Abstract
Purpose of Review
This paper aims to review the available literature for amputee rehabilitation training throughout history and current times while giving a preview of future endeavors.
Recent Findings
There is limited literature available regarding specifics of amputee care training in PM&R. There have been some advances with creation of fellowships but most of the literature shows a clear need to increase and improve amputee rehabilitation training and education to ensure the growing population is appropriately cared for.
Summary
Amputee care played a huge role in the development of the field of PM&R and is still a critical part of education for physiatrists. However, this article points out the need to continue to improve and offer new opportunities for all physiatrists.
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References
Papers of particular interest, published recently, have been highlighted as: • Of importance
Atanelov L, Stiens SA, Young MA. History of physical medicine and rehabilitation and its ethical dimensions. AMA J Ethics. 2015;17(6):568–74. https://doi.org/10.1001/journalofethics.2015.17.6.a-1506.
Terlouw TJ. Roots of physical medicine, physical therapy, and mechanotherapy in the Netherlands in the 19th century: a disputed area within the healthcare domain. J Man Manipulative Ther. 2007;15(2):23E–41E. https://doi.org/10.1179/jmt.2007.15.2.23e.
Conti AA. Western medical rehabilitation through time: a historical and epistemological review. Sci World J. 2014;2014:1–5. https://doi.org/10.1155/2014/432506.
Sandel ME The early history of physical medicine and rehabilitation in the United States. In: PMR KnowledgeNow. https://now.aapmr.org/the-history-of-the-specialty-of-physical-medicine-and-rehabilitation/. Accessed 26 Mar 2020.
Dillingham TR, Belandres PV. Physiatry, physical medicine and rehabilitation: historical development and military roles. Phys Med Rehabil Clin N Am. 2002;13(1):1–6. https://doi.org/10.1016/s1047-9651(03)00069-x.
Pava-Ripoll NA, Granada-Echeverry P. El surgimiento de las profesiones médicas [re]habilitadoras y la infancia: historia entretejida de tensiones teóricas. Ciência Saúde Coletiva. 2016;21:833–42. https://doi.org/10.1590/1413-81232015213.20162014.
Fishman AP Historical Perspective. https://www.pennmedicine.org/-/media/documentsandaudio/articles/physicalmedicineandrehabilitation/physical_medicine_rehabilitation_historical_perspective.ashx. Accessed 15 Mar 2020.
Harper K, Rusk HA. In: Howard A. Rusk - Historic Missourians - The State Historical Society of Missouri. 1901–1989. https://historicmissourians.shsmo.org/historicmissourians/name/r/rusk/. Accessed 15 Mar 2020.
Blum N, Fee E, Rusk HA. (1901-1989) from military medicine to comprehensive rehabilitation. Am J Public Health 2008;98(2):256–7. https://doi.org/10.2105/ajph.2007.120220.
Opitz JL, Folz TJ, Gelfman R, Peters DJ. The history of physical medicine and rehabilitation as recorded in the diary of Dr. Frank Krusen: part 1. Gathering momentum (the years before 1942). Arch Phys Med Rehabil. 1997;78(4):L442–5. https://doi.org/10.1016/s0003-9993(97)90240-9.
National Resident Matching Program. Results and data 2019 Main residency match [PDF file]. 2019. https://mk0nrmp3oyqui6wqfm.kinstacdn.com/wp-content/uploads/2019/04/NRMP-Results-and-Data-2019_04112019_final.pdf. Accessed 30 Apr 2020.
Riley B. Solano Chronicles: Old Navy Hospital on Mare Island achieved national acclaim. Times Herald. 2017. https://www.timesheraldonline.com/2017/12/20/solano-chronicles-old-navy-hospital-on-mare-island-achieved-national-acclaim/ Accessed 30 Apr 2020.
Collins S. Poly trauma department doctors celebrate 10 years of caring for patients. DOD News. 2017. https://wwwdefensegov/Explore/News/Article/Article/1379625/poly-trauma-department-doctors-celebrate-10-years-of-caring-for-patients/. Accessed 30 Apr 2020.
