Basic rehabilitation protocol in a low resource setting or conflict/disaster context: Amputation
Pre- and post-fitting rehab cycle
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(please note: UL amputation treatment contains 1-3 sessions of: bandaging; stump massage if painful; mobilization of adjacent joints & maintenance of muscle length & strength; use of stump for ADL => OT referral)
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 sessions |
1 assessment, bandaging 2 donation of mobility aids & training; bandaging (pt education); positioning & mobilization stump; scar treatment; transfers
|
