Academic literature on the topic 'Amputation rehabilitation'

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Journal articles on the topic "Amputation rehabilitation"

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Jandric, Slavica, and Brano Topic. "Effect of primary and secondary wartime below-knee amputation on length of hospitalization and rehabilitation." Vojnosanitetski pregled 59, no. 3 (2002): 261–64. http://dx.doi.org/10.2298/vsp0203261j.

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The results of below-knee amputations in 36 war wounded (mean age 35,42) were reviewed. The majority of the patients was wounded by land mines (94.4%). Most of them were between 25 and 35 years old. Bilateral amputation was done in 2.8% of cases. The amputation was performed on the day of wounding (primary below-knee amputation) in 30 (83.3%) amputees. Secondary amputation after the attempt to save the severely injured lower-limb was performed in 6 patients (16,7%) average 4.61 ? 11.67 days after wounding. Reamputation was necessary in 6 cases (16.7%). Time period from the beginning of rehabilitation to the fitting of prosthesis, was 36.25 ? 14.97 days for primary amputations, 32 ? 17.8 days for secondary amputations and 68.66 ? 33.52 days for reamputations. There was no significant correlation between the duration of rehabilitation to prosthetic management and the period between wounding and amputation (r = -0.102). The attempt to save the limb after severe below-knee injuries and the secondary amputation afterwards, did not significantly influence the ensuing rehabilitation and prosthetic works.
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Karmarkar, Amol M., James E. Graham, Timothy A. Reistetter, Amit Kumar, Jacqueline M. Mix, Paulette Niewczyk, Carl V. Granger, and Kenneth J. Ottenbacher. "Association between Functional Severity and Amputation Type with Rehabilitation Outcomes in Patients with Lower Limb Amputation." Rehabilitation Research and Practice 2014 (2014): 1–7. http://dx.doi.org/10.1155/2014/961798.

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The purpose of this study was to determine independent influences of functional level and lower limb amputation type on inpatient rehabilitation outcomes. We conducted a secondary data analysis for patients with lower limb amputation who received inpatient medical rehabilitation (N= 26,501). The study outcomes included length of stay, discharge functional status, and community discharge. Predictors included the 3-level case mix group variable and a 4-category amputation variable. Age of the sample was 64.5 years (13.4) and 64% were male. More than 75% of patients had a dysvascular-related amputation. Patients with bilateral transfemoral amputations and higher functional severity experienced longest lengths of stay (average 13.7 days) and lowest functional rating at discharge (average 79.4). Likelihood of community discharge was significantly lower for those in more functionally severe patients but did not differ between amputation categories. Functional levels and amputation type are associated with rehabilitation outcomes in inpatient rehabilitation settings. Patients with transfemoral amputations and those in case mix group 1003 (admission motor score less than 36.25) generally experience poorer outcomes than those in other case mix groups. These relationships may be associated with other demographic and/or health factors, which should be explored in future research.
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Lubina, Alisa, and Daina Smite. "State-funded rehabilitation service and continuity of service in Latvia for patients with unilateral lower limb amputations: Statistical data and patients' view." SHS Web of Conferences 85 (2020): 02005. http://dx.doi.org/10.1051/shsconf/20208502005.

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Amputation is much more common than people do realize. There are no statistical data on amputations in Latvia, also any guidelines for planning, organizing and providing rehabilitation services to patients after amputation. Providing a patient-friendly and comprehensive multidisciplinary treatment is the key to successful outcomes in the case of amputation. The analysis of the current situation, including patients' view, will serve as one of the steps to improve the rehabilitation of patients with unilateral lower limb amputation in Latvia.
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Dillon, Michael P., Friedbert Kohler, and Victoria Peeva. "Incidence of lower limb amputation in Australian hospitals from 2000 to 2010." Prosthetics and Orthotics International 38, no. 2 (June 24, 2013): 122–32. http://dx.doi.org/10.1177/0309364613490441.

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Background: Contemporary literature reports that the incidence of lower limb amputation has declined in many countries. This impression may be misleading given that many publications only describe the incidence of lower limb amputations above the ankle and fail to include lower limb amputations below the ankle. Objectives: To describe trends in the incidence of different levels of lower limb amputation in Australian hospitals over a 10-year period. Study design: Descriptive. Method: Data describing the age-standardised incidence of lower limb amputation were calculated from the Australian National Hospital Morbidity database and analysed for trends over a 10-year period. Results: The age-standardised incidence of lower limb amputation remained unchanged over time ( p = 0.786). A significant increase in the incidence of partial foot amputations ( p = 0.001) and a decline in the incidence of transfemoral ( p = 0.00) and transtibial amputations ( p = 0.00) were observed. There are now three lower limb amputations below the ankle for every lower limb amputation above the ankle. Conclusion: While the age-standardised incidence of all lower limb amputation has not changed, a shift in the proportion of lower limb amputations above the ankle and lower limb amputations below the ankle may be the result of improved management of precursor disease that makes partial foot amputation a more commonly utilised alternative to lower limb amputations above the ankle. Clinical relevance This article highlights that although the incidence of lower limb amputation has remained steady, the proportion of amputations above the ankle and below the ankle has changed dramatically over the last decade. This has implications for how we judge the success of efforts to reduce the incidence of lower limb amputation and the services required to meet the increasing proportion of persons with amputation below the ankle.
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Esquenazi, Alberto, and Robert DiGiacomo. "Rehabilitation After Amputation." Journal of the American Podiatric Medical Association 91, no. 1 (January 1, 2001): 13–22. http://dx.doi.org/10.7547/87507315-91-1-13.

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The principles of amputee rehabilitation, from preamputation to reintegration into the work force and community, are reviewed. The authors discuss exercise techniques, training programs, and environmental modifications that have been found to be helpful in the rehabilitation of the amputee. The exercise programs presented here are divided into four main components: flexibility, muscle strength, cardiovascular training, and balance and gait. The programs include interventions by the physical, occupational, and recreational therapist under the supervision and guidance of a physician. (J Am Podiatr Med Assoc 91(1): 13-22, 2001)
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Marshall, Colette, and Gerry Stansby. "Amputation and rehabilitation." Surgery (Oxford) 28, no. 6 (June 2010): 284–87. http://dx.doi.org/10.1016/j.mpsur.2010.01.017.

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Marshall, Colette, and Gerry Stansby. "Amputation and rehabilitation." Surgery (Oxford) 31, no. 5 (May 2013): 236–39. http://dx.doi.org/10.1016/j.mpsur.2013.03.002.

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Marshall, Colette, Tarig Barakat, and Gerry Stansby. "Amputation and rehabilitation." Surgery (Oxford) 34, no. 4 (April 2016): 188–91. http://dx.doi.org/10.1016/j.mpsur.2016.02.006.

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Guest, Francesca, Colette Marshall, and Gerry Stansby. "Amputation and rehabilitation." Surgery (Oxford) 37, no. 2 (February 2019): 102–5. http://dx.doi.org/10.1016/j.mpsur.2018.12.008.

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Kim, Y. C., C. I. Park, D. Y. Kim, T. S. Kim, and J. C. Shin. "Statistical analysis of amputations and trends in Korea." Prosthetics and Orthotics International 20, no. 2 (August 1996): 88–95. http://dx.doi.org/10.3109/03093649609164424.

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Epidemiological research on amputees is being continued extensively world wide, but there are different epidemiologic reports from country to country. This study undertakes an epidemiologic report of the medical records of amputees in Korea which has developed very rapidly, when compared with other countries. This study included 4258 amputees who either had an amputation and/or received prosthetic training at Yonsei University College of Medicine, Severance Hospital from January 1970 to June 1994. The most common cause of amputation was trauma (66.7%), and the second most common cause was peripheral vascular disease. While amputations due to infection or trauma were the most common in the 1950's, amputations due to peripheral vascular disease have gradually increased until they now make up 23.5% of all amputations in the 1990's. Lower limb amputation, more common than upper limb amputation, accounted for 68.7% of all amputations. Multiple amputation accounted for 9.3% of all amputations, and the occurrence rate of multiple amputation was relatively higher in cases of burn injuries, train accidents, frostbite, and Buerger's disease than in cases brought about by other causes. The various amputation causes change according to the circumstances of the times, as can be seen in this study.
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Dissertations / Theses on the topic "Amputation rehabilitation"

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Crowther, H. "An investigation of rehabilitation with special reference to lower limb amputation." Thesis, University of Hull, 1985. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.375615.

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Mpezeni, Stella. "Community experiences of persons with lower extremity amputation in Malawi." University of the Western Cape, 2018. http://hdl.handle.net/11394/7034.

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Magister Scientiae (Physiotherapy) - MSc(Physio)
Persons with lower limb amputations (LLA) experience different challenges in the community. These challenges include the physical, psychological and social function of an individual. Little is known in Malawi on what persons with lower limb amputations go through in the communities where they live. Therefore, the study aimed at exploring and determining community experiences of persons with LLA in Malawi. The study sought to address the following objectives: 1) To determine the functional and psychological status of persons with LLA in the community; 2) To explore and describe experiences on social participation of persons with LLA in the community; 3). To explore experiences on community re-integration following LLA.
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Harbridge, Jenny. "Adjustment to amputation : identifying the contribution of family environment, coping style, functional ability and satisfaction with life variables to adjustment following unilateral below-knee amputation in adults." Thesis, Open University, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.286952.

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Johansson, Ida, and Jonas Jönsson. "Hälsofrämjande faktorer vid benamputation." Thesis, Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-15341.

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En amputation innebär både en fysisk och en psykisk påverkan vilket är relaterat till en lång rehabilitering och anpassning till den nya livssituationen. För att som sjuk-sköterska kunna optimera vården av den amputerade personen är det viktigt att ha en ökad förståelse för vad ingreppet medför. Syftet var därför att beskriva faktorer som påverkar patientens upplevelse av hälsa i samband med en planerad benamputation. I denna litteraturstudie låg 15 vetenskapliga artiklar som grund för resultatet där två huvudkategorier med betydelse för upplevelsen av hälsa framkom; stödets betydelse och kroppsbildens betydelse. Stödet innebar de yttre resurserna i form av professionellt och socialt stöd. Kroppsbilden innebar de inre resurserna vilka handlade om den egna kroppsbildens betydelse för att återfå kroppsfunktionen och självständigheten. För den amputerade var det därför viktigt att nyttja hälsofrämjande faktorer som resurser för att anpassas till sina nya förutsättningar. Mer forskning kring personens erfarenheter av en amputation eftersträvas i syfte att öka sjuksköterskans förståelse för upplevelsen av ingreppet. Även forskning kring preoperativ information eftersöks då detta påvisades ha en positiv effekt för den postoperativa bearbetningen.
An amputation implies both a physical and a psychological impact which is related to a long rehabilitation and adjustment to the new life situation. To optimize the care of the amputee it is important as a nurse to increase the understanding of what the procedure entails. Therefore the aim of this study was to describe the factors that affect the lived experience of health related to a leg amputation. In this literature review 15 articles were used and two major subjects were generated which were of importance regarding the lived experience of health; the importance of support and the importance of the body image. The support implied the external resources in the terms of professional and social support. The body image implied the internal resources in the terms of regaining the body function and the independence. For the amputee it was therefore of importance to utilize health-promoting factors as resources to adjust to the new condition. More research regarding the personal experiences of an amputation is required to increase the nurses’ understanding of the procedure. Research regarding the preoperative information is also required due to the positive effect that it has been proven to inflict on the postoperative processing.
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Uytman, Clare Louise. "Living with limb loss : individuals' and prosthetists' perceptions of amputation, prosthesis use and rehabilitation." Thesis, Queen Margaret University, 2014. https://eresearch.qmu.ac.uk/handle/20.500.12289/7354.

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Loss of limb through amputation presents a significant, life changing, circumstance for individuals. The prosthetist as the gate keeper to the health-care system and the facilitator of rehabilitation is essential to positive adjustment post-amputation. As yet, however, commonalities and differences in the understandings of each of these parties of the experience of limb loss, prosthesis use and rehabilitation remain unexamined. This comparison provides the focus for this study. Fifteen individuals post amputation and 13 prosthetists were interviewed on their perceptions of limb loss and prosthesis use. Semi structured interviews were conducted, face to face, via telephone or via email. Data were audio-recorded and transcribed as necessary and thereafter analysed using Interpretative Phenomenological Analysis (IPA) in order to gain an understanding of the subjective experiences of individuals with limb loss and of prosthetists of the post-amputation process. Analysis of the data led to identification of four key themes, namely Personal Identity, Social Identity, The Prosthesis and Communication. These themes were relevant for both groups. The meanings that they held for the two groups, however, differed in relation to key elements of the post-amputation experience. Both groups have a shared interest in the process of prosthetic limb fitting and rehabilitation and yet come from very differing perspectives. The fitting and use of a prosthetic device is not a simple, technical process but rather involves a combination of psychological, social and practical components all of which must be recognized in the rehabilitation process. The differing expectations and understandings held by both groups become especially evident in interactions between individuals with limb loss and prosthetists. Communications between members of these groups can provide a central point for addressing differences in their understandings of living with limb loss and might provide a focus for further developments in research and practice.
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Sifunda, Sibusiso. "The determinants of adhering to rehabilitation in diabetics who have undergone lower limb amputation." Master's thesis, University of Cape Town, 2001. http://hdl.handle.net/11427/9366.

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Bibliography: leaves 54-56.
Chronic diseases of lifestyle (CDLs) have been rapidly increasing in population groups which had previously been least affected by this kind of illness. Diabetes Mellitus in particular has been shown to be rapidly increasing in South Africa among the non-white population which traditionally, had low reported prevalence rates of the condition. The rapid increase in urbanisation and adoption of a western diet by the urbanised black population has been one of the main contributing factors. In contrast to this picture the socio-economic status of this population has remained relatively low and the high costs of long term management of CDLs poses a potential time bomb to the public health system. This study sought to explore the psychosocial determinants of adhering to rehabilitation for diabetic amputees.
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Fredericks, Jerome P. "Description and evaluation of the rehabilitation programme for persons with lower limb amputations at Elangeni, Paarl, South Africa." Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/20029.

