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Physiotherapy amputee

Nelly Darbois, Albin Guillaud, Nicolas Pinsault
Background: Mirror therapy has been used in rehabilitation for multiple indications since the 1990s. Current evidence supports some of these indications, particularly for cerebrovascular accidents in adults and cerebral palsy in children. Since 2000s, computerized or robotic mirror therapy has been developed and marketed. Objectives: To map the extent, nature, and rationale of research activity in robotic or computerized mirror therapy and the type of evidence available for any indication...
2018: Rehabilitation Research and Practice
Christopher Kevin Wong, William Brooks Gibbs
BACKGROUND: Wellness activities can benefit health, yet committed adherence is challenging. OBJECTIVES: Identify factors associated with committed participation in an amputee wellness-walking program and determine benefits of committed participation. STUDY DESIGN: Prospective longitudinal cohort. METHODS: Two former Paralympians led the wellness-walking sessions. Participants provided medical history and self-reported balance confidence and prosthetic functional measures...
August 16, 2018: Prosthetics and Orthotics International
Mohit Sharma, Subramania Iyer, P Kishore, Jimmy Mathew, Sundeep Vijayaraghavan, Ravi Sankaran, Arun N Nair, R Janarthanan, Abhijeet Wakure, Raghuveer Reddy, S M Chetan Mali, Visakh Varma, Ashish Chaudhari, Swapnil Dhake, Akshay Omkumar
Introduction: This report covers the strategies adopted for rehabilitation for the first and second dual hand transplants performed in India. Materials and Methods: The team, under a trained physiatrist, including physiotherapy and occupational therapy personnel, was involved in the management of both these patients. The management protocol was developed considering previous reports as well as our management strategies in the rehabilitation of the replanted hands...
May 2017: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
Jessica Anne Rich, Julia Coleman, Camille Devaux, Karen Hoffman
We report a 23-year-old woman admitted post cyclist versus heavy goods vehicle accident in December 2014. This was the second case the life-saving procedure, that is, resuscitative endovascular balloon occlusion of the aorta (REBOA) was performed on at the roadside. This advanced procedure was performed due to the extensive haemorrhage from this patient's complex pelvic fracture . As a result of REBOA, the patient consequently lost her left lower limb and underwent a variety of complex pelvic and lower limb surgeries...
July 17, 2017: BMJ Case Reports
Ruud A Leijendekkers, Gerben van Hinte, Maria Wg Nijhuis-van der Sanden, J Bart Staal
BACKGROUND: In patients with a transfemoral amputation socket-related problems are associated with reduced prosthetic use, activity, and quality of life. Furthermore, gait asymmetries are present that may explain secondary complaints. Bone-anchored prostheses (BAPs) may help these patients. Two types of BAP are available, screw and press-fit implants. Rehabilitation following surgery for a press-fit BAP is poorly described. PURPOSE: To describe a rehabilitation program designed to minimize compensation strategies and increase activity using a case-report of an active, 70-year-old man with a traumatic transfemoral amputation who had used a socket prosthesis for 52 years and received a press-fit BAP [Endo-Exo Femoral Prosthesis - EEFP]...
February 2017: Physiotherapy Theory and Practice
Aurelie Vouilloz, François Luthi
OBJECTIVE: A lower limb amputation is a major event for a patient with many questions arising for him and his family. Individual and environmental factors could influence patient's quality of life and adaptation to amputation. Most of the time brochures concern post operative care after limb amputation (surgery type, stump medical care, prosthetics…). Rehabilitation is often only briefly dealt with these brochures. OBJECTIVES OF THIS STUDY: (1) To write a brochure specifically concerning rehabilitation for lower limb amputees...
September 2016: Annals of Physical and Rehabilitation Medicine
Koffi Benjamin Manou, Ndoula Espérance Kounkou, Romaric Toe, Awo Dorcas Akadje, Cisse Ali, Amonso Daniel Alloh, Manse Béatrice Nandjui
OBJECTIVE: The quality of the residual limb of the amputations in the consequences of a ballistic trauma often was compromised and limits the success of a good equipment for a satisfactory locomotive function. The objective of the study is to describe the various anomalies of the residual limb and their difficulty of equipment of the traumatic amputations by bal PATIENTS AND METHODS: A descriptive retrospective study concerned patients amputated of lower limbs in the consequences of a ballistic trauma during the military crisis in Ivory Coast from 2010 to 2012 and dealt in the center of equipment "Vivre Debout" in the Teacher Hospital of Yopougon...
