Amputations + rehab

Question 1

Define amputation

Answer 1

removal of a limb, part or total, from the body

Question 2

Define disarticulation

Answer 2

removing a limb through a joint

Question 3

Define prosthesis

Answer 3

artificial substitute or replacement of part of the body

Question 4

Define orthosis

Answer 4

device externally applied to body segment to improve, support, correct or compensate weakness

Question 5

What framework is rehabilitation medicine based around and what are the components?

Answer 5

ICF - international classification of functioning, disability and health

Health (disorder/disease)
Function (body structure and function, activities, participation)
Disability (impairment, activity limitation, participation restriction)

Question 6

Aims of rehabilitation post-amputation

Answer 6

prevent post-operative complications
prevent deformities
maintain general mobility
control stump oedema
maintain strength of whole body
improve balance and transfer
re-educate walking
restore functional independence
treat phantom pain

Question 7

Amputation complications

Answer 7

oedema
infection
ischaemia
non-healing
joint contracture
neuroma formation
neuropathic/phantom limb pain
phantom limb sensation
wound breakdown
bony overgrowth
skin complications (folliculitis, boils, abscesses, allergic dermatitis, verrucous hyperplasia, hyperhidrosis, tinea corporis)

Question 8

Describe the K activity levels

Answer 8

K0 = non-ambulatory (bed-bound)
K1 = limited to transfers or limited household ambulator
K2 = unlimited household but limited community ambulator
K3 = unlimited community ambulator
K4 = high energy activities (sports, work)