Basic rehabilitation protocol in a low resource setting or conflict/disaster context: Amputation: Difference between revisions
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'''Original Editor '''- Your name will be added here if you created the original content for this page. | '''Original Editor '''- Your name will be added here if you created the original content for this page. | ||
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= <span style="line-height: 1.5em;" />Pre- and post-fitting rehab cycle for patients with a LL-amputation = | |||
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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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== References | Session (1) assessment => decision: | ||
''A no fitting<br>B fitting after preparation start directly after surgery<br>C fitting after preparation start with healed stump<br>D postfitting''<br>___________________________________________________________________________________ | |||
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'''Final outcome &''' | |||
'''procedure / objectives''' | |||
| '''Nr of Sessions''' | |||
| '''Content''' | |||
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''A No fitting'' | |||
Maintenance of a good stump; | |||
Prevention of complications | |||
| up to 6 | |||
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(1) assessment; bandaging | |||
(2) donation of mobility aids & training; bandaging (pt education); positioning & mobilization stump; scar treatment; | |||
(3) training with mobility 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 | |||
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B Fitting<br>Pre-fitting rehabilitation directly after surgery Up to 6 sessions 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)<br>C Fitting<br>Pre-fitting rehabilitation after wound closure Up to 6 sessions 1 assessment; bandaging<br>2 donation mobility aids & training; bandaging; positioning & mobilization stump; scar treatment; desensitization; transfers<br>3 training with mob.aid; all of 2 with focus on independence; start weightbearing on stump; strengthening (classical & in function eg football)<br>4 like 3 but more independence<br>5 taking care of the stump: hygiene, skin care, automassage; continue like in 4<br>6 roundup of previous sessions<br>D Fitting<br>Post-fitting rehabilitation 6 sessions 1 static exercises; handling prosthesis (put-on/off); taking care of prosthesis & stump <br>2 continue with 1; weight shift in parallel bars; gait training with mob.aid<br>3 static balance exercises; simple transfers; continue gait training<br>4 dynamic balance exercises; advanced transfers; advanced gait training > obstacle course<br>5 like 4; start sports activity<br>6 roundup of previous sessions<br> | |||
== <span style="line-height: 1.5em;">References</span><span style="line-height: 1.5em;" /> == | |||
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 17:38, 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
B fitting after preparation start directly after surgery
C fitting after preparation start with healed stump
D postfitting
___________________________________________________________________________________
|
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; (3) training with mobility 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 sessions 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
Pre-fitting rehabilitation after wound closure Up to 6 sessions 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 sessions 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.
