Amputation is the removal of a body extremity by surgery or due to trauma. Losing a can be an overwhelming experience for anyone to go through. It requires a combined professional approach to help you adjust to living without your limb. Physiotherapists play a key role during the rehabilitation of individuals who have had an amputation.
ABOVE KNEE PROSTHESIS
Prosthesis is an artificial leg which is used for an amputation (removing part/whole limb) person, which helps him to become independent and makes him potentially to work, and transmits its weights equally in lower limbs.
Above knee prosthesis is used for persons with above knee amputation. Which mimic cosmetically as a normal limb.
Limb length difference
Causes for amputation
Peripheral vascular disease
Absence or abnormality of a limb at birth.
Amputated limb management
1) Whether prosthesis is comfortable for patient?
2) Whether socket and contours smoothen?
3) Length of the prosthesis?
4) Whether patient is affordable to take prosthesis?
5) What are the needs he/she has to be meet after having prosthesis?
6) Any difficulty while walking, sitting and in other activities?
7) Proper training for patient to use and care taken for prosthesis?
HOW DOES AMPUTEES REHABILITATION HELP IN RECOVERY?
Amputation is the surgical removal of a bodily extremity due to Trauma. Everyone who loses a limb might find it to be an overwhelming event. You need a team-based professional strategy to assist you in adjusting to life without your limb. Physiotherapists are essential to the rehabilitation of those who have undergone amputations.
There are two basic categories of causes for becoming an amputee, though there may be others.
Trauma occurs when a limb sustains severe injury in an accident and cannot be preserved due to its blood supply or structural integrity.
Vascular disease, if it is severe, may cause a decrease of blood flow to the leg following prior medical treatment, which may need amputation.
Less common causes for amputation include, tumours, infection, as a pain control method or due to congenital reasons.
Physiotherapy Pre- Operation
A physiotherapist can offer the following services before non-emergency amputation:
Exercises before surgery to preserve muscle strength and range of motion
Information about what to anticipate in terms of recovery after surgery.
Physiotherapy Post- Operation
Many interventions can be offered by a physiotherapist to help with post-operative rehabilitation.
Therapy options include massage to ease discomfort, speed up the healing process, and ease tension in the muscles surrounding the stump or the opposite limb, where issues may develop as a result of overuse brought on by compensatory behaviour.
Phantom limb discomfort and phantom sensation can be treated with acupuncture and electrical stimulation.
When the patient is still in bed rest, exercises are performed to reduce stiffness in other joints and build strength.
The physical therapist will do a preliminary evaluation that takes into account the patient's pre-amputation expectations, lifestyle, and medical conditions.
Assessments and therapies will always consider the degree of amputation, the social setting, the physical (stump healing), and the psychological healing (emotional and cognitive).
In order to gain maximal independence safely within the patient's limitations, the physiotherapist will then develop a therapy plan in coordination with the patient.
WHAT ARE THE REHAILITATION PROCEDURES CARRIED OUT ON AMPUTEES WHILST IN HOSPITAL AND AFTER DISCHARGE ?
Rehabilitation in a hospital
A physiotherapist will teach you various exercises to do while lying in bed during your hospital stay. They will also teach you transfers, which include how to get in and out of bed, onto a wheelchair, and onto and off of the toilet.
While Still Hospitalized
You will keep up a workout regimen to keep your other limbs strong and to build the muscles around your stump.
At this point, they would also start to focus on gait, offering any necessary walking supports.
Upon hospital discharge, rehabilitation
As soon as two weeks after surgery, you can be allowed to leave the hospital.
Maintaining your fitness regimen is crucial.
Even though each physiotherapy treatment plan is unique, the following would often be included in physiotherapy intervention programs:
Amputee strengthening program which could including a variety of exercises:
Active upper and lower limb extremity strengthening
Functional exercises for the upper and lower limbs
Pre-gait training exercises
Weight bearing and balance exercises
Pelvic and trunk exercises
Techniques for managing and preventing injuries
You will also be evaluated for an artificial limb if necessary (prosthesis).
The physiotherapist will instruct you in donning (putting on your prosthetic) and doffing if a prosthesis is judged necessary (taking off your prosthesis).