
Orthotics and Prosthetics in Rehabilitation
- 5th Edition - October 14, 2024
- Imprint: Elsevier
- Editors: Kevin K Chui, Sheng-Che Yen, Daniele Piscitelli, Inga Wang
- Language: English
- Hardback ISBN:9 7 8 - 0 - 4 4 3 - 1 1 3 6 9 - 7
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 1 1 4 8 9 - 2
**Selected for 2025 Doody’s Core Titles® in Orthopedics**Develop a strong foundation in the field of orthotics and prosthetics! Orthotics and Prosthetics in Rehabilitation, 5th… Read more

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Develop a strong foundation in the field of orthotics and prosthetics! Orthotics and Prosthetics in Rehabilitation, 5th Edition, is a clear, comprehensive resource for clinically relevant rehabilitation information and application. Divided into three sections, this text gives you a solid understanding of orthotics and prosthetics, clinical applications when working with typical and special populations, and an overview of amputation and prosthetic limbs. This edition has been updated with coverage of the latest technology and materials in the field, as well as the latest research evidence, making it a must-have resource for rehabilitation professionals.
Develop a strong foundation in the field of orthotics and prosthetics! Orthotics and Prosthetics in Rehabilitation, 5th Edition, is a clear, comprehensive resource for clinically relevant rehabilitation information and application. Divided into three sections, this text gives you a solid understanding of orthotics and prosthetics, clinical applications when working with typical and special populations, and an overview of amputation and prosthetic limbs. This edition has been updated with coverage of the latest technology and materials in the field, as well as the latest research evidence, making it a must-have resource for rehabilitation professionals.
- UPDATED! Evidence-based content and references ensure you are learning the most current and clinically applicable information available
- NEW! Enhanced ebook version, included with every new print purchase, allows access to all the text, figures, and references, with the ability to search, customize content, make notes and highlights, and have content read aloud
- Comprehensive coverage addresses rehabilitation in a variety of environments, including acute care, long-term care and home health care, and outpatient settings
- Evidence-based research throughout the text helps you develop clinical-decision making skills
- Logically organized content is presented in three parts to correspond with typical patient problems and clinical decision-making
- Case studies present real-life scenarios that demonstrate how key concepts apply to clinical decision-making and evidence-based practice
- World Health Organization disablement model (ICF) is incorporated to help you learn how to match a patient’s limitations with the best clinical treatment
- Multidisciplinary approach in a variety of settings demonstrates how physical therapists can work with the rest of the healthcare team to provide high-quality care in orthotic/prosthetic rehabilitation
- Modern equipment and technology are featured throughout the text, presenting the latest options in prosthetics and orthotics rehabilitation
- Authoritative information from the Guide to Physical Therapist Practice, Second Edition, is incorporated throughout
- A wealth of tables and boxes highlight vital information for quick reference and ease of use
Physical Therapy (DPT) students; Physical Therapy practitioners
- Cover image
- Title page
- Table of Contents
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- Copyright
- Contributors
- Preface
- Section I: Building Baseline Knowledge
- 1. Orthotics and Prosthetics in Rehabilitation: Multidisciplinary Approach
- Abstract
- Orthotists and Prosthetists
- History
- Prosthetic and Orthotic Professional Roles and Responsibilities
- Disablement Frameworks
- Characteristics of Rehabilitation HealthCare Teams
- Summary
- References
- 2. Aging and Activity Tolerance: Implications for Orthotic and Prosthetic Rehabilitation
- Abstract
- Oxygen Transport System
- Age-Related Changes to the Heart
- Pulmonary Function in Later Life
- Implications for Intervention
- Energy Cost of Walking
- Summary
- References
- 3. Motor Control, Motor Learning, and Neural Plasticity in Orthotic and Prosthetic Rehabilitation
- Abstract
- Why Think About Motor Control, Motor Learning, or Neuroplasticity?
- Theories of Motor Control
- Theories of Motor Learning
- The Importance of Practice
- Intrinsic and Extrinsic Feedback
- Application: Case Examples
- Summary
- References
- 4. Evidence-Based Approach to Orthotic and Prosthetic Rehabilitation
- What Is Evidence-Based Practice?
- Process of Evidence-Based Practice
- Step 1: Formulating an Answerable Clinical Question
- Step 2: Locating and Accessing the Best Evidence
- Step 3: Critically Appraising the Evidence
- Step 4: Applicability to Patients and Clinical Practice
- Integrating Clinical Expertise and Skill
- Summary
- Appendix 4.1
- Appendix 4.2
- Appendix 4.3
- Appendix 4.4
- References
- 5. Clinical Assessment of Gait
- Normal Gait
- Kinetic and Kinematic Descriptors of Human Walking
- Gait Cycle
- Describing Pathological Gait
- Qualitative Gait Assessment
- Instrumented Gait Analysis
- Choosing the Appropriate Assessment Tool
- Function-Based Assessment
- Gait Patterns in Individuals With Amputation
- Summary
- References
- 6. Materials and Technology
- Orthotics and Prosthetics in the 20th Century
- Materials
- Natural Materials
- Prescription Guidelines
- Fabrication Process
- Computer-Aided Design/Computer-Aided Manufacture
- Central Fabrication and Mass Production
- Maintenance of Orthoses and Prostheses
- Summary
- References
- 7. Footwear: Foundation for Lower Extremity Orthoses
- Components of a Good Shoe
- Proper Fitting of a Shoe: “If the Shoe Fits”
- Special Considerations
- Flexible and Rigid Flatfoot
- Choosing Appropriate Footwear and Socks
- Prescription Footwear, Custom-Molded Shoes, Accommodative Molded Orthoses, and Shoe Modifications
- Footwear for Common Foot Deformities and Problems
- Diagnosis-Related Considerations in Shoe Prescription
- Reading the Wear on Shoes
- Summary
- References
- Section II: Orthoses in Rehabilitation
- 8. Foot Orthoses
- History of the Functional Foot Orthosis
- Triplanar Structure of the Foot
- Function of the Foot in Gait
- Biomechanical Examination
- Non–Weight-Bearing Open Chain Examination
- Static Weight-Bearing Closed Kinetic Chain Examination
- Dynamic Gait Assessment
- Functional Foot Orthoses
- Goals of Orthotic Intervention
- Measurement and Fabrication
- Managing Rearfoot Deformity
- Managing Forefoot Deformity
- Orthotic Checkout and Troubleshooting
- Controversy With Root’s Paradigm
- Foot Type and Lower Extremity Biomechanics
- Foot Type and Lower Extremity Overuse Injuries
- Orthoses and Lower Extremity Function
- Management of Overuse Injuries
- Summary
- References
- 9. Principles of Lower Extremity Orthoses
- What Type of Orthosis Is Best?
- Determinants of Functional Gait
- Rockers of Stance Phase
- Prefabricated, Custom Fit, or Custom Molded?
- Appropriate Footwear
- Ankle-Foot Orthoses
- Static Orthoses
- Advantages/Disadvantages
- Dynamic Orthoses
- Knee-Ankle-Foot Orthosis Design Options
- KAFO Delivery and Functional Training
- Hip-Knee-Ankle-Foot Orthosis
- Implications for Rehabilitation
- Outcome Measures in Orthotic Rehabilitation
- Summary
- Acknowledgments
- Case Examples
- References
- 10. Neurological and Neuromuscular Disease Implications for Orthotic Use
- Movement Impairment in Neurological and Neuromuscular Pathology
- Differential Diagnosis: Where Is the Problem?
- Determinants of Effective Movement
- Management of Neuromuscular Impairments
- Summary
- References
- 11. Orthoses for Knee Dysfunction
- Introduction
- Anatomy of the Knee
- Biomechanics of Knee Motion
- Knee Orthoses Components
- Prophylactic Knee Orthoses
- Orthoses for Anterior Cruciate Ligament Insufficiency
- Orthoses for Osteoarthritis
- Orthoses for Patellofemoral Disorders
- Summary
- References
- 12. Orthoses in Orthopedic Care and Trauma
- Bone Structure and Function
- Bone Growth and Remodeling Over the Lifespan
- Orthoses in the Management of Hip Dysfunction
- Fracture Management
- Summary
- References
- 13. Orthoses for Spinal Dysfunction
- Anatomy and Biomechanics
- The Three-Column Concept
- Fit and Function of the Spinal Orthosis
- Scoliosis
- Orthotic Prescription
- Summary
- References
- 14. Orthoses in the Management of Hand Dysfunction
- Nomenclature
- Classification Based on Splint Classification System
- Naming Based on Medical Terms
- Classification Based on Design Descriptors
- Classification Based on the Design and Functionality
- Goals for Orthotic Intervention
- Anatomy-Related Principles
- Tissue Healing
- Mechanical Principles
- Material and Equipment
- Overview of the Orthotic Fabrication Process
- Future Trends
- Summary
- References
- 15. Orthoses in Burn Care: Splinting, Orthotics, and Prosthetics in the Management of Burns
- Burn Injury
- Wound Care
- Psychology of Burn Injury
- Rehabilitation Intervention
- Burn Rehabilitation Interventions
- Splinting and Orthotics
- Amputation and Prosthetics in Burn Rehabilitation
- Education
- Summary
- References
- 16. Prescription Wheelchairs: Seating and Mobility Systems
- Principles of Seating and Mobility
- The Seating System
- The Frame
- The Mobility System
- The Seating and Mobility Assessment Process
- Ordering the Wheelchair
- Delivering the Wheelchair
- Follow-Up
- State of the Art
- Summary
- References
- Section III: Prostheses in Rehabilitation
- 17. Etiology and Management of Amputation
- Causes of Amputation
- Levels of Amputation
- Racial Disparities in Amputation
- Rehabilitation Issues for the Person With an Amputation
- Rehabilitation Environment
- Summary
- References
- 18. High-Risk Foot and Wound Healing
- Normal Wound Healing
- Assessment of the High-Risk Foot
- Wound Assessment
- Wound Management
- Summary
- References
- 19. Amputation Surgeries for the Lower Limb
- Introduction
- Indications for Lower Extremity Amputation
- Surgical Principles of Amputation
- Postoperative Care
- Complications
- Outcomes
- Amputations of the Foot and Ankle
- Transtibial Amputation
- Knee Disarticulation
- Transfemoral Amputation
- Hip Disarticulation and Hemipelvectomy
- Future Directions
- Neuroma Prevention and Treatment
- Summary
- References
- 20. Postoperative and Preprosthetic Care
- Patient-Client Management After Amputation
- Examination
- Process of Evaluation, Diagnosis, and Prognosis
- Interventions for Persons With Recent Amputation
- Preprosthetic Outcome Assessment
- Summary
- References
- 21. Understanding and Selecting Prosthetic Feet
- Factors in Selecting a Prosthetic Foot
- Performance Features and Appearance of Available Prosthetic Feet
- Summary
- References
- 22. Postsurgical Management of Partial Foot and Syme Amputation
- Abstract
- Presurgical Considerations
- Pediatric Considerations
- Partial Foot Amputations
- Syme Amputation
- Summary
- References
- 23. Transtibial Prosthetics
- Rehabilitation Following Transtibial Amputation
- Determinants of Successful Use of Transtibial Prosthesis
- Medicare Functional Classification Level and Considerations for Selection of Components for Transtibial Prosthesis
- Prosthetic Fitting and Residual Limb Volume
- Residual Limb Health and Socket-Limb Interface
- Accommodating Changes in Residual Limb Volume
- Troubleshooting Issues Related to Prosthetic Fit
- Gait and Mobility Performance
- Outcome Measures for Individuals With Transtibial Amputation
- Fall Risk Assessment
- Summary
- References
- 24. Transfemoral Prostheses
- Surgical Considerations
- Rehabilitation Management of Individuals With Transfemoral Amputation
- Medicare Functional Classification Level and Considerations for Selection of Components for Transfemoral Prosthesis
- Prosthetic Socket and Suspension Systems
- Compression/Release Stabilization Sockets
- Cushion Liner With Air-Expulsion Valve
- Microprocessor-Controlled Knee Units
- Functional Performance-Based Outcome Measures
- Responsiveness of Outcome Measures
- References
- 25. Prosthetic Options for Persons With High-Level and Bilateral Amputations
- High-Level Lower Limb Loss
- Biomechanical Principles
- Socket Design and Suspension
- Component Selection
- Energy Consumption and Cost
- Rehabilitation Outcomes After High-Level Amputation
- Bilateral Lower Limb Loss
- Socket Design and Suspension
- Component Selection
- Energy Consumption and Cost of Bilateral Limb Loss
- Rehabilitation Outcomes After Bilateral Limb Loss
- Summary
- References
- 26. Early Rehabilitation in Lower Extremity Dysvascular Amputation
- Components of the Physical Therapy Examination
- Establishing a Physical Therapy Diagnosis and Prognosis
- Plan of Care
- Preprosthetic Interventions
- Candidacy for a Prosthesis and Prescription
- Prosthetic Device Considerations
- Summary
- References
- 27. Advanced Rehabilitation for People With Microprocessor Knee Prostheses
- Historical Development
- Overview of Non-Microprocessor Knee Prostheses
- Introduction to Microprocessor Knee Prostheses
- Microprocessor Knee Prostheses Control Mechanisms
- Common Mobility Problems and Potential Solutions
- Stairs and Ramps
- Outcomes
- Prescriptive Cases
- References
- 28. Athletic Options for Persons With Limb Loss
- Introduction
- Barriers and Motivation
- Organizational Support for Sports or Recreation Participation
- Sport Classification
- Summer Paralympic Sports
- Winter Paralympic Sports
- Non-Paralympic Sports and Recreational Activities for Individuals With Limb Loss
- Additional Water Sports and Activities
- Prosthetic Components for Athletes With Limb Loss
- Prosthetic Components for Athletes With Lower Limb Loss
- LOWER LEG/FOOT/ANKLE COMPONENTS
- Other Materials
- Athletes With Upper Limb Loss
- Children With Limb Loss in Sport
- Prosthetics in Sports: What Is Best?
- References
- 29. Rehabilitation for Children With Limb Deficiencies
- Introduction
- Upper-Limb Prosthesis
- Occupational Therapy for Children With Upper-Limb Loss
- Outcome measure for children with prothesis
- Summary
- References
- 30. Prosthetic Options for Persons With Upper Extremity Amputation
- Overview
- Prevalence of Upper Extremity Amputation
- Etiology of Upper Extremity Amputation
- Length of the Residual Limb
- Preprosthetic Care
- Prosthetic Options
- Passive-Functional Prostheses
- Partial-Hand Prostheses
- Disarticulation Considerations
- Transradial and Transhumeral Considerations
- Body-Powered Components
- Body-Powered Control
- Electric Components
- Externally Powered Control
- Hybrid Prostheses
- Activity-Specific Prostheses
- Bionic Arms and Hands
- 3D-Printed Prostheses
- Summary
- Acknowledgments
- References
- 31. Rehabilitation for Persons With Upper Limb Amputation
- Rehabilitation After Upper Limb Amputation
- Incidence and Causes of Upper Limb Amputation
- Classification and Functional Implications
- Stages of Rehabilitation
- Current Research and Advancements in Technologies
- Summary
- References
- Index
- Edition: 5
- Published: October 14, 2024
- Imprint: Elsevier
- Language: English
- Hardback ISBN: 9780443113697
- eBook ISBN: 9780443114892
KC
Kevin K Chui
Endowed Chair and Professor Kevin K Chui works in the Department of Physical Therapy at Waldron College of Health and Human Services, Radford University, Roanoke, Virginia, USA
Affiliations and expertise
Endowed Chair and Professor, Department of Physical Therapy, Waldron College of Health and Human Services, Radford University, Roanoke, Virginia, USASY
Sheng-Che Yen
Clinical Professor Sheng-Che Yen works in the Department of Physical Therapy, Movement and Rehabilitation Sciences at Bouvé College of Health Professions, Northeastern University, Boston, Massachusetts, USA.
Affiliations and expertise
Clinical Professor, Department of Physical Therapy, Movement and Rehabilitation Sciences, Bouvé College of Health Professions, Northeastern University, Boston, Massachusetts, USADP
Daniele Piscitelli
Daniele Piscitelli is affiliated with the University of Milano-Bicocca, Italy as a Researcher. He was a visiting scholar at Pennsylvania State University (USA) for one year (2015/4- 2016/5). From 2017 to 2022, he was a Post-Doc Fellow at McGill University, under the directorship of Dr. Mindy F. Levin. He is a researcher with a background in neuroscience, neurorehabilitation, and clinical research design. He has a strong interest in rehabilitation after stroke, neural motor control, and psychometric assessment of outcome measures. His research focuses on understanding the neurophysiological mechanisms of motor control and how this knowledge can be translated into clinical research and clinical practice to promote recovery after brain lesions. His research has continuously been funded by many competitive research fellowships such as the Italian Ministry of Education, University and Research, McGill Faculty of Medicine, "Fonds de recherche en santé du Québec", and Canadian Institute of Health Research. Dr. Piscitelli has published several original papers and theoretical works in peer-review journals about the underlying motor control mechanisms in post-stroke recovery, despite a relatively young research-active career. In 2021, Dr. Piscitelli was the recipient of the Early Career Investigator Award by the International Society of Motor Control.
Affiliations and expertise
Assistant Professor, Doctor of Physical Therapy Program, Department of Kinesiology, University of Connecticut, Storrs, Connecticut, USAIW
Inga Wang
Professor Inga Wang Programs in Occupational Therapy, Science, Technology and Rehabilitation, School of Rehabilitation Sciences and Technology, Milwaukee, Wisconsin, USA.
Affiliations and expertise
Professor, Programs in Occupational Therapy, Science, Technology and Rehabilitation, School of Rehabilitation Sciences and Technology, Milwaukee, Wisconsin, USA