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Thesis (MScMedSc)--Stellenbosch University, 2012.
ENGLISH ABSTRACT: Lower limb amputations cause multiple physical, psychological, environmental and socioeconomic barriers. Individuals who have suffered a lower limb amputation require comprehensive rehabilitation to ensure social integration and economic self-sufficiency. In addition, constant monitoring and evaluation is an essential part of human service delivery programmes. However, the amputation rehabilitation programme offered at Elangeni an outpatient rehabilitation centre for clients with physical disabilities in Paarl, Western Cape, South Africa is not monitored, and has not been evaluated since its inception in 2000. Thus, the current study evolved to describe and evaluate the rehabilitation programme for persons with lower limb amputations at Elangeni. A mixed method descriptive design was implemented. All persons who received rehabilitation, after a major lower limb amputation at Elangeni, between 2000 to 2011, were included in the study population. In addition, the physiotherapist and occupational therapist that provided amputation rehabilitation at Elangeni, at the time of the study, were interviewed. Thirty participants who met the study inclusion criteria were identified. Quantitative data was collected using a researcher designed, structured demographic questionnaire, an International Classification of Function checklist based questionnaire and a participant rehabilitation folder audit form. Two interview schedules one for clients and one for therapists were used for guidance during semi structured interviews. Quantitative data was entered onto a spread sheet and analysed by a statistician using Statistica, version 8. Qualitative data was thematically analysed according to predetermined themes. No programme vision, mission or objectives could be identified for the amputation rehabilitation programme. Poor record keeping practices and a lack of statistics were found. Rehabilitation was impairment focused with no attention given to social integration. Clients who received prosthetic rehabilitation showed improved functional ability with regard to picking up objects from the floor (p = 0.031) getting up from the floor (p = 0.00069), getting out of the house (p = 0.023), going up and down stairs with a handrail (p = 0.037) and moving around in the yard (p = 0.0069), climbing stairs without a handrail (p = 0.037), going up and down a kerb (p = 0.0082) walking or propelling a wheelchair more than 1km (0.0089) and walking in inclement weather (0.017). A lack of indoor mobility training had a statistically significant negative impact on the participants’ ability to lift and carry objects (p 0.011), standing up from sitting (p = 0.042), getting around inside the house (p = 0.00023), picking up objects from the floor (p = 0.00068), getting up from the floor (p = 0.0072), getting out of the house (p = 0.0016), going up and down stairs with a handrail (p = 0.019), moving around in the yard (0.0013), going up and down stairs with-out a hand-rail (p = 0.019), getting up and down a kerb (p = 0.0022), walking or wheeling 1km or more (p = 0.0032) and using transport (p = 0.0034). Failure to address community mobility during rehabilitation had a statistically significant negative impact on all aspects of community mobility scores except doing transfers and driving. In conclusion, for the study participants, Elangeni failed to provide rehabilitation according to the social model of disability and Community Based Rehabilitation principles. It is recommended that managers, service providers, and clients re-consider the purpose of Elangeni and develop a vision and objectives for that service. In addition, management should take an active role in service monitoring and evaluation and provide guidance and mentorship to therapists.
AFRIKAANSE OPSOMMING: Onderste ledemate amputasies impak negatief op `n persoon se fisiese, sielkundige en sosiale funksionering. Individue wat ’n amputasie ondergaan het benodig omvattende rehabilitasie om sosiale integrasie en ekonomiese onafhanklikheid te verseker. Konstante monitering en evaluasie is ’n essensiële deel van rehabilitasie programme. Nietemin die amputasie rehabilitasie program wat by Elangeni aangebied word, word nie gemoniteer nie en was nog nooit geëvalueer nie. Dus het hierdie studie dit ten doel om die rehabilitasie programme vir persone met onderste ledemate amputasies by Elangeni te beskryf en te evalueer. Kwantitatiewe en kwalitatiewe navorsingsmetodes is in kombinasie gebruik in die studie. Alle persone wat rehabilitasie by Elangeni ontvang het na ’n onderste ledemaat amputasie, sowel as die terapeute wat by Elangeni werk, het die studie populasie gevorm. In totaal het 32 persone aan die studie deelgeneem. Kwantitatiewe data is met behulp van `ʼn demografiese vraelys, `ʼn ICF gebaseerde vraelys, en `ʼn leer oudit vorm ingesamel. Twee onderhoud skedules, een vir die kliënte en een vir die terapeute, is gebruik as riglyn tydens insameling van kwalitatiewe data. Kwantitatiewe data is statisties ontleed deur ʼn statistikus wat gebruik gemaak het van Statistica 8. Voorafbepaalde temas is gebruik tydens tematies ontleding van kwalitatiewe data. Geen program visie, missie of doelwitte kon geïdentifiseer word nie. Swak rekord houdings praktyke was gevind. Rehabilitasie het gefokus op die fisiese en nie op sosiale integrasie nie. Die kliënte wat prostetiese rehabilitasie ontvang het, het statisties beduidend beter gevaar ten opsigte van optel van voorwerpe van die vloer af (p = 0.031), om van die vloer af op te staan (p = 0.00069), om uit die huis uit te kom (p = 0.023), om trappe met `ʼn handreling te klim (p = 0.037), om op die erf rond te beweeg (p = 0.0069), om trappe sonder `ʼn reling te klim (p = 0.037), om by sypaadjies op en af te gaan (p = 0.0082), om meer as `ʼn kilometer te loop of met die rolstoele te ry (0.0089) en om in ongure weer te loop (0.017). `ʼn Tekort aan heropleiding van mobiliteit binne die huis het `ʼn statisties beduidende impak gehad op die vermoë om goed te dra (p 0.011), op te staan van sit af (p = 0.042), in die huis rond te beweeg (p = 0.00023), voorwerpe van die vloer af op te tel (p = 0.00068), van die vloer af op te staan (p = 0.0072), uit die huis uit te kom (p = 0.0016), trappe met `ʼn handreling te klim (p = 0.019), in die erf rond te beweeg (0.0013), trappe sonder `ʼn handreling te klim (p = 0.019), by `n sypaadjie op en af te gaan (p = 0.0022), meer as 1km te loop of met die rystoel te ry (p = 0.0032) en om vervoer te gebruik (p = 0.0034). `ʼn Gebrek aan heropleiding van gemeenskapsmobiliteit het `ʼn statisties negatiewe impak gehad op alle aspekte van gemeenskapsintegrasie behalwe die doen van oorplasings en bestuur. Rehabilitasie praktyke was nie gebaseer op die sosiale model van gestremdheid en Gemeenskap Gebaseerde Rehabilitasie beginsels nie. Dit word aanbeveel dat diens verskaffers, kliënte en bestuurders oor die fokus van rehabilitasie by Elangeni moet besin. Daar moet ʼn visie en doelwitte vir die diens ontwikkel word. Voorts moet bestuurders van distrik vlak ʼn aktiewe rol speel in die monitering en evaluasie van dienste en mentorskap aan terapeute verseker.
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Gabrielsson, Jenny, and Martin Liepe. "Patienters erfarenheter av rehabilitering efter amputation av nedre extremitet." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-25387.

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Bakgrund: Att genomgå en amputation är en livsomvälvande händelse som bjuder på utmaningar både fysiskt och psykiskt för den drabbade personen inte minst efter utskrivning från sjukhus. Syfte: Syftet med den här litteraturstudien var att sammanställa tidigare kvalitativ forskning om patienters erfarenheter av rehabilitering efter amputation av nedre extremitet efter utskrivning från sjukhus. Metod: Scoping review. Resultat: Resultatet av den här studien byggde på tolv artiklar och fem huvudteman identifierades samt femton subteman. Studien visade bland annat på hur informationsbrist råder från sjukvårdspersonalen till patienten på olika nivåer och att tilliten till personalen är viktig. Bristande ekonomi minskade följsamheten till rehabiliteringen av olika anledningar, men har även en direkt korrelation till patientens överlevnad. Kostnaden för sjukvården beskrevs även som en fråga om liv och död där fri sjukvård var avgörande för socioekonomiskt utsatta grupper. Konklusion: Konklusionen belyste att partner och familj är viktiga för hur patienten tacklar själva rehabiliteringsprocessen. Därför är det viktigt att sjuksköterskan är lyhörd vid vårdövergång från sjukhus till hemmiljö eftersom vårdbördan för familjen ökar och patienten är som mest sårbar.
Background: Going through an amputation is a life-changing event followed by challenges physically and mentally for the affected person not least after discharge from hospital. Aim: The aim of this literature review was to compile previous qualitative research of patients’ experience of rehabilitation after amputation of lower extremity after discharge from hospital. Method: Scoping review. Result: Based on twelve scientific articles five main themes and fifteen subthemes were identified. This study illustrated how lack of information exists from healthcare professionals to the patient on different levels and trust towards the staff is important. Lack of financial resources reduced the adherence to rehabilitation and had a direct correlation to patient survival. The cost of medical care was described as a matter of life and death where free health care was crucial for socio-economically vulnerable groups. Conclusion: The conclusion illuminated the importance of the partner and family for how the patient deal with the rehabilitation process. It is important that the nurse is responsive when care transition occurs from hospital to home environment as the burden of care for the family increases and the patient is the most vulnerable.
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Fan, Richard E., Christopher R. Wottawa, Marilynn P. Wyatt, Todd C. Sander, Martin O. Culjat, and Martin O. Culjat. "A Wireless Telemetry System to Monitor Gait in Patients with Lower-Limb Amputation." International Foundation for Telemetering, 2009. http://hdl.handle.net/10150/606038.