September 2016: Annals of Physical and Rehabilitation Medicine
Marion Prigent, Sylvain Brochard, Mathias Thepaut, Christian Lefèvre, Dominique Le Nen, Thierry Cornic, Marie-Thérèse Cariou, Catherine Le Rouzic, Phlippe Le Moine, Christelle Pons, Laetitia Houx
OBJECTIVE: Traumatic lower limb amputation is rare in pediatric population, and surgeons always try limb salvage. But rarely, later amputation occurred when the traumatic limb is painful. It is a difficult and irreversible decision needed a multidisciplinary approach. We report how we managed a programmed trans-tibial amputation on 13-years-old boy, 20 months after a foot trauma. OBSERVATIONS: Our patient is an adolescent victim of a left foot crash. The first checkup showed a degloving injury, dislocation of the interphalangeal joints and of all toes...
September 2016: Annals of Physical and Rehabilitation Medicine
Banu Ünver, Tezel Yıldırım Şahan, Seda Türkyılmaz, Ayşe Karagözoğlu, Özlem Ülger
[Purpose] The aim of this study was to determine the frequency of prosthetic applications and to appraise the importance of amputee rehabilitation in Turkey. [Subjects and Methods] Questionnaires were administered to owners or employees of 36 institutions and the obtained data were evaluated. [Results] While 75% of institutions had no physiotherapist, 25% had 1 or 2 physiotherapists; there were 4 or fewer technicians in 86.1%, and the majority of employees were out of profession in almost all institutions. A total of 83...
May 2016: Journal of Physical Therapy Science
Fiona Davie-Smith, Lorna Paul, Natalie Nicholls, Wesley P Stuart, Brian Kennon
BACKGROUND: Diabetes mellitus is a leading cause of major lower extremity amputation. OBJECTIVE: To examine the influence of gender, level of amputation and diabetes mellitus status on being fit with a prosthetic limb following lower extremity amputation for peripheral arterial disease. STUDY DESIGN: Retrospective analysis of the Scottish Physiotherapy Amputee Research Group dataset. RESULTS: Within the cohort with peripheral arterial disease ( n = 1735), 64% were men ( n = 1112) and 48% ( n = 834) had diabetes mellitus...
February 2017: Prosthetics and Orthotics International
Alberto Maffi, Chiara Mulè, Giovanni Taveggia
The rehabilitation of amputees requires a multi-discipline approach. Within the work of the team, physiotherapy plays a central role both in terms of the technical skills made available to the patient, as well as in terms of the psychological-motivational support offered to the amputee during treatment. The pre-prosthetic phase of rehabilitation is the beginning of a complex rehabilitative process during which starts with an assessment of the general clinical condition of the patient and their residual capacities, so as to develop personalised rehabilitative strategies based upon the needs of the amputee...
July 2015: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
Chetty Verusia, Dunpath Tanuja, Meghnath Simira, Mothalal Sarisha, Sewmungal Varuna, Kunene Ursula, Ntshakala Thalente
BACKGROUND: Individuals who have undergone a lower limb amputation require comprehensive rehabilitation from the multidisciplinary team to ensure optimal treatment outcomes and social integration. Physiotherapists play a pivotal role within the multidisciplinary team and offer patients physical and psychosocial rehabilitative care. Determining patients' satisfaction levels and exploring factors affecting adherence to physiotherapy interventions can inform practice and improve service delivery of rehabilitation within resource poor settings such as South Africa...
June 2015: African Health Sciences
Roshan James, Cato T Laurencin
Amputations of the upper extremity are severely debilitating, current treatments support very basic limb movement, and patients undergo extensive physiotherapy and psychological counselling. There is no prosthesis that allows the amputees near-normal function. With increasing number of amputees due to injuries sustained in accidents, natural calamities and international conflicts, there is a growing requirement for novel strategies and new discoveries. Advances have been made in technological, material and in prosthesis integration where researchers are now exploring artificial prosthesis that integrate with the residual tissues and function based on signal impulses received from the residual nerves...
