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Pocketbook of Physiotherapy Management in Amputation
Nidhi Khanna
CHAPTER 1:
Amputation
DEFINITION
AMPUTEE
STUMP
INCIDENCE
GENERAL PRINCIPLES FOR SURGERY
CHAPTER 2:
Indications for Amputation
CHAPTER 3:
Types of Amputation
CHAPTER 4:
Complications of Amputation
CHAPTER 5:
Ideal Stump
CHAPTER 6:
Levels of Amputation
LEVELS OF AMPUTATION IN LOWER LIMB (Figs 6.1 and 6.2)
LEVELS OF AMPUTATION IN UPPER LIMB (Fig. 6.3)
CHAPTER 7:
Physiotherapy Management in Amputation
CHAPTER 8:
Preoperative Stage
ASSESSMENT
Subjective Examination
Objective Examination
Observation
Examination
AIMS OF TREATMENT
MEANS OF TREATMENT
To Provide Chest Mobility and Ventilatory Training
Breathing Exercises
Strengthening Exercises
To Provide Mobility of All the Joints
Shoulder Joint
Improve the Mobility of Other Areas of the Body
Teaching Methodology
Positioning in Bed
Techniques of Transfer
Balance Technique
Monitoring Wheelchair
Psychological Reassurance
Relaxation
Support
Comfort
Restful Atmosphere
Additional Relaxation Methods
CHAPTER 9:
Postoperative Stage
ASSESSMENT OF THE PATIENT POSTOPERATIVELY
Subjective Examination
Objective Examination
Observation
Examination
TREATMENT INTERVENTIONS
CHAPTER 10:
Preprosthetic Stage
AIMS OF THE PHYSIOTHERAPY TREATMENT
MEANS OF THE TREATMENT
To Take Care of the Stump Hygiene
To Prevent Stump Edema
Elevation
Bandaging
To Strengthen the Muscle of the Stump
For Below Knee Amputation (BKA)
For Above Knee Amputation (AKA)
For Below Elbow Amputation (BEA)
For Above Elbow Amputation (AEA)
To Prevent Contracture Formation
Proper Positioning
Active Exercises
Stretching Maneuver
Manual Mobilization
Proprioceptive Neuromuscular Facilitation (PNF)
To Prevent Complications Arising Postoperatively
Chest Complication
Deep Vein Thrombosis (DVT)
Muscle Contractures
To Strengthen the Muscles of the Intact Leg and also Crutch Muscles (in the Case of Lower Limb Amputation)
For Upper Limb
For Trunk
For Unaffected Limb
For Affected Limb
To Teach Balance and Transfers
Prone-on-elbow
Bridging or Pelvic Elevation
Rolling
Sitting
Sit-to-Stand
Modified Plantigrade
Standing
To Restore Functional Independence
To Re-educate Walking
To Treat Phantom Pain
CHAPTER 11:
Prosthetic Stage
PROSTHESIS
BASIC COMPONENTS OF PROSTHESIS
Suspension or Harness System
Socket
Joints
Body of Prostheses (Shin/Shank Piece)
Exoskeleton
Endoskeleton
Terminal Device
Control System (in the Upper Limb Amputation)
MATERIAL USED FOR PROSTHESIS
PROSTHESIS FOR LOWER LIMB AMPUTATION
Hemipelvectomy Prosthesis
Hip Disarticulation Prosthesis
Above Knee Prosthesis
Knee Disarticulation Prosthesis
Below Knee Prosthesis
Conventional Prosthesis
Patellar Tendon Prosthesis (PTB)
Syme's Prosthesis
Plastic Syme Prosthesis
Metal Syme Prosthesis
Tongue and Bolt Syme
Partial Foot Prosthesis
Prosthesis for Bilateral Amputation
PROSTHESIS FOR UPPER LIMB AMPUTATION
Forequarter Prosthesis
Shoulder Disarticulation Prosthesis
Above Elbow Prosthesis
Below Elbow Prosthesis
Wrist Disarticulation Prosthesis
UPPER AND LOWER LIMB COMBINATION
One Upper Limb and One Lower Limb
One Upper and Bilateral Lower Limbs
PHYSIOTHERAPY TREATMENT
Aims of Physiotherapy Treatment
MEANS OF PHYSIOTHERAPY TREATMENT
Correct Method of Application and Removal of Prosthesis
Early Detection of Complication Arising due to Prosthesis
Balance and Co-ordination
Gait Training
Parallel Bar
Frames
Crutches
Transferring Activities
Stair Climbing
Functional Activities with Prosthesis
Guidance on Proper Maintenance of Prosthesis
CHAPTER 12:
Case Study
CASE 1
Subjective Examination
Objective Examination
Observation
Examination
Manual Muscle Testing
Lower Limb
Upper Limb
Range of Motion
Lower Limb
Upper Limb
Deep Tendon Reflexes
Pathological Reflexes
CASE 2
Subjective Examination
Objective Examination
Observation
Examination
Manual Muscle Testing
Lower Limb
Upper Limb
Range of Motion
Lower Limb
Upper Limb
Deep Tendon Reflexes
CONCLUSION
INDEX
TOC
Index
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