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ITC/USA 2009 Conference Proceedings / The Forty-Fifth Annual International Telemetering Conference and Technical Exhibition / October 26-29, 2009 / Riviera Hotel & Convention Center, Las Vegas, Nevada
Even after rehabilitation, patients with lower-limb amputation may continue to exhibit suboptimal gait. A wireless telemetry system, featuring force sensors, accelerometers, control electronics and a Bluetooth transmission module was developed to measure plantar pressure information and remotely monitor patient mobility. Plantar pressure characterization studies were performed to determine the optimal sensor placement. Finally, the wireless telemetry system was integrated with a previously developed haptic feedback system in order to allow remote monitoring of patient mobility during haptic system validation trials.
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Imam, Bita. "Incidence and rehabilitation of lower limb amputation in Canada, and feasibility of a novel training program." Thesis, University of British Columbia, 2017. http://hdl.handle.net/2429/61350.

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Background: There is a dearth of evidence about lower limb amputation (LLA) incidence, rehabilitation, and practice in Canada. Such data are crucial for assessing the burden of the disability and making informed healthcare decisions. We know from the literature that the current resource-intensive rehabilitation model is costly and perhaps not sustainable. This highlights the need for exploring interventions that are less resource-intensive and, therefore, more cost-effective. Purpose: To gain an understanding about the incidence of LLA, current practices, and rehabilitation services provided in Canada and to design and evaluate a novel approach that may ultimately provide cost-effective LLA rehabilitation. Methods: Five studies were conducted. Studies 1-2) analyses of Canadian data to determine the incidence of LLA and the provision of inpatient rehabilitation services from 2006 to 2011; studies 3-4) a Canadian survey to describe prosthetic rehabilitation practices and to explore therapists’ perspectives about the use of commercial games, particularly the Nintendo Wii Fit, in rehabilitation; and study 5) a feasibility randomized controlled trial (RCT) to evaluate the use of Wii Fit intervention (named Wii.n.Walk) in LLA rehabilitation. Results: The age-adjusted incidence of LLA was 22.9 per 100,000 individuals. Although there was a decline in the incidence rates, the number of LLAs increased for older age categories. In total, 18.0% (n=2,902/16,114) of the individuals received inpatient rehabilitation in Canada over the study years. When asked about the use of commercial games, 43.9% (n=36/82) of the therapists indicated that they use the Wii Fit in rehabilitation. Our feasibility RCT showed the intervention adherence was 83.4%. No adverse events occurred. Conclusions: Although the age-adjusted incidence rates have declined, the number of LLAs has increased in individuals older than 50. Given the increase in number of LLAs and the fact that only 18% of individuals receive inpatient rehabilitation, there is a need for other service deliveries. The Wii Fit is prevalently used in prosthetic rehabilitation in Canada and was found to be feasible for LLA rehabilitation. A future powered RCT is required to provide more evidence about the efficacy and cost-effectiveness of the Wii Fit in prosthetic rehabilitation.
Medicine, Faculty of
Graduate
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Books on the topic "Amputation rehabilitation"

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Ham, R. Limb amputation ; from aetiology to rehabilitation. London: Chapman and Hall, 1991.

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1922-, King P. S., and Zettl J. H, eds. Immediate and early prosthetic management: Rehabilitation aspects. 2nd ed. Toronto: H. Huber, 1986.

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J, May Bella, ed. Lower limb amputations: A guide to rehabilitation. Philadelphia: F.A. Davis, 1986.

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Do you sleep with that leg on?: The story of Erskine Hospital. Bishopton: Erskine Hospital, 2001.

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Gailey, Robert S. Home exercise guide for lower extremity amputees. Miami, Fla: Advanced Rehabilitation Therapy, 1995.

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Murray, Craig D. Amputation, prosthesis use, and phantom limb pain: An interdisciplinary perspective. New York: Springer, 2010.

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Murray, Craig D. Amputation, prosthesis use, and phantom limb pain: An interdisciplinary perspective. New York: Springer, 2010.

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O'Neill, Ryan M. J. Upper limb deficiency in early adulthood: The psychology of self and coping. Dublin: University College Dublin, 1995.

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M, Ellis Patricia, ed. Physical therapy: Management of lower-extremity amputations. Rockville, Md: Aspen Publishers, 1986.

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Lower limb amputation: A guide to living a quality life. New York: Demos Medical Pub., 2006.

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Book chapters on the topic "Amputation rehabilitation"

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Ham, R., and L. Cotton. "The rehabilitation process." In Limb Amputation, 103–35. Boston, MA: Springer US, 1991. http://dx.doi.org/10.1007/978-1-4899-3152-8_8.

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Turner, Aaron P., Rhonda M. Williams, and Dawn M. Ehde. "Amputation." In Practical Psychology in Medical Rehabilitation, 163–71. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-34034-0_19.

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Nuhr, Martin, and Günther F. Wiesinger. "Rehabilitation nach Amputation." In Kompendium Physikalische Medizin und Rehabilitation, 323–34. Vienna: Springer Vienna, 2013. http://dx.doi.org/10.1007/978-3-7091-0467-5_23.

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Nuhr, Martin. "Rehabilitation nach Amputation." In Kompendium Physikalische Medizin und Rehabilitation, 291–301. Berlin, Heidelberg: Springer Berlin Heidelberg, 2016. http://dx.doi.org/10.1007/978-3-662-49035-8_22.

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Rybarczyk, Bruce, Lynda Szymanski, and John J. Nicholas. "Limb amputation." In Handbook of rehabilitation psychology., 29–47. Washington: American Psychological Association, 2000. http://dx.doi.org/10.1037/10361-002.

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Rybarczyk, Bruce, Jay Behel, and Lynda Szymanski. "Limb amputation." In Handbook of rehabilitation psychology., 29–42. Washington: American Psychological Association, 2010. http://dx.doi.org/10.1037/15972-002.

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English, E. "Die Amputation nach Syme." In Amputationschirurgie und Rehabilitation, 80–84. Berlin, Heidelberg: Springer Berlin Heidelberg, 1985. http://dx.doi.org/10.1007/978-3-642-93261-8_9.

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Barker, F. "Berufliche Rehabilitation nach der Amputation." In Amputationschirurgie und Rehabilitation, 392–93. Berlin, Heidelberg: Springer Berlin Heidelberg, 1985. http://dx.doi.org/10.1007/978-3-642-93261-8_33.

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Rang, M., and G. H. Thompson. "Amputation und Prothesen: Ein geschichtlicher Überblick." In Amputationschirurgie und Rehabilitation, 1–14. Berlin, Heidelberg: Springer Berlin Heidelberg, 1985. http://dx.doi.org/10.1007/978-3-642-93261-8_1.

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Hunter, G. A., and P. J. Holliday. "Behandlung von Frakturen nach vorangegangener Amputation." In Amputationschirurgie und Rehabilitation, 203–7. Berlin, Heidelberg: Springer Berlin Heidelberg, 1985. http://dx.doi.org/10.1007/978-3-642-93261-8_20.

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Conference papers on the topic "Amputation rehabilitation"

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Shehata, Ahmed W., McNiel-Inyani Keri, Mellissa Gomez, Paul D. Marasco, Albert H. Vette, and Jacqueline S. Hebert. "Skin Stretch Enhances Illusory Movement in Persons with Lower-Limb Amputation." In 2019 IEEE 16th International Conference on Rehabilitation Robotics (ICORR). IEEE, 2019. http://dx.doi.org/10.1109/icorr.2019.8779477.

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Jeong, Gu-Cheol, Yeoeun Kim, Wooseong Choi, Gangyong Gu, Hyun-Joo Lee, Man Bok Hong, and Keehoon Kim. "On the Design of a Novel Underactuated Robotic Finger Prosthesis for Partial Hand Amputation." In 2019 IEEE 16th International Conference on Rehabilitation Robotics (ICORR). IEEE, 2019. http://dx.doi.org/10.1109/icorr.2019.8779553.

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Priyadarshini, R. Gayathri, R. Suryarajan, and J. Prasad. "Development of Electromyogram Based Rehabilitation Device for Upper Limb Amputation using Neural Network." In 2018 3rd International Conference on Communication and Electronics Systems (ICCES). IEEE, 2018. http://dx.doi.org/10.1109/cesys.2018.8723958.

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Augustina, Elisabet, and Melinda Harini. "Functional Outcomes of Elderly after Unilateral Diabetic Transtibial Amputation: A Case Report." In The 11th National Congress and The 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association. SCITEPRESS - Science and Technology Publications, 2019. http://dx.doi.org/10.5220/0009066301490153.