March 1, 2015: Rare Metals
Merlyn Tilak, Serin Anna Isaac, Jebaraj Fletcher, Lenny Thinagaran Vasanthan, Rajalakshmi Sankaran Subbaiah, Andrew Babu, Rohit Bhide, George Tharion
BACKGROUND AND PURPOSE: Phantom limb pain (PLP) can be disabling for nearly two thirds of amputees. Hence, there is a need to find an effective and inexpensive treatment that can be self administered. Among the non-pharmacological treatment for PLP, transcutaneous electrical nerve stimulation (TENS) applied to the contralateral extremity and mirror therapy are two promising options. However, there are no studies to compare the two treatments. The purpose of this study is to evaluate and compare mirror therapy and TENS in the management of PLP in subjects with amputation...
June 2016: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
F M Hallam, G A Jull
The physiotherapy management of elderly, ischaemic below knee amputees is often compromised by delayed and/or complicated wound healing. Such patients are often unable to ambulate on a prosthesis for prolonged periods. Problems concommitant with immobilization such as weakness, contractures, and decreased morale tend to arise. This pilot study investigated the efficacy of incorporating a shaped Dunlopillo insert into a temporary prosthetic socket to allow the at risk group to ambulate as soon as the sutures were removed regardless of the state of wound healing...
1988: Australian Journal of Physiotherapy
J M Ganne
The first report on the use of the Sinusoidal current in the treatment of pain was given to the Physiotherapy Society of South Australia in February, 1964. Twenty-six patients were treated; they all had post-traumatic pain with well defined local tenderness and/or hypersensitivity, and, in the case of the amputees, some phantom pains and jactitations as well. This method of treatment was described in the Australian Journal of Physiotherapy, December, 1964.
June 1968: Australian Journal of Physiotherapy
Brenton Hordacre, Vicki Birks, Stephen Quinn, Christopher Barr, Benjamin L Patritti, Maria Crotty
BACKGROUND AND PURPOSE: Individuals with amputations are a core group in Australian rehabilitation units that have a long index length of stay. The Repatriation General Hospital (RGH) offers general rehabilitation services to the population of Southern Adelaide (a population of 350,000) and includes an on-site prosthetic manufacturing facility. Using a physiotherapy database at the RGH, we sought to answer the following questions: What are the demographic and clinical characteristics of patients admitted for lower limb prosthetic rehabilitation over 15 years? What are the times to rehabilitation outcomes? How have these changed over 15 years with changes in service delivery? METHODS: This paper is a retrospective observational study using a physiotherapy clinical database (1996-2010) of 531 consecutive individuals with lower limb amputation at one South Australian hospital (RGH)...
June 2013: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
P St L Cox, S K P Williams, S R Weaver
UNLABELLED: Lower limb amputees typically have reduced mobility which affects their ability to perform daily tasks and to successfully reintegrate into community life. A major goal of rehabilitation for amputees is to improve quality of life (QOL). This study therefore focussed on QOL and functional independence for persons with lower limb amputations secondary to diabetes. OBJECTIVE: To determine the QOL and functional independence of lower limb diabetic amputees one to three years post amputation, using variables such as age, gender and amputation level...
October 2011: West Indian Medical Journal
Carlo Alfredo Clerici, Filippo Spreafico, Gaia Cavallotti, Annalisa Consoli, Laura Veneroni, Alessio Sala, Maura Massimino
AIMS AND BACKGROUND: Several pediatric tumors require mutilating procedures in order to be treated effectively. Although the pain caused by the surgery is usually of a transient nature, the perception of pain in the amputated limb may persist. This prolonged pain, which is often refractory to pain-killing medication, may severely affect the patient's quality of life. The phenomenon of phantom limb pain (or phantom limb syndrome) has been investigated using neurological, neurophysiological and psychopathological approaches...
January 2012: Tumori
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