible. Especially for people with a myoelectric device, that frustration can mean we’re not performing the task in a way that allows the sensors to make contact, so the terminal device may not function as well, leading to a negative feedback loop. So, give yourself some grace and take that break!

Also, don’t forget to hydrate, and wear sunscreen. Continuously monitor how you’re feeling. Hands help regulate body temperature, so if you’re missing one or both, it’s even more important to watch for signs of heat exhaustion.

Alright, so there’s not much we can do about the weather, but there is something that people who wear upper limb prostheses can do to keep themselves safe and their devices functioning. Each of our prosthetists and occupational therapists go over the tasks our patients want to accomplish with their devices, and have a general idea of the conditions they’ll be performing them in. With this knowledge, our clinical team can create the types of sockets, frames and wear schedules that will work best for their patient. This kind of customized care is what leads to our patients feeling connected to their clinical team and not shy about asking questions.

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If that kind of holistic prosthetic care is something you, or someone you know, would like to experience, please contact us. If you would like to leave a comment, please do so below.

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