Prosthetic Restoration and Rehabilitation of the Upper and Lower Extremity

Description

Written by physiatrists, prosthetics, and therapists at the University of Michigan, this clinically oriented text is designed for busy practitioners managing patients with limb loss who are candidates for, or are undergoing, prosthetic restoration. The goal is to provide an illustrated, state-of-the-art overview of the science and practice of post-amputation care, prosthetic restoration, and functional rehabilitation that maximizes patient independence and quality of life. The text addresses practical questions and problems, such as how to design a care plan or select the best prosthesis for a patient to align with expected activity level or demographic, and is intended as a ready reference to support clinical decision making

The book covers both lower and upper extremity restoration and rehabilitation. Beginning with basic anatomy and kinesiology and a brief recap of surgical principles and post-operative care for amputees, chapters in each section discuss biomechanics, clinical assessment, prosthetic options, writing a complete and detailed prescription for the prosthesis, restoration and management of specific problems by region, and rehabilitation programs and strategies. Common medical issues such as phantom limb sensation and pain, skin problems, and psychological considerations are discussed as well. Prosthetic restoration for special populations and prostheses for sports and recreation are treated in a dedicated section at the end of the book. Chapters will be written in outline format and feature lots of diagrams, photos, and other illustrations for ease of use. Each chapter will conclude with 1-2 case scenarios and 5-8 multiple choice questions with answers and explanations for self-study purposes.

Prosthetic Restoration and Rehabilitation of the Upper and Lower Extremity features:

• A modern, clinical approach to post-amputation care, prosthetic restoration, and functional rehabilitation
• Covers both upper and lower extremity
• Highly illustrated, accessible reference
• Contains case scenarios and multiple choice questions and answers for self-study
• Supports clinical decision making; addresses practical questions and problems

Contents

INTRODUCTION; LOWER EXTREMITY: 1. Lower Extremity Anatomy, Kinesiology and Gait; AMPUTATION SURGERY: 2. Principles of Amputation Surgery; 3. Post-Operative Rehabilitation and Care; PROSTHESIS: 4. Anatomy of a Lower Extremity Prosthesis; 5. Purpose, Designs and Types of Lower Extremity Prostheses; 6. Materials and Mechanics of a Lower Extremity Prosthesis; 7. Suspension Systems; 8. Prosthetic Components; PROSTHETIC RESTORATION: 9. Phases and Process of Prosthetic Restoration; 10. Pre-Prosthetic Evaluation and Training; 11. Preparatory Prosthesis Stage; 12. Definitive Prosthesis Stage; 13. Long Term Prosthesis Use; 14. Lower Extremity Prosthesis Selection, Management and Prescription; 15. Prosthetic Management of Partial Foot or Toe Loss; 16. Prosthetic Management of Ankle disarticulation; 17. Prosthetic Management of the Trans Tibial Amputation and Knee Disarticulation; 18. Prosthetic Management of the Trans Femoral Amputation; 19. Prosthetic Management Hip disarticulation, Hemi Pelvectomy, Hemicorpectomy; REHABILITATION: 20. Preparing the Residual Limb for Prosthetic Use; 21. Range of Motion, Strengthening and Desensitization; 22. Prosthetic Gait Training; 23. Abnormal Gait; UPPER EXTREMITY: 24. Upper Extremity Anatomy, Kinesiology and function; AMPUTATION SURGERY: 25. Principles of Amputation Surgery; 26. Post -Operative Rehabilitation and Care; UPPER EXTREMITY PROSTHESIS: 27. Anatomy of an Upper Extremity Prosthesis; 28. Purpose, Designs and Types of Upper Extremity Prostheses; 29. Materials and Mechanics of an Upper Extremity Prosthesis; 30. Suspension Systems; 31. Prosthetic Components; 32. Body-Powered v. Externally Powered Designs; PROSTHETIC RESTORATION: 33. Phases and Process of Prosthetic Restoration; 34. Pre Prosthetic Evaluation and Training; 35. Preparatory Prosthesis Stage; 36. Definitive Prosthesis Stage; 37. Long Term Prosthesis Use; 38. Upper Extremity Prosthesis Selection, Management and Prescription; 39. Prosthetic Management of Partial Hand Loss; 40. Prosthetic Management of Wrist disarticulation; 41. Prosthetic Management of Tran-radial amputation; 42. Prosthetic Management of the Elbow Disarticulation; 43. Prosthetic Management of Trans-Humeral Amputation; 44. Prosthetic Management of Shoulder Disarticulation; 45. Prosthetic Management of the Scapulo-Thoracic Amputation; 46. Prosthetic Management of the Bilateral Upper Extremity Amputee; 47. Management of the Patient with an Externally Powered Prosthesis; REHABILITATION: 48. Preparing the Residual Limb for Prosthetic Use; 49. Range of Motion, Strengthening and Desensitization; COMMON PROBLEMS IN AMPUTEE CARE AND PROSTHETIC MANAGEMENT: 50. Phantom Limb Sensation and Pain; 51. Residual Limb Pain; 52. Choke Syndrome; 53. Dermatological Problems; 54. Wounds; 55. Psychological Issues; PROSTHETIC RESTORATION FOR SPECIFIC POPULATIONS: 56. Infants and Children; 57. Athlete; 58. Elderly; 59. Prostheses for Sports and Recreation; FRONTIERS IN PROSTHETIC RESTORATION: 60. Overview of current research areas

About the Authors

Mary Catherine Spires, MD, Professor, Department of Physical Medicine and Rehabilitation and Director, Residency Training Program;
Brian Kelly, DO, Clinical Associate Professor, Department of Physical Medicine and Rehabilitation;
Alicia Davis, Senior CPO and Residency Program Director, Orthotics and Prosthetics Center