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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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6: Lower Extremity Prosthetic Sockets And Suspension Systems
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
10.1891/9781617051142.0006
Authors
- Johnson, Kathryn, MS, CP
- Davis, Alicia J., MPA, CPO, FAAOP
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 describes the various prosthetic socket types and suspension systems available for individuals with a lower extremity amputation. Excessive motions reduce efficiency of gait and may cause friction between the socket and the residual limb. Collaboration between the prosthetist, the physical medicine and rehabilitation (PM&R) physician (physiatrist), and the rest of the health care team is important to prescribe and design the optimal prosthesis for the patient. All socket types require an experienced and skilled prosthetist to properly fabricate and modify the socket to meet the patient’s individual anatomy and needs. The transfemoral residual limb has considerably more soft tissue than the transtibial residual limb, requiring specific modifications to control femoral motion.
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