Pre-Fitting Management of the Patient with a Lower Limb Amputation

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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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  1. 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.
  2. World Health Organisation (WHO). International classification of functioning disability and health (ICF). World Health Organisation 2001. Geneva.
  3. 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.
  4. Kaplan SL, Outcome measurement and management: First steps for the practicing clinician. Philadelphia, FA Davis Company, 2007.