Rehabilitation applications after amputation
Saying that part of the limbs such as hands, arms, feet and legs are cut off from the body after trauma or surgery, it is called amputation. Barutçu said: “For this person it causes great trauma and functional loss. Nowadays, with the development of prosthetic technology, the functionality of amputees is gradually increasing. The most common causes of amputation; Stating that there is trauma and vascular disease, physiotherapy and rehabilitation specialist Dr. Barutçu explained amputee rehabilitation as follows:
“Amputation rehabilitation is a process that begins before surgery and continues throughout life, covering all uses for the patient to regain their functional capacity. It includes processes such as reintegration into society, fulfillment of daily activities, return to the profession.”
Before and after surgery
Dr. Barutçu said, “The surgical level has been determined. Information is given about the phantom sensation. The patient is started with range of motion exercises, strength exercises, walking exercises and cardiopulmonary exercises. Dr. Dr. Nurhan Barutçu: “After the damaged area is removed, the length of the remaining part (stump), range of motion and muscle strength are measured. The functional status of the patient is evaluated. The patient is taught to transfer between bed and chair, to move in bed, to use a wheelchair, to stand without support. Additional diseases such as anemia and diabetes that can affect nutrition and wound healing are controlled.
Rehabilitation is important for the preparation of the prosthesis
Dr. Nurhan Barutçu continued his words as follows:
“Rehabilitation should be initiated intensively early in the presence of a physician and therapist in preparation for prosthesis in the pre-prosthesis period and for adaptation to life with a prosthesis and early return to working life in the post-prosthesis period. Rehabilitation makes everyday life easier. As you gain functional independence, self-confidence increases, environmental harmony and social life are positively affected.”
Prosthesis 3-6 months after surgery
Giving information about the pre-prosthetic period, Dr. Barutcu said:
“Core shaping, increasing muscle strength and range of motion, increasing aerobic capacity, balance coordination training, prosthetic training and psychosocial support are provided. Then the prosthesis prescription is determined by the decision of the patient, family and team and gait training begins. Balance exercises, swing phase training, stance phase training, gait training, stair training are given. Cardiovascular capacity, wound healing status, range of motion, muscle strength, motor control, and ability to learn to use the prosthesis are important for successful use of the prosthesis. If the wound is closed 10-15 days after surgery, a temporary prosthesis is applied. Rehabilitation is started and a permanent prosthesis is fitted with the maturation of the stump 3-6 months after surgery.