Transradial Crawling Stubbies

Nicole T. Soltys


4-year-old child with amputations secondary to meningococcemia during the first year of life. [Image 1 ]

Amputations include:
Bilateral transradial amputations, Right transtibial amputation, Left transfemoral amputation

Also resulting from illness:
Cortical blindness, Physical and communicative delay, Extensive scarring on residual limbs, Lack of soft tissue padding on residual limbs


Child shows a desire for independent mobility, but his lowerlimb amputations, cortical blindness, and core weakness limit his gross mobility. [Image 2 , Image 3 ]


Upper-limb devices to be used for crawling, with the following goals:

  • Raise head and shoulders off of the floor to allow child to see environment, and to encourage back and shoulder strengthening
  • Provide padding to bony residual limbs
  • Independent donning and doffing


Bocklite liners with distal buildups provide comfort to his limbs in crawling, raise the shoulders off of the floor, and are easy to don and doff to use the upper-limbs for sensory exploration.

  • Plaster cast taken of each arm with elbow in near-extension
  • 12mm Plastazote distal end pads custom molded over distal cast
  • 4mm Bocklite custom cones pulled over distal end pads
  • Liners capped with 4mm Bocklite in the traditional manner
  • Several layers of 4mm Bocklite added distally to create desired height
  • During fitting/delivery, Bocklite pads were added above the humeral epicondyles to improve anatomical suspension


Nicole T. Soltys, CP
Rehabilitation Institute of Chicago
Prosthetics & Orthotics Clinical Center
[Image 4 ]

Nicole T. Soltys, CP; Rehab Institute of Chicago