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Rehabilitation after Lower Extremity Limb Loss

presented by Alicia White

Accrediting Body:

Target Audience:

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Disclosure Statement:

Financial: Alicia White receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.


 Non-Financial: Alicia White has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

Accreditation Check:
This course will provide a standard plan of care, including therapeutic exercise, to promote proper ambulation with a prosthesis. This course should be the most valuable of the entire series as it provides a therapeutic progression through all four phases of rehabilitation. The patient handouts will assist with home exercise programs and patient education, two key components of prosthetic rehabilitation. Understanding the progression of therapeutic exercise will provide the clinician with the appropriate skills to successfully treat any patient with an amputation.

Meet Your Instructor

Alicia White, PT, DPT, ATC

Dr. Alicia White graduated from Baldwin-Wallace University in 2004 with a degree in athletic training. She continued her studies at the University of Miami where she earned a doctorate in physical therapy in 2007. Dr. White worked at the Center for the Intrepid in San Antonio, Texas for ten years where she treated high-level patients…

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Chapters & Learning Objectives

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1. Four Phases of Prosthetic Rehabilitation

Understanding the four separate phases of rehabilitation will allow the therapist to determine an appropriate plan of care. The therapist can also use this tool to determine when it is appropriate to progress the patient into the next phase of rehabilitation.

2. Edema Control and Residual Limb Care

Post operatively, the therapist must learn how to control the edema to promote prosthetic wear. Also, the therapist must be able to educate the patient on appropriate residual limb care to improve long term function.

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3. Extremity Flexibility and Stretching

Promoting a complete range of motion will improve ambulation with a prosthesis. This chapter will go over techniques to attain this goal through all four phases of rehabilitation.

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4. Postural Strengthening

Promoting postural strengthening will improve ambulation with a prosthesis. This chapter will go over techniques to attain this goal through all four phases of rehabilitation.

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More Courses in this Series

Understanding Lower Extremity Limb Loss

Presented by Alicia White, PT, DPT, ATC

Understanding Lower Extremity Limb Loss

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Treating a patient with limb loss has the potential to be intimidating to a physical therapist with no background of that patient population. With an in depth understanding of patients with amputations, the physical therapist will be better prepared to provide appropriate rehabilitation. The following lecture and supplemental materials will offer an evidence based knowledge foundation for treating patients with limb loss. Following the lecture, the physical therapist will be able to understand an appropriate approach for rehabilitation of patients with amputations.

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Evaluating Patients with Amputations

Presented by Alicia White, PT, DPT, ATC

Evaluating Patients with Amputations

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Proper documentation is necessary to create a plan of care for any patient population, as well as to justify treatment. Patients with amputations are a specific subpopulation with their own characteristics that require the appropriate attention to assist with treatment and patient education. The following presentation will address the components of an inclusive evaluation for patients with amputations. By focusing on subjective and objective intakes, as well as appropriate functional outcomes measures, the physical therapist will be better prepared to assist with goal setting and patient expectations. A thorough evaluation will provide the foundation for a successful plan of care.

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Prosthetic Training After Lower Extremity Limb Loss

Presented by Alicia White, PT, DPT, ATC

Prosthetic Training After Lower Extremity Limb Loss

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This course will provide the basics of gait training with a prosthesis. In order for a physical therapist to educate a patient to ambulate with a prosthesis, they must first understand typical gait. Incorporating the basics of typical gait with prosthetic ambulation, regardless of the prosthetic technology, will result in a functional movement pattern for the patient. Understanding the key components of gait training with a prosthesis will provide the clinician with the appropriate skills to successfully treat any patient with an amputation.

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Pre-Prosthetic Management of Lower Limb Amputation

Presented by John Fergason, CPO

Pre-Prosthetic Management of Lower Limb Amputation

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Proper early care of the patient who has sustained lower limb amputation is critical for obtaining successful functional outcomes once fitting and ambulation with a prosthesis have begun. This course will present the current status of amputation etiology, incidence, and prevalence in the United States. Following this framework, a method of limb care and preparation will be presented as well as several treatment options that can be applied to the individual rehabilitation needs and prognosis of the patient.

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Understanding the Transtibial and Transfemoral Limb/Socket Interfaces

Presented by John Fergason, CPO

Understanding the Transtibial and Transfemoral Limb/Socket Interfaces

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Why is the interaction between the residual limb and the socket so critical? Many fitting problems can be solved if a full understanding of the socket biomechanics is gained. This course relates the forces that occur on the limb in each phase of gait, allowing the clinician to isolate issues that may hinder progress in therapy. It also explores why the training of the patient with a transfemoral amputation is so much more complicated. The transfemoral patient has no direct muscle control of the knee function. Knee stability and control are of paramount importance to maintain safety and stability during ambulation. This course will correlate the forces that occur both on the limb and the knee to each phase of gait. Problem solving can be augmented by noting the knee stability at each phase of gait and how the skin appears after ambulation.

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The Physical Therapist and Prosthetics

Presented by John Fergason, CPO

The Physical Therapist and Prosthetics

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Do you ever feel overwhelmed with the technology that is available for your patients with limb loss? Just when you thought you had it figured out, a patient is referred with a system you are completely unfamiliar with! This course will assist you with understanding the prosthetic basics necessary to have successful early therapy sessions with your limb loss clients.

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Recognizing Common Hindrances to Physical Therapy Progression

Presented by John Fergason, CPO

Recognizing Common Hindrances to Physical Therapy Progression

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Your physical therapy sessions are valuable and often limited, therefore it is of utmost importance to recognize when a prosthetic problem is within your scope to correct or must be given attention by the prosthetist. This course will give you the tools needed to evaluate some of the most common pitfalls to physical therapy progression and either correct them when able or relay accurate information to the prosthetist for correction.

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