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Upper Limb Prostheses II

The document outlines the process of pre-amputation counseling and post-amputation rehabilitation for upper limb prostheses. It emphasizes the importance of patient communication, basic prosthetic training, and the role of physical therapy in managing pain, edema, infection, and muscle power. Additionally, it details the goals of prosthetic training and activities of daily living that patients can perform with their prosthesis.

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matrix204208
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6 views21 pages

Upper Limb Prostheses II

The document outlines the process of pre-amputation counseling and post-amputation rehabilitation for upper limb prostheses. It emphasizes the importance of patient communication, basic prosthetic training, and the role of physical therapy in managing pain, edema, infection, and muscle power. Additionally, it details the goals of prosthetic training and activities of daily living that patients can perform with their prosthesis.

Uploaded by

matrix204208
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Upper limb prostheses

Pre- Amputation Counseling


 The main aim of this stage is to prepare the patient
physically, mentally for amputation and post
amputation period.
The stage includes:
A. Communication with patient and his family to
explain about the need for surgery and its outcomes.
B. Communication between rehabilitation team to
discuss about the level of amputation and prosthetic
fitting.
C. Introductory session with patient regarding:
• Phantom limb pain.
• Mode of fitting and training.
• Time taken.
• Cost expenditure.

D.Pre- rehabilitation exercise program


involving: other limbs – trunk muscles
Basic Prosthetic Training
When the patient receives the prosthesis, the basic
prosthetic training phase of care begins

Goals in basic prosthetic training include :


1. To become independent in skin care of the
residual limb.
2. To increase wearing tolerance of the prosthesis
sufficiently for daily functional use.
3. To become independent in donning and doffing
the prosthesis

4. To understand the function and operating


schemes of various prosthetic components.

5. To develop necessary skills to use and control


the prosthesis effectively
Role of P.T in upper limb amputation
Immediate Postoperative Prosthetic Fitting
 The main aims are:
 Control of pain.
 Prevention of edema.
 Prevention of infection.
 Prevention of deformity/ stiffness.
 Improving muscle power.
 Psychological confidence.
Control of pain:
 Narcotics/ analgesics every 3 to 6 hours at least
for 48 hours to maximum of 5 days.
 Then decrease the amount gradually.

Prevention of edema
 Passive ROM exercises.
 Active exercise will help in venous return and
reduces edema.
 Crepe bandaging also help to reduce the edema
Prevention of infection
 Proper wound care and with good antibiotic
cover can prevent infection.
Prevention of stiffness
 Passive ROM exercises.
 Active mobilization exercises.
 Proper positioning.
 Early fitting to prosthesis.
Improve muscle power
• Chest exercises.
• Strength Exercises to the upper limb muscles
of both limbs
After learning basic control moves, the patient is
ready to begin incorporating prosthetic use in
activities of daily living which may include:
Using utensils to eat, cutting food
Making a sandwich or basic meal
Opening and closing various types of packages,
boxes, jars, and other container
Brushing teeth
Cleaning and clipping fingernails
Holding a hairdryer while styling hair
Bathing with or without assistive devices
Dressing with or without adaptive equipment
Fastening a jacket whisters
Tying shoes
Toileting

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