Amputations and Prosthetics: A Case Study Approach by May

By May

A case-based textual content, now with terminology in line with the APTA's consultant to actual Therapist perform, makes use of a holistic method of the administration of people with amputations. Concise but accomplished, it discusses annoying amputations, juvenile amputees, and the administration of people with peripheral vascular ailments. The 2d version experiences the most recent technological advances in prosthetic fabrication and gives details on suitable web pages.

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PERIPHERAL VASCULAR DISEASE 33 exercise program. Walking is excellent for individuals with arterial insufficiency. 2W2 For individuals with active ulcers whose weight bearing is limited, a program of active exercises can be substituted. Venous DIMa ... The primary goal in both the medical and physical therapy management of CVI is to control venous hypertension and reduce edema . Education in proper skin care and it! methods of preventing the development or recurrence of ulcers is essential. " CVI cannot be cured; therefore, lifestyle changes are necessary for effective management .

Endarectomy involves removing some of the plaque material that has accumulated inside·an artery. A longitudinal s tudy in Maryland in 1988 and 1989 revealed that, of 7210 procedures performed for peripheral anerial disease, 11 85 were angio· plasties, 4005 were bypasses, and 1890 were amputations. 4 PERIPHERAL VASCULAR DISEASE 29 PHYSICAL THERAPY EXAMINATION-DIANA MAGNOLIA HISTORY: 100M diagnosed 15 years ago; ha s always been poorly controlled; height 5 '6" weight 210 lb. Past medical history incluqcs hypertension and arteriosclerosis; other past medical hi story noncontributory.

D s to be co mfortably positioned in }, supine. :; settings as low as 40 mm Hg have bccn found c:ifec t ivc. 1 Th ere a rc no s Hlllies ou tl in ing the effecti veness of an yo ne ull -off rat io. :co mmend 00 seconds on and 30 sec- ' onds o if. :atmelH s a rc ge nera ll y I hOllr (lr longer. l 1l usc for da ily trcatlll<:nt. :rapy, t he ciierH 's arterial StilttlS needs to be CVaIUCltl:d. 7~. Swndi ng o r si tting tor pro longed pcriods contributes to cdema. :kvatcd to about heart level. 4 Applying intermittent compression 10 the leg.

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