What Is Involved in Amputation Rehabilitation?

Amputations are divided into small and large amputations. Small amputation refers to the removal of infected and necrotic tissues, and refers to the open partial amputation through partial reconstruction of the blood vessels or limb correction to remove a limited amount of tissue.

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Amputations are divided into small and large amputations. Small amputation refers to the removal of infected and necrotic tissues, and refers to the open partial amputation through partial reconstruction of the blood vessels or limb correction to remove a limited amount of tissue.

A major amputation is a condition that cannot be alleviated by vascular reconstruction, medication control, or a small amputation. Major amputations are divided into low amputations and

According to clinical reports, more than 50% of amputees are accompanied by surgery

Rehabilitation includes the patient's general condition and the stump itself. Training for a long time makes it difficult for amputees to master prostheses freely.

Training before using prostheses

Sports training to increase full body energy, walking on the same speed at the same speed, generally calf amputations consume 10% -40% more energy than normal people, thigh amputees consume 65% -100% more, and bilateral thigh amputees average Consume 110% more than normal people. Such a large energy consumption requires a relatively strong body for the lower limb amputee. Intensive training of the trunk muscles and amputeous limbs, strengthening of the back muscles and training, one-leg standing training, and finally one-leg jump. This strengthens both muscle strength and training balance.

Residual limb training: includes joint activity training, muscle training, training to enhance the skin strength of the residual limb (especially the skin of the weight-bearing part), training using ribs, and standing and walking training.

2. Prosthetic training

(1) Training on wearing temporary prostheses : After amputation, first determine the appropriate time to install temporary prostheses. If general conditions and residual limb conditions permit, temporary prosthetics should be worn as soon as possible after surgery. The training content includes the training of wearing temporary prosthetics, fatigue balance training, step training (step training for prosthetics, step training for fitness limbs) and walking training.

(2) Training for wearing permanent prostheses

Conditions for wearing a permanent prosthesis: 1) Residual limb conditions The stump maturation is the most basic condition, that is, the residual limb has no swelling, subcutaneous fat is nourished, and the residual limb muscles no longer continue to shrink. Change, the receiving cavity fits well, no need to modify the receiving cavity. 2) Training situation The various rehabilitation trainings after wearing a temporary prosthesis have reached the basic purpose and requirements. When wearing a permanent prosthesis, the prosthesis can be applied immediately and well.

Training of upper limb prostheses: The application training of upper limb prostheses is far more complicated and difficult than the training of lower limb prostheses. The basic training method is: first start with training amputees to become familiar with prosthetics and prosthetic control systems, and first train the hands to open and close. For high amputations above the elbow joint, to increase the prosthetic elbow joint movement training, usually after the hands are skilled and used to use the strap. Applied training of upper limb prostheses (eating, daily dressing, changing clothes, etc.). In patients with unilateral upper limb amputation, first of all need to perform hand-sharing training. Healthy limbs that are not hand-sharp hands become more functional, and prosthetic hands mainly serve as auxiliary hands.

Training of lower limb prostheses: Without a stable standing balance, you cannot walk smoothly. In terms of balance, the frontal plane is more difficult to grasp than the sagittal plane. When instructing the method of using the gluteal muscles, mastering the method of standing only on the outside of the prosthesis will get better results. Face the mirror to watch your gait walking with prosthetic limbs, and correct the bad gait.