Amputation Rehabilitation, An Issue of Physical Medicine and Rehabilitation Clinics of North America
- 1st Edition, Volume 35-4 - October 9, 2024
- Editors: Alex Donaghy, Alberto Miranda
- Language: English
- Hardback ISBN:9 7 8 - 0 - 4 4 3 - 2 9 6 9 0 - 1
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 2 9 6 9 1 - 8
In this issue of Physical Medicine and Rehabilitation Clinics, guest editors Drs. Alex Donaghy and Alberto Miranda bring their considerable expertise to the topic of Ampute… Read more

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Request a sales quoteIn this issue of Physical Medicine and Rehabilitation Clinics, guest editors Drs. Alex Donaghy and Alberto Miranda bring their considerable expertise to the topic of Amputee Rehabilitation. Focusing on advancements and innovations in the field, this issue presents evidence-based reviews and clinical insights from physicians, therapists, and prosthetist/orthotists practicing in a variety of clinical settings. Through these expert perspectives, readers will gain insight into promoting better rehabilitation outcomes and fostering a more inclusive and supportive society for those with limb deficiency.
- Contains 16 relevant, practice-oriented topics including the physiatrist’s approach to limb loss: from pre-amputation to home; new and emerging techniques in amputation surgery; pain after amputation; health care disparities in limb loss rehabilitation; emerging technology: new concepts in prosthetic design and application; and more.
- Provides in-depth clinical reviews on amputee rehabilitation, offering actionable insights for clinical practice.
- Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Physical Medicine and Rehabilitation
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Forthcoming Issues
- Foreword
- Preface
- Epidemiology and Impact of Limb Loss in the United States and Globally
- Key points
- Introduction
- Causes of limb loss—trauma
- Causes of limb loss—complications from diabetes mellitus & vascular disease
- Causes of limb loss—malignancy
- Congenital differences
- Limitations
- Summary
- Clinics care points
- The Physiatrist’s Approach to Limb Loss: Pre-amputation Through Lifelong Care
- Key points
- Introduction
- Pre-amputation
- Post-operative
- Prosthetic restoration: prescription and candidacy
- Long-term care
- Additional considerations
- Summary
- Clinics care points
- Prostheses and Rehabilitation Principles in Pediatric Limb Deficiency
- Key points
- Introduction
- Parents and caregivers
- Psychosocial considerations
- Educational implications
- Surgery
- Prosthesis fitting and rehabilitation principles
- Prosthesis fitting in upper limb deficiency
- Prosthesis fitting in lower limb deficiency
- Prosthesis acceptance and rejection
- Phantom pain and management
- Future direction in pediatric amputee care
- Summary
- Clinics care points
- Amputation Surgery: Review of New and Emerging Techniques
- Key points
- Introduction
- Summary
- Clinics care points
- Dermatologic Conditions Following Limb Loss
- Key points
- Introduction
- Considerations regarding amputation site and type of prosthesis
- Types of prosthetic and suspension systems
- Dermatologic conditions associated with limb loss
- Frictional diseases
- Skin and soft tissue infections
- Folliculitis, secondary hyperhidrosis
- Negative pressure changes
- Allergic and irritant contact dermatitis
- Epidermoid inclusion cysts and sinus tracts
- Pressure injuries
- Pain syndromes
- Treatment
- Approach to evaluation of cutaneous malignancies
- Evolving areas of interest
- Limitations
- Summary
- Clinics care points
- Postamputation Pain Management
- Key points
- Introduction
- Pain physiology
- Perioperative pain management
- Risk factors and prediction of postamputation pain
- Neuraxial analgesia, pharmacologic management, and surgical management
- Residual limb pain versus phantom limb pain
- Pathophysiology of residual limb pain
- Prevalence, etiology, and risk factors of residual limb pain
- Phantom limb pain versus phantom limb sensation
- Pathophysiology of phantom limb pain
- Pharmacologic intervention: acetaminophen/nonsteroidal anti-inflammatory drugs
- Pharmacologic intervention: antidepressants/anticonvulsants
- Pharmacologic intervention: calcitonin
- Pharmacologic intervention: antihypertensives
- Pharmacologic intervention: opioids
- Pharmacologic intervention: N-methyl-d-aspartate antagonist
- Rehabilitation
- Psychosocial intervention
- Integrative approach
- Psychological interventions
- Interventional/surgical intervention
- Summary
- Clinics care points
- Adaptive Sports and Recreation in Persons with Limb Loss/Limb Deficiency
- Key points
- Introduction
- Classification and governance of adaptive sports
- Types of adaptive sports
- Emerging sports
- Adaptive activity
- Activity-specific prostheses and equipment
- Prosthesis prescription considerations
- Participant considerations
- Safety considerations
- Clinical outcomes
- Discussion
- Clinics care points
- Prosthetic Componentry in Lower Limb Prosthetic Restoration
- Key points
- Introduction
- Sockets
- Skeletal structure
- Liners: interfaces between socket and residual limb
- Suspension systems
- Knees
- Feet and ankles
- Considerations
- Discussion
- Clinics care points
- Prosthetic Componentry in Upper Limb Prosthetic Restoration
- Key points
- Introduction
- Control mechanisms
- Externally powered control
- Hybrid Control
- Sockets, Suspension, and Interface
- Summary
- Clinics care points
- Predicting Functional Outcomes Following Dysvascular Lower Limb Amputation: An Evidence Review of Personalizing Patient Outcomes
- Key points
- Introduction
- Lower limb amputation levels effect on outcomes
- Predicting functional outcomes to aid in amputation-level decisions
- Patient involvement in amputation-level decisions
- Predicting functional outcomes to aid in prosthesis prescription
- Predicting outcomes for personalized rehabilitation
- Prediction models for people with lower limb amputation
- Decision support tools facilitate the clinical translation of prediction models
- Using decision support tools for shared decision-making
- Discussion
- Summary
- Clinics care points
- Health Disparities Across the Spectrum of Amputation Care: A Review of Literature
- Key points
- Introduction
- Prevention/preamputation
- Surgical decision making
- Postamputation
- Discussion
- Clinics care points
- Reintegration Following Amputation: A Biopsychosocial Approach
- Key points
- Introduction
- Psychological adjustment
- Positive outcomes
- Depression, grief, and related symptoms
- Anxiety and trauma symptoms
- Screening
- Prevention and intervention
- Social and community reintegration
- Return to driving
- Exercise
- Returning to work
- Summary
- Clinics care points
- Innovations in Amputation Rehabilitation and Prosthetic Design
- Key points
- Introduction
- Surgical innovations
- Prosthetic innovations
- Summary
- Clinics care points
- Approaches to Prosthetic Limb Restoration in Resource-Limited Settings/Countries: 3 Dimensional Printing
- Key points
- Introduction
- Summary
- Clinics care points
- No. of pages: 240
- Language: English
- Edition: 1
- Volume: 35-4
- Published: October 9, 2024
- Imprint: Elsevier
- Hardback ISBN: 9780443296901
- eBook ISBN: 9780443296918
AD
Alex Donaghy
Affiliations and expertise
University of Michigan Health System Clinical Assistant Professor Physical Medicine & Rehabilitation Ann Arbor, MI, USAAM
Alberto Miranda
Affiliations and expertise
Division of Physical Medicine and Rehabilitation VA Greater Los Angeles Healthcare System Division of Physical Medicine and Rehabilitation David Geffen School of Medicine at UCLA Los Angeles, CA, USA