Basic rehabilitation protocol in a low resource setting or conflict/disaster context: Amputation: Difference between revisions
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'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | ||
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=+ Pre- and post-fitting rehab cycle for patients with a LL-amputation += | |||
This table is a suggestion for a relatively normal rehab cycle of patients without complications. For more complex cases additional sessions will be necessary based on case-by-case-evaluation. | This table is a suggestion for a relatively normal rehab cycle of patients without complications. For more complex cases additional sessions will be necessary based on case-by-case-evaluation. | ||
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'''Final outcome ''' | '''Final outcome ''' | ||
'''& procedure/ objectives''' | '''& procedure/ objectives''' | ||
| '''Nr of sessions''' | | '''Nr of sessions''' | ||
| '''Content''' | | '''Content''' | ||
|- | |- | ||
| | | | ||
''A No Fitting'' | ''A No Fitting'' | ||
Maintenance of a good stump; | Maintenance of a good stump; | ||
Prevention of complications | Prevention of complications | ||
| Up to 6 | | Up to 6 | ||
| | | | ||
(1) assessment; bandaging | (1) assessment; bandaging | ||
(2) donation of mobility aids & training; bandaging (pt education); positioning & mobilization stump; scar treatment; transfers | (2) donation of mobility aids & training; bandaging (pt education); positioning & mobilization stump; scar treatment; transfers | ||
(3) training with mob.aid; all of (2) with focus on independence (pt education) | (3) training with mob.aid; all of (2) with focus on independence (pt education) | ||
(4) like (3) but more independence | (4) like (3) but more independence | ||
(5) taking care of the stump: hygiene, skin care, automassage | (5) taking care of the stump: hygiene, skin care, automassage | ||
(6) roundup of previous sessions | (6) roundup of previous sessions | ||
|- | |- | ||
| | | | ||
''B Fitting'' | ''B Fitting'' | ||
Pre-fitting rehabilitation directly after surgery | Pre-fitting rehabilitation directly after surgery | ||
| Up to 6 | | Up to 6 | ||
| | | | ||
(1) assessment; bandaging<br> | (1) assessment; bandaging<br> | ||
(2) donation mobility aids and training; bandaging; positioning & careful mobilization of stump, until wound is healed then continue with (3) below (after wound closure) | (2) donation mobility aids and training; bandaging; positioning & careful mobilization of stump, until wound is healed then continue with (3) below (after wound closure) | ||
|- | |- | ||
| | | | ||
''C Fitting''<span class="Apple-tab-span" style="white-space:pre"> </span> | ''C Fitting''<span class="Apple-tab-span" style="white-space:pre"> </span> | ||
<span class="Apple-tab-span" style="white-space:pre" />Pre-fitting rehabilitation after wound closure <br> | |||
| Up to 6 | | Up to 6 | ||
| | | | ||
(1) assessment; bandaging | (1) assessment; bandaging | ||
(2) donation mobility aids & training; bandaging; positioning & mobilization stump; scar treatment; desensitization; transfers | (2) donation mobility aids & training; bandaging; positioning & mobilization stump; scar treatment; desensitization; transfers | ||
(3) training with mob.aid; all of (2) with focus on independence; start weightbearing on stump; strengthening (classical & in function eg. football) | (3) training with mob.aid; all of (2) with focus on independence; start weightbearing on stump; strengthening (classical & in function eg. football) | ||
(4) like (3) but more independence | (4) like (3) but more independence | ||
(5) taking care of the stump: hygiene, skin care, automassage; continue like in (4) | (5) taking care of the stump: hygiene, skin care, automassage; continue like in (4) | ||
(6) roundup of previous sessions | (6) roundup of previous sessions | ||
|- | |- | ||
| | | | ||
'' D Fitting'' | '' D Fitting'' | ||
Post-fitting rehabilitation | Post-fitting rehabilitation | ||
| 6 | | 6 | ||
| | | | ||
(1) static exercises; handling prosthesis (put-on/off); taking care of prosthesis & stump | (1) static exercises; handling prosthesis (put-on/off); taking care of prosthesis & stump | ||
(2) continue with (1); weight shift in parallel bars; gait training with mob.aid | (2) continue with (1); weight shift in parallel bars; gait training with mob.aid | ||
(3) static balance exercises; simple transfers; continue gait training | (3) static balance exercises; simple transfers; continue gait training | ||
(4) dynamic balance exercises; advanced transfers; advanced gait training > obstacle course | (4) dynamic balance exercises; advanced transfers; advanced gait training > obstacle course | ||
(5) like (4); start sports activity | (5) like (4); start sports activity | ||
(6) roundup of previous sessions | (6) roundup of previous sessions | ||
|} | |} | ||
<br> | <br> | ||
== <span style="line-height: 1.5em;">References</span> == | == <span style="line-height: 1.5em;">References</span> == | ||
References will automatically be added here, see [[Adding References|adding references tutorial]]. | References will automatically be added here, see [[Adding References|adding references tutorial]]. | ||
<references /> | <references /> | ||
Revision as of 17:54, 13 May 2014
Original Editor - Your name will be added here if you created the original content for this page.
Top Contributors - Cornelia Barth, Admin, Laura Ritchie, Kim Jackson and Claire Knott
+ Pre- and post-fitting rehab cycle for patients with a LL-amputation +[edit | edit source]
This table is a suggestion for a relatively normal rehab cycle of patients without complications. For more complex cases additional sessions will be necessary based on case-by-case-evaluation.
___________________________________________________________________________________
Session (1) assessment => decision:
A no fitting => go to table & see A
B fitting after preparation start directly after surgery => go to table & see B
C fitting after preparation start with healed stump => go to table & see C
D postfitting => go to table & see D
___________________________________________________________________________________
|
Final outcome & procedure/ objectives |
Nr of sessions | Content |
|
A No Fitting Maintenance of a good stump; Prevention of complications |
Up to 6 |
(1) assessment; bandaging (2) donation of mobility aids & training; bandaging (pt education); positioning & mobilization stump; scar treatment; transfers (3) training with mob.aid; all of (2) with focus on independence (pt education) (4) like (3) but more independence (5) taking care of the stump: hygiene, skin care, automassage (6) roundup of previous sessions |
|
B Fitting Pre-fitting rehabilitation directly after surgery |
Up to 6 |
(1) assessment; bandaging (2) donation mobility aids and training; bandaging; positioning & careful mobilization of stump, until wound is healed then continue with (3) below (after wound closure) |
|
C Fitting <span class="Apple-tab-span" style="white-space:pre" />Pre-fitting rehabilitation after wound closure |
Up to 6 |
(1) assessment; bandaging (2) donation mobility aids & training; bandaging; positioning & mobilization stump; scar treatment; desensitization; transfers (3) training with mob.aid; all of (2) with focus on independence; start weightbearing on stump; strengthening (classical & in function eg. football) (4) like (3) but more independence (5) taking care of the stump: hygiene, skin care, automassage; continue like in (4) (6) roundup of previous sessions |
|
D Fitting Post-fitting rehabilitation |
6 |
(1) static exercises; handling prosthesis (put-on/off); taking care of prosthesis & stump (2) continue with (1); weight shift in parallel bars; gait training with mob.aid (3) static balance exercises; simple transfers; continue gait training (4) dynamic balance exercises; advanced transfers; advanced gait training > obstacle course (5) like (4); start sports activity (6) roundup of previous sessions |
References[edit | edit source]
References will automatically be added here, see adding references tutorial.