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Everding, Vanessa Q., and Sarah E. Kruger. "Virtual reality enhanced balance training for service members with amputations." In 2011 International Conference on Virtual Rehabilitation (ICVR). IEEE, 2011. http://dx.doi.org/10.1109/icvr.2011.5971822.

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Thogersen, Mikkel, and Laura Petrini. "Removing own-limb visual feedback using mixed reality to simulate arm amputations." In 2017 International Conference on Virtual Rehabilitation (ICVR). IEEE, 2017. http://dx.doi.org/10.1109/icvr.2017.8007499.

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Kruger, Sarah E., Johanna C. Bell, and Barri L. Schnall. "Virtual reality enhanced rehabilitation for a service member with bilateral lower extremity amputations: A case study." In 2009 Virtual Rehabilitation International Conference. IEEE, 2009. http://dx.doi.org/10.1109/icvr.2009.5174218.

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Marayong, Panadda, I.-Hung Khoo, Khang Nguyen, Neha Bharti, Brian Ruhe, Dana Craig, and Will Wu. "Vibrotactile device for rehabilitative training of persons with lower-limb amputation." In 2014 Health Innovations and POCT. IEEE, 2014. http://dx.doi.org/10.1109/hic.2014.7038898.

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Dabiri, Arman, Sahand Sabet, Mohammad Poursina, Parviz E. Nikravesh, and David G. Armstrong. "Kinematics and Dynamics Comparison Between Three Parallel Robots for Lower Extremity Rehabilitation." In ASME 2017 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/detc2017-68357.

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Abstract:
Ulceration of the foot is one of the most common complications of diabetes mellitus and diabetes-related cause of hospitalization and lower extremity amputations. There have been proposed several treatments and utilized different devices to prevent or at least improve this. It has been shown physical therapy interventions are the most effective in the treatment of diabetic foot wounds among of all the proposed treatments, where a fully controlled motion in patients’ foot is desired on a pure rotational trajectory. Therefore, parallel robots represent a good candidate for this rehabilitation purpose because of their high accuracy. This paper is devoted to designing optimal structures of three six-degree-of-freedom parallel robots (i.e. Stewart, HEXA, and INRIA Active Wrist) for the lower extremity rehabilitation by the use of the genetic algorithm and Monte Carlo method. For this purpose, several key designing parameters such as the size of the platform, the length of manipulators, actuators’ parameters, and reachable workspace are considered. These designing parameters are optimized such that results in the best systems’ kinematics and dynamics performance. Consequently, the advantages and disadvantages of each platform are discussed.
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Hebert, Kolby V., Rachel S. Keen, Derek R. King, and Sally F. Shady. "Gait-Monitoring Wearable Technology for Transtibial Prosthetics." In ASME 2016 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2016. http://dx.doi.org/10.1115/imece2016-66226.

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Abstract:
Approximately 40,000 transtibial amputations occur each year in the United States. Current lower leg prosthetic options range from passive artificial limbs to computerized electronic models [1]. Because of insurance limitations, most patients use less sophisticated prosthetics. The average cost of lower leg prosthetics and corresponding medical care for single-leg veterans is at least $1.4 million due to increased rehabilitation times [1]. Gait training methods for transtibial amputees include extended rehabilitation processes lasting up to 9 months. These exercises provide no empirical data to analyze patient gait progress. The device design is a wearable technology that acquires gait information that is evidentiary for physicians when deciding to continue or dismiss further rehabilitation and follow up medical appointments. The technology includes a gyroscope, accelerometer, microprocessor, and electronic components housed in a 3D printed casing that is attachable to any prosthetic, or a biological leg. Pressure sensors are embedded into a sock-like foot covering that is used in tandem with the other electronics. Gait data collection was validated by comparing gait parameter values with literature values. A series of control tests on non-amputees was conducted in order to gather standard data and develop consistent testing practices for the prototype design. These findings are used as a reference when evaluating amputee gait data against non-amputee gait data. As the microprocessor collects data, information is stored onto a memory card used to relay data to the developed program for data analysis. Data analysis is supported by a graphical user interface via LabView which provides valuable gait data to physicians and physical therapists. Gait data analysis is expected to result in asymmetrical patterns for below-the-knee amputees compared to non-amputees as well as abnormal pressure loads throughout the foot [1].
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Reports on the topic "Amputation rehabilitation"

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Jah, Fungwe. Comparative analysis between bone-guided (endo-exo) prostheses and soft-tissue guided shaft prostheses for rehabilitation after thigh amputation, with special emphasis on its socio-economic aspects. Science Repository OU, April 2019. http://dx.doi.org/10.31487/j.jsr.2019.01.03.

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