Pre-Fitting Management of the Patient with a Lower Limb Amputation: Difference between revisions
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== INTRODUCTION == | == INTRODUCTION == | ||
The loss of a lower limb has severe implications for a person’s mobility, and ability to perform activities of daily living <ref name="dillingham">Dillingham TD & Pezzin LE. Rehabilitation setting and associated mortality and medical stability among persons with amputations. Archives of Physical and Medical Rehabilitation 2008; 89; 1038-1045.</ref>. This negatively impacts on their participation and integration into society <ref name="who">World Health Organisation (WHO). International classification of functioning disability and health (ICF). World Health Organisation 2001. Geneva.</ref>.The ultimate goal of rehabilitation after limb loss, is to ambulate successfully with the use of a prosthesis<ref name="lusardi">Lusardi MM, Postoperative and preprosthetic care. In Lusardi, MM, Jorge, M & Nielsen, CC editors. Orthotics and Prosthetics in Rehabilitation, Third Edition. Missouri: Elsevier, 2013.p. 532-594.</ref> . Prosthetic rehabilitation is a complex task that ideally requires input from a transdisciplinary rehabilitation team. However, most often physiotherapists are in charge of the physical rehabilitation process <ref name="kaplan">Kaplan SL, Outcome measurement and management: First steps for the practicing clinician. Philadelphia, FA Davis Company, 2007.</ref>. | |||
== OVERVIEW OF THE REHABILITATION PROCESS == | == OVERVIEW OF THE REHABILITATION PROCESS == |
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INTRODUCTION[edit | edit source]
The loss of a lower limb has severe implications for a person’s mobility, and ability to perform activities of daily living [1]. This negatively impacts on their participation and integration into society [2].The ultimate goal of rehabilitation after limb loss, is to ambulate successfully with the use of a prosthesis[3] . Prosthetic rehabilitation is a complex task that ideally requires input from a transdisciplinary rehabilitation team. However, most often physiotherapists are in charge of the physical rehabilitation process [4].
OVERVIEW OF THE REHABILITATION PROCESS[edit | edit source]
PRE-PROSTHETIC REHABILITATION PHASE[edit | edit source]
Physiotherapist preparation[edit | edit source]
Assessment of the amputee (see section 6 not covered in this section)
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Patient education
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Stump management
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Exercise therapy
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Restoring locus of control
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Referral
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References
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- ↑ Dillingham TD & Pezzin LE. Rehabilitation setting and associated mortality and medical stability among persons with amputations. Archives of Physical and Medical Rehabilitation 2008; 89; 1038-1045.
- ↑ World Health Organisation (WHO). International classification of functioning disability and health (ICF). World Health Organisation 2001. Geneva.
- ↑ Lusardi MM, Postoperative and preprosthetic care. In Lusardi, MM, Jorge, M & Nielsen, CC editors. Orthotics and Prosthetics in Rehabilitation, Third Edition. Missouri: Elsevier, 2013.p. 532-594.
- ↑ Kaplan SL, Outcome measurement and management: First steps for the practicing clinician. Philadelphia, FA Davis Company, 2007.