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Dedication Contributors Foreword Preface Acknowledgments I: Lower Extremity Amputation: Principles, Prosthetic Restoration, and Rehabilitation 1: Anatomy and Kinesiology of the Lower Limb 2: Principles of Lower Extremity Amputation: Etiology, Goals, Limb Length Decisions, and Impact on Prosthetic Management 3: Lower Extremity Amputation: Postamputation and Residual Limb Care 4: Initial Postamputation Rehabilitation and Prescription For the Lower Extremity 5: Lower Extremity Prosthetic Design and Function 6: Lower Extremity Prosthetic Sockets And Suspension Systems 7: Lower Extremity Prosthetic Components: Feet, Knees, and Hips 8: Prosthetic restoration and management of partial foot and ankle disarticulation amputation 9: Prosthetic restoration and management of transtibial, transfemoral, and hip disarticulation/hemipelvectomy amputations 10: Prosthetic gait training and deviations
II: Upper Extremity Amputation: Principles, Prosthetic Restoration, and Rehabilitation 11: Upper extremity anatomy, kinesiology, and function 12: Surgical principles and perspectives on upper extremity amputations 13: Initial Amputation Rehabilitation And Prescription For The Upper Extremity Limb Loss 14: Upper Extremity Prosthetic Training: Use And Integration Into Life 15: Upper extremity prosthetic design and function 16: Upper Extremity Prosthetic Sockets, Suspension Systems, and Component Options to Fulfill Prescription Criteria 17: Upper Extremity Prosthetic Components
III: Common Clinical Conditions and Concerns 18: Psychological Adjustment And Related Clinical Issues In Persons With Limb Loss 19: Sexuality After Limb Loss 20: Return to the Community Postamputation 21: Participation in sports and recreation after amputation 22: Pain in The Amputee 23: Residual Limb Skin Challenges That Influence Prosthetic Restoration 24: Associated Musculoskeletal Problems in the Amputee
IV: Special Populations V: Future Directions Glossary: Prosthetic concepts and definitions Appendix A: Documentation Needed for Prescribing a Lower Extremity Prosthesis Appendix B: Documentation Needed in Prescribing an Upper Extremity Prosthesis Appendix C: Lower Extremity Prosthetics Prescription (Example) Appendix D: Upper Extremity Prosthetic Prescription (Example) Appendix E: Rigid Removable Dressing (RRD) Use and Care Information Patient Instructions Appendix F: Provisional Lower Extremity Prosthesis use and Care Information for Patients Appendix G: Lower Extremity Definitive Prosthesis Use and Care Information Patient Instructions Appendix H: Upper Extremity Body-Powered Prosthesis use, Wear, and Care Instructions for Patients Appendix I: Myoelectric Prosthesis use, Wear, and Care Instructions Appendix J: Activities of Daily Living (ADL) Functional Status Appendix K: Physical/Occupational Therapy Order (Example) Appendix L: Transfemoral Gait Deviations Appendix M: Transtibial Gait Deviations
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4: Initial Postamputation Rehabilitation and Prescription For the Lower Extremity
Dedication Contributors Foreword Preface Acknowledgments I: Lower Extremity Amputation: Principles, Prosthetic Restoration, and Rehabilitation 1: Anatomy and Kinesiology of the Lower Limb 2: Principles of Lower Extremity Amputation: Etiology, Goals, Limb Length Decisions, and Impact on Prosthetic Management 3: Lower Extremity Amputation: Postamputation and Residual Limb Care 4: Initial Postamputation Rehabilitation and Prescription For the Lower Extremity 5: Lower Extremity Prosthetic Design and Function 6: Lower Extremity Prosthetic Sockets And Suspension Systems 7: Lower Extremity Prosthetic Components: Feet, Knees, and Hips 8: Prosthetic restoration and management of partial foot and ankle disarticulation amputation 9: Prosthetic restoration and management of transtibial, transfemoral, and hip disarticulation/hemipelvectomy amputations 10: Prosthetic gait training and deviations
II: Upper Extremity Amputation: Principles, Prosthetic Restoration, and Rehabilitation 11: Upper extremity anatomy, kinesiology, and function 12: Surgical principles and perspectives on upper extremity amputations 13: Initial Amputation Rehabilitation And Prescription For The Upper Extremity Limb Loss 14: Upper Extremity Prosthetic Training: Use And Integration Into Life 15: Upper extremity prosthetic design and function 16: Upper Extremity Prosthetic Sockets, Suspension Systems, and Component Options to Fulfill Prescription Criteria 17: Upper Extremity Prosthetic Components
III: Common Clinical Conditions and Concerns 18: Psychological Adjustment And Related Clinical Issues In Persons With Limb Loss 19: Sexuality After Limb Loss 20: Return to the Community Postamputation 21: Participation in sports and recreation after amputation 22: Pain in The Amputee 23: Residual Limb Skin Challenges That Influence Prosthetic Restoration 24: Associated Musculoskeletal Problems in the Amputee
IV: Special Populations V: Future Directions Glossary: Prosthetic concepts and definitions Appendix A: Documentation Needed for Prescribing a Lower Extremity Prosthesis Appendix B: Documentation Needed in Prescribing an Upper Extremity Prosthesis Appendix C: Lower Extremity Prosthetics Prescription (Example) Appendix D: Upper Extremity Prosthetic Prescription (Example) Appendix E: Rigid Removable Dressing (RRD) Use and Care Information Patient Instructions Appendix F: Provisional Lower Extremity Prosthesis use and Care Information for Patients Appendix G: Lower Extremity Definitive Prosthesis Use and Care Information Patient Instructions Appendix H: Upper Extremity Body-Powered Prosthesis use, Wear, and Care Instructions for Patients Appendix I: Myoelectric Prosthesis use, Wear, and Care Instructions Appendix J: Activities of Daily Living (ADL) Functional Status Appendix K: Physical/Occupational Therapy Order (Example) Appendix L: Transfemoral Gait Deviations Appendix M: Transtibial Gait Deviations
DOI:
10.1891/9781617051142.0004
Authors
- Spires, Mary Catherine, PT, MD
Abstract
This chapter covers both lower and upper extremity restoration and rehabilitation and serves as a handy reference for busy practitioners to support sound clinical decision-making. It begins with basic anatomy, kinesiology, and a recap of surgical decisions principles and post-operative care for amputees. The chapter establishes realistic rehabilitation goals with the patient and rehabilitation team that is fundamental to planning and implementing optimal rehabilitation and prosthetic interventions. The goal of prosthetic rehabilitation and prosthetic restoration can range from no prosthesis, with a wheelchair being the primary form of mobility, to international competitive sport participation. The provisional prosthesis aids in determining the type of definitive prosthesis that is best suited for the amputee’s lifestyle long term. The prescribing physician must provide medical documentation to support the type of prosthetic components that make up the prosthetic prescription.
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