American College of Graduate Medical Education and American Board of Physical Medicine and Rehabilitation. 2015. The physical medicine and rehabilitation milestone project [PDF file]. http://wwwacgmeorg/portals/0/pdfs/milestones/pmrmilestonespdf Accessed 20 Mar 2020.
American Board of Physical Medicine and Rehabilitation. Part I certification exam outline [PDF File]. https://abpmrprodstorage.file.core.windows.net/pdfs/parti/parti_outline_weights.pdf?sv=2018-03-28&sr=s&sig=swCMMB9qA%2BHoRUDTToMzlRZa88dIMHQphXGuzWfiY6A%3D&st=2020-03-26T15%3A21%3A26Z&se=2020-03-26T15%3A36%3A26Z&sp=r. Accessed 20 Mar 2020.
Elias JA, Morgenroth DC. Amputee care education in physical medicine and rehabilitation residency programs. Am J Phys Med Rehab. 2013;92(2):157–62. https://doi.org/10.1097/PHM.0b013e318269d7c8.
Han TR. Physical medicine and rehabilitation in South Korea: past, present, and future. PM&R. 2013;5(11):964–9. https://doi.org/10.1016/j.pmrj.2013.08.600.
Massagli TL. From novice to expert: obstacles and opportunities for Residnecy programs. PM&R. 2010;2(2):87–90. https://doi.org/10.1016/j.pmrj.2010.01.006.
Smith BS. Subspecialization training in PM&R. PM&R J Injury, Funct Rehab. 2009;1(10):905–7. https://doi.org/10.1016/j.pmrj.2009.09.003.
Webster JB, Crunkhorn A, Sall J, Highsmith MJ, Pruziner A, Randolph BJ. Clinical practice guidelines for the rehabilitation of lower limb amputation: an update from the Department of Veterans Affairs and Department of defense. Am J Phys Med Rehab. 2019;98(9):820–9. https://doi.org/10.1097/PHM.0000000000001213.
• Petriceks AH, Hales HA, Srivastava S. Physical medicine and rehabilitation: trends in graduate medical education and subspecialization amid changing demographics. Am J Phys Med Rehab. 2019;98(10):931–6. https://doi.org/10.1097/PHM.0000000000001218Update of guidelines for amputee care, includes pre- and post- amputation rehabilitation recommendations.
Cifu D, Plastaras C, Prather H. PM&R Fellowship Training. PM&R. 2009;1(12):1104–8. https://doi.org/10.1016/S0003-9993(00)90057-1.
• Limb loss experts address an increasing need for amputation rehabilitation. In: Johns Hopkins Medicine. https://clinicalconnection.hopkinsmedicine.org/news/limb-loss-experts-address-an-increasing-need-for-amputation-rehabilitation. Accessed 20 Mar 2020. Brief overview of the role of amputee care physician in rehabilitation.
Amputation rehabilitation fellowship. In: fellowship - amputation rehabilitation. http://rehab.washington.edu/education/fellowship/amputation/default.asp. Accessed 20 Mar 2020.
Ziegler-Graham K, MacKenzie EJ, Ephraim PL, Travison TG, Brookmeyer R. Estimating the prevalence of limb loss in the United States: 2005 to 2050. Arch Phys Med Rehab. 2008;89(3):422–9. https://doi.org/10.1016/j.apmr.2007.11.005.
Bates BE, Hallenbeck R, Ferrario T, Kwong PL, Kurichi JE, Stineman MG, et al. Patient-, treatment- and facility-level structural characteristics associated with receipt of preoperative lower extremity amputation rehabilitation. PM&R. 2013;5(1):16–23. https://doi.org/10.1016/j.pmrj.2012.06.0.
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Elana Hartman and Marla Petriello declare no conflicts of interest relevant to this manuscript.
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Hartman, E., Petriello, M.A. PM&R Training in Amputation Rehabilitation: Past, Present and Future. Curr Phys Med Rehabil Rep 8, 77–82 (2020). https://doi.org/10.1007/s40141-020-00278-0
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DOI: https://doi.org/10.1007/s40141-020-00278-0