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GENERAL INFORMATION

Amputee rehabilitation is a process that starts before amputation and requires continuous follow-up of the patient. The patient should be supported at every stage of rehabilitation so that the patient can be returned to social life.

In order for rehabilitation to be successful, a multidisciplinary team should work in cooperation with the patient focused. In the multidisciplinary team; patient's family, orthopedic surgeon, physiotherapist, prosthetic technician, occupational therapist, psychiatrist / clinical psychologist, nurse should be included. Amputee rehabilitation consists of five stages: preoperative, postoperative, preprosthetic, prosthetic and postprosthetic periods. Each stage is of different importance.
In addition, each stage supports each other and has a positive effect on the patient. The main purpose of the rehabilitation process is to increase the functional capacity of the patient. A good rehabilitation process that includes strengthening, balance, gait and prosthesis adaptation training will increase the amputee's compatibility with the prosthesis and shorten the transition period to the active mobilization process.

Prosthetic rehabilitation is very important as the individual's mobility is a top priority. The efficiency of this process is very important in terms of prosthesis satisfaction and social integration of the patient. The rehabilitation process and the use of prosthesis will reduce the functional limitation of the amputee and will have a positive effect on social cohesion.

What is Amputee Rehabilitation?

Amputation is the process of cutting off the extremities and/or parts of the arms or legs, including their end points such as hands, feet, and fingers. An artificial organ called prosthesis is placed in place of the cut part. Amputee rehabilitation includes a long process that starts before amputation, until the person successfully uses the prosthesis to reintegrate with society, return to his profession and perform daily life activities.

Patients should gain independence in activities of daily living, including the hospital environment, as soon as possible. By using a wheelchair, the patient can mobilize early and can increase self-confidence by doing small jobs as well.

Why Is Amputee Rehabilitation Important?

Man has a dynamic nature. To be able to stand in an upright position, to balance, to walk and to move; It also needs arms for activities such as self-care and eating. The loss of these functions is a very important problem that affects people's daily life. The person whose arm, leg or some of these limbs will be cut off will try to compensate for this deficiency and loss of function with prostheses.

What are the Purposes of Amputee Rehabilitation?

Amputation is primarily a psychological trauma. The first reaction may be disbelief in the amputation, embarrassment, thinking about the amputation as punishment, depression, or the person may think that everything is over for them. The change of body appearance (image) is disturbing.
Minimizing all these problems by providing early mobility with a suitable prosthesis in a short time can be a solution. On the other hand, as one gains functional independence, self-confidence will increase, and environmental harmony and social life will be positively affected.

The purpose of rehabilitation in amputees; Implementing a rehabilitation program with a prosthesis with a suitable construction technique, comfortable, functional and aesthetic appearance, is to ensure that the person returns to his/her old social life, to his/her job or to be able to do a new job.

What Should Be Considered in Amputee Rehabilitation Exercises?

Amputation patients can be treated within patient groups like them. This is necessary in order to support them psychologically. It is also important for the therapist to have good communication with the patient. The evaluations to be made during the treatment are important in terms of monitoring the development and conducting the exercise program.

The patient should be given a home program. Exercises should be chosen as the most basic exercises and should not be too complex. The exercises should be written and given on a piece of paper in a language the patient can understand. However, these exercises should be taught beforehand.

The therapist should always consider that in addition to the amputee, the other party should also participate in the exercise. In this respect, exercises should cover the whole body. The patient should be made aware of the supports and protections to be given to the amputee during the exercises.