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MODULE 7: AMPUTEES (COMPLICATIONS (Contractures, Wound dehisence,…
MODULE 7: AMPUTEES
STATISTICS
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GAPS IN KNOWLEDGE:
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Biomechanical effects of amputation on gait, and of prosthetic wear and gait
CAUSES
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LOWER LIMB
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Trauma (5-10%): Road, Sport, Work
Vascular (80%): Diabetes, Smoking, Arthritis (RA)
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Other: War, Landmines, Congenital Limb Definciency
RISK FACTORS: Smoking, Cellulitis, chronic wounds, infections ie bacterial, poor circulation, diabetes
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DEFINITION: Removal of a limb/digit. UL and LL usually defined as above knee/below knee / above elbow/below elbow
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ASSESSMENT
Observation: Wound, stump (shape - conical, dog eared, cylindrical, bulbous), swelling, colour, mobility
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Objective
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6MWT, 4 square step test, etc
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TREATMENT
ACUTE PHASE
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General strengthening and conditioning - cardiovascular, balance, proprioceptive, ROM
SUB-ACUTE PHASE
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Stump Management - scar massage, Compression garments
PRE-SURGERY: Establish baselines - ROM< MMT, Fx, Balance, ADLs, health overall
CHRONIC PHASE
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Functional task retraining ie work, sport, hobbies
Prosthetics prescription, practice, education: Monitor fitting and alignment, educate re hygiene
PROSTHETICS
Prescription: No set standard to determine eligibility. Based on case to case basis and individual characteristics/situation
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