Skip to main content

The rehabilitation process

  • Chapter
Limb Amputation

Part of the book series: Therapy in Practice ((TPS))

  • 172 Accesses

Abstract

The rehabilitation process following amputation is generally regarded as retraining in physical, functional and social activities and the activities are carried out under the guidance of the occupational therapist and physiotherapist. Physical training is predominantly carried out by the physiotherapist (PT) and functional and social training by the occupational therapist (OT). There are areas of overlap where in one locality the activity may be carried out by the OT and in another area it may be carried out by the PT. The variations are due in general to the local environment, staffing, personalities, interest and a good team approach. In a good team approach situation, as discussed in Chapter 6, the flexibility and overlap of roles and activities should be totally acceptable to all members of the team.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

eBook
USD 9.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Acton, D., Hyland, J., Nolan, D. and Bouchier-Hayes, D. (1984) In-hospital rehabilitation of amputees: a prospective study. Irish Med. J., 77, 131–133.

    CAS  Google Scholar 

  • Atkinson, H.W. (1974) Assessing the patient, in Neurology for Physiotherapists (ed. J. Cash), Faber, London, 85 pp.

    Google Scholar 

  • Browse, N.L. (1974) Amputation of the lower limb. Nursing Mirror, 7 June, 63–65.

    Google Scholar 

  • Bonner, F.T. Jr and Green, R.F. (1982) Pneumatic airleg prosthesis: report of 200 cases. Arch. Phys. Med. Rehabil., 63, 383–385.

    PubMed  Google Scholar 

  • Boontje, A.A. (1980) Major amputations of the lower extremity for vascular disease. Prosthet. Orthor. Int., 4, 87–89.

    CAS  Google Scholar 

  • Burgess, E.M. and Alexander, A.G. (1973) The expanding role of the physical therapist on the amputee rehabilitation team. Phys. Ther., 53, 141–143.

    CAS  PubMed  Google Scholar 

  • Callen, S. (1981) Hexcelite temporary prosthesis for lower-limb amputees. Physiotherapy, 67, 138–139.

    CAS  PubMed  Google Scholar 

  • Chi-Tsou, H., Jackson, J.R., Moore, N.B., Fine, P.R., Kuhlemeier, K.V., Traugh, G.H. and Saunders, P.T. (1979) Amputation energy cost of ambulation. Arch. Phys. Med. Rehabil., 60, 18–24.

    Google Scholar 

  • Conder, D. (1987) Amputation. Lower and upper limb, in Practice of Occupational Therapy (ed. A. Turner), Churchill Livingstone, Edinburgh, pp. 271–294.

    Google Scholar 

  • Condie, E. (1988) Physiotherapy and the lower limb amputee, in Amputation Surgery and Lower Limb Prosthetics (ed. G. Murdoch), Blackwell Scientific, Oxford, pp. 71–80.

    Google Scholar 

  • Day, H.J.B. (1982) Rehabilitation of the elderly amputee. Geriatric Medicine, May 1982, 26–31.

    Google Scholar 

  • de Cossart, L., Randall, P., Turner, P. and Marcuson, R.W. (1983) The fate of the below knee amputee. Ann. R. Coll. Surg. (Eng.), 65, 230–232.

    Google Scholar 

  • Devas, M.B. (1971) Early walking of geriatric amputees. Br. Med. J., 1, 394–396.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Dickstein, R., Pillar, T. and Mannheim, M. (1982) The pneumatic postamputation aid in geriatric rehabilitation. Scand. J. Rehab. Med., 14, 149–150.

    CAS  Google Scholar 

  • Dormandy, J.A. and Thomas, P.R.S. (1988) What is the natural history of a. critically ischaemic patient with and without his leg?, in Limb Salvage and Amputation for Vascular Disease (eds R.M. Greenhalgh, C.W. Jamieson and A.N. Nicholaides), Saunders, London, pp. 11–28.

    Google Scholar 

  • Ebskov, B. (1986) The Danish amputation register 1972–1984. Prosthet. Orthot. Int., 10, 40–42.

    CAS  PubMed  Google Scholar 

  • Edelstein, J.E. (1987) Realistic management of the older amputee. Top. Geriatr. Rehabil., 2, 29–44.

    Article  Google Scholar 

  • Engstrom, B. and Van de Ven, C. (1985) Exercise programmes in the department, in Physiotherapy for Amputees. The Roehampton Approach. Churchill Livingstone, Edinburgh, pp. 37–55.

    Google Scholar 

  • Gerhards, F., Florin, I. and Knapp, T. (1984) The impact of medical, re-educational and psychological variables on rehabilitation outcomes in amputees. Int J. Rehab. Res., 7, 379–388.

    Article  CAS  Google Scholar 

  • Ham, R. (1987) Wheelchair provision in a London health authority. Physiotherapy, 73, 576–578.

    Google Scholar 

  • Ham, R.O. (1988) Amputee rehabilitation: a review of practice in Denmark and Sweden, in Council of Europe Medical Fellowship, No. 88062, pp. 28–29, 32.

    Google Scholar 

  • Ham, R. and Richardson, P. (1986) The King’s amputee stump board—Mark II. Physiotherapy, 72, 124.

    Google Scholar 

  • Ham, R. and Kerfoot, S. (1989) Recovering from Amputation — the Dulwich Way, Kings College School of Medicine and Dentistry, London SE5.

    Google Scholar 

  • Ham, R., Richardson, P. and Sweet, A. (1989) A new look at the Vessa Ppam Aid. Physiotherapy, 75, 493–494.

    Article  Google Scholar 

  • Hamilton, A. (1977) Device for supporting the stump of a below-knee amputee. Physiotherapy, 63, 320.

    CAS  PubMed  Google Scholar 

  • Henriksen, O., Marsch, G. and Persson, B. (1978) The Tulip prosthesis. Acta Orthop. Scand., 47, 107.

    Google Scholar 

  • Hutton, I.M. and Rothnie, N.G. (1977) The early mobilisation in the elderly amputee, Br. J. Surg., 64, 267–270.

    Article  CAS  PubMed  Google Scholar 

  • Kegel, B., Carpenter, M.L. and Burgess, E.M. (1978) Functional capabilities of lower extremity amputees. Arch. Phys. Med. Rehabil., 59, 109–120.

    CAS  PubMed  Google Scholar 

  • Kerstein, M.D., Zimmer, H., Dugdale, F.E. and Lerner, E. (1975) Rehabilitation after bilateral lower-extremity amputation. Arch. Phys. Med. Rehabil., 56, 309–311.

    CAS  PubMed  Google Scholar 

  • Leidberg, E., Hommerberg, H. and Persson, B.M. (1983) The tolerance of early walking and total contact among below-knee amputees — a randomised test. Prosthet. Orthot. Int., 7, 91–95.

    Google Scholar 

  • Lipp, M.R. and Malone, S.T. (1976) Group rehabilitation of vascular surgery patients. Arch. Phys. Med. Rehabil., 57, 180–183.

    CAS  PubMed  Google Scholar 

  • MacBride, A., Rogers, J., Whytie, B. and Freenman, S.J.J. (1980) Psychological factors in the rehabilitation of elderly amputees. Psychosomatics, 21, 258–265.

    Article  CAS  PubMed  Google Scholar 

  • Mensch, G. and Ellis, P.M. (1987) Preoperative and postoperative care and the responsibility of the physical therapist, in Physical Therapy Management of Lower Extremity Amputations. Heinemann Physiotherapy, London, pp. 45–200.

    Google Scholar 

  • Parry, M. and Morrison, J.D. (1989) Use of the Femurett adjustable prosthesis in the assessment and walking training of new above-knee amputees. Prosthet. Orthot. Int., 13, 36–38.

    CAS  PubMed  Google Scholar 

  • Rausch, R.W. and Khalili, A.A. (1985) Air splint in preprosthetic rehabilitation of lower extremity amputated limbs. Phys. Ther., 65, 912–914.

    CAS  PubMed  Google Scholar 

  • Redhead, R.G. (1983) The early rehabilitation of lower limb amputees using a pneumatic walking aid. Prosthet. Orthot. Int., 7, 88–90.

    CAS  PubMed  Google Scholar 

  • Ruder, K., Fernie, G.R. and Kostuik, J.P. (1977) Techniques of lower limb prosthetic manufacture using highcast II. Prosthet. Orthot. Int., 1, 84–88.

    CAS  PubMed  Google Scholar 

  • Russek, A.S. (1961) Management of lower extremity amputees. Arch. Phys. Med. Rehabil., 687–703.

    Google Scholar 

  • Steinberg, F.U., Sunwoo, I. and Roettger, R.F. (1985) Prosthetic rehabilitation of geriatric amputee patients: a follow-up study. Arch. Phys. Med. Rehabil., 66, 742–745.

    CAS  PubMed  Google Scholar 

  • Troop, I.M. and Wood, M.A. (1982) Physiotherapy, in Total Care of the Lower Limb Amputee, Pitmnan Books, London, pp. 104–117.

    Google Scholar 

  • Volpicelli, L.J., Chambers, R.B. and Wagner, F.W. (1983) Ambulation levels of bilateral lower-extremity amputees. J. Bone Joint Surg., 65, 599–605.

    CAS  PubMed  Google Scholar 

  • Wu, Y., Binack, M.D., Krick, H.J, Pitman, T.D. and Stratigos, J.S. (1981) Scotchcast PVC interim prosthesis for below-knee amputees. Bull. Prosthet. Res., fall 1981, 10–36, 40–45.

    Google Scholar 

Download references

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 1991 R. Ham and L. Cotton

About this chapter

Cite this chapter

Ham, R., Cotton, L. (1991). The rehabilitation process. In: Limb Amputation. Therapy in Practice. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3152-8_8

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-3152-8_8

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-412-34610-1

  • Online ISBN: 978-1-4899-3152-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics