Tag Archives: walk

lower limb amputation

Lower Limb Amputations

like what you see? share...Share on Facebook
Facebook
Share on Google+
Google+
Tweet about this on Twitter
Twitter
Share on LinkedIn
Linkedin

LowerLimbAmputations_FBsize

The goal for every patient with a lower limb amputation is to walk normally again.
A patient with a lower limb amputation faces many challenges when it comes to walking safely in a variety of walking surfaces and without exerting excessive energy. Generally, the higher the amputation level, the more we can expect to see gait deviations or difficulty walking. This is because with each segment of the anatomy is lost to amputation, more muscle, sensory receptors and leverage are also lost. A Physical Therapy treatment program can be designed to assist a patient return to a “normal” walking pattern in terms of posture, step length, stability, balance, rate of speed, and limb positioning.

GAIT TRAINING
Almost all patients with a lower limb amputation will benefit from physical therapy and gait training at some point in their recovery to help them return to a more normal walking pattern. Pre-amputation exercises will assist the patient in arm and leg strengthening to help them prepare for using a walker during gait training with their prosthesis. After amputation surgery a prosthetist will work with the patient to fabricate and align a prosthesis to assure that it will optimize the patients walking pattern.

WHAT TO EXPECT DURING PHYSICAL THERAPY

  • The physical therapist will typically work with the patient 3 days per week

  • The physical therapist and prosthetest will remain in close communication with gait training is occurring since any changes in the prosthesis will affect the gait pattern

  • Initially physical therapy is focused on standing and walking with enough stability to ensure safety (this initial gait training is performed in parallel bars with the assistance of the physical therapist holding the patient with a gait belt for additional safety)

  • Initial gait training is supplemented with strength and flexibility exercises for the legs and trunk muscles since strong trunk and leg muscles make it easier to progress the patient’s gait training

  • The physical therapist will also work with the patient to improve balance and coordination to help the patient develop a more normal step length and walking speed

Physical therapists use many different techniques during gait training sessions

leg amputee

LEARNING HOW TO WALK AGAIN
Specialized Treatment Techniques

  • SPLINTER SKILLS: Technique where the walking pattern is broken down into a sequence of events that are practiced individually before putting them all together to build the walking pattern
  • WHOLE WALKING: Technique in which the entire gait pattern is performed all at one time without thinking about the individual components of walking therefore relying on the body’s natural tendency to find the most stable and energy efficient way to walk

BUILDING CONFIDENCE
Once the patient feels confident and the physical therapist believes that it is safe, a walker can be used instead of the parallel bars. When using a walker, the focus will change to helping the patient walk on uneven surfaces such as outdoors and walking around obstacles or stepping up and down stairs.

Even patients who have walked with a prosthesis for years can benefit from gait training for a “tune up” of their walking skills or to learn a new skill such as side stepping, tandem walking or even running.

October 2016 Events

like what you see? share...Share on Facebook
Facebook
Share on Google+
Google+
Tweet about this on Twitter
Twitter
Share on LinkedIn
Linkedin

EVENTS_10-2016_FBsize

Check out our Physical Therapy Monthly Events Calendar! Focusing on events from PTandMe.com participating physical and occupational therapy clinics. Read more to find out what’s happening in your community in October 2016!

GEORGIA PHYSICAL THERAPY EVENTS

FOLKSTON, GA
DATE: October 21st 2016, 5:00PM – 7:00PM
20 Year Anniversary Cookout
CLINIC: Advance Rehabilitation Physical Therapy – Folkston
Advance Rehab is celebrating its 20 year anniversary in Folkston, Georgia with a cookout and live music by local artist Justen Harden
For more information about Advance Rehabilitation Physical Therapy, visit them online at http://www.advancerehab.com.

IDAHO PHYSICAL THERAPY EVENTS

BOISE, ID
DATE: October 18th – 15th 2016
2016 NPI Annual Fall Conference
CLINIC: Intermountain Physical Therapy & Hand Rehabilitation – Boise
Intermountain will have a booth at this year’s event. Stop on by and see how physical therapy brings patients back to their full potential! For more information about Intermountain Physical Therapy & Hand Rehabilitation, visit them online at http://www.intermountainpt.com.

MICHIGAN PHYSICAL THERAPY EVENTS

MONROE, MI
DATE: October 4th 2016, 3:00PM – 6:00PM
Monroe Open House
CLINIC: Advanced Physical Therapy – Monroe
Advanced Physical Therapy’s Monroe clinic is celebrating their relocation with an open house! Join us for snacks, drinks and check out the new digs. We’d love to have you as we get to know our new neighbors and friends! First 100 guests will receive a free gift. For more information about Advanced Physical Therapy, visit them online at http://advphysicaltherapy.com.

NEW JERSEY PHYSICAL THERAPY EVENTS

BORDENTOWN, NJ
DATE: October 17th 2016, 4:30PM – 8:00PM
Work Comp Seminar at Villa Mannino Restaurant
CLINIC: Hamilton Physical Therapy Services, L.P.
Attention all work comp case managers and adjusters! Join Hamilton Physical Therapy and Princeton Brain & Spine Care as they talk about the Evaluation and Rehabilitation of Concussions in the injured workers.

AGENDA:
4:30 pm – 5:30 pm — Registration & Vendor Exhibit
5:30 pm – 5:45 pm — Opening Remarks
5:45 pm – 7:30 pm — Clinical Presentation
7:30 pm – 8:00 pm — Q&A Session

For more information contact Jaime Caceres at Hamilton Physical Therapy Services in Hamilton, New Jersey at (609) 585-2333. Also, visit Hamilton Physical Therapy Services online at http://www.hamiltonphysicaltherapy.org.

TENNESSEE PHYSICAL THERAPY EVENTS

NASHVILLE, TN
DATE: October 15th 2016, 8:00AM – 11:00PM
2016 – 2017 Heart Walk at Vanderbilt University Sport Field
CLINIC: STAR Physical Therapy
Help STAR Physical Therapy reach their goal to raise $5,000 for the American Heart Association. You can help us by donating to our team ($20 donations receive a custom t-shirt) or join the STAR Physical Therapy Heart Walk Team and join us at the event! For more information about STAR Physical Therapy, visit them online at http://www.starpt.com.

TEXAS PHYSICAL THERAPY EVENTS

CLEVELAND, TX
DATE: October 15th 2016, 9:00AM
Walk with a Doc for Hardhats & Little Heads
CLINIC: Cleveland Physical & Occupational Therapy
Cleveland Physical & Occupational Therapy is participating in this year’s Walk With A Doc at the Cleveland High School Track! Bring your friends and family to enjoy a day of fun! Participants will walk on the track with national award winning doctor Dr. Sulaiman, explore vendor booths, receive health and community information as well as meet local fireman and police officers all while getting healthy! Special appearances by Reggie Airman Dixon, Maurice Termite Watkins, and Reggie Johnson. Children will be provided with free bikes, helmets, t-shirts, water bottles, goodie bags and more as part of the Hard Helmets for Little Heads initiative while supplies last. All materials will be distributed on a first come, first served basis. For more information, please contact Kimberly Hughes at (281) 592.2224 – ext. 206 or at khughes@hcset.com. You can also visit the official event website here: http://walkwithadoc.org/our-locations/cleveland-texas/. For more information about Cleveland Physical & Occupational Therapy, visit them online at http://www.clevelandpt.com.

WISCONSIN PHYSICAL THERAPY EVENTS

JEFFERSON, WI
DATE: October 10th 2016, 5:30PM – 6:30PM
JUMP: Great Apple Crunch Fun Run
CLINIC: Sport & Spine Physical Therapy – Jefferson
Sport & Spine Physical Therapy in Jefferson, Wisconsin invites Jefferson community members of all ages to join us in our 4th annual one mile FUN RUN/WALK! Participation ribbons for all children
There will also be refreshments. In the event of inclement weather, it will be canceled with no make-up date. For more information contact Jo Christianson at christiansonj@tds.net.
Also, please visit Sport & Spine Physical Therapy online at http://sportandspineclinic.com.

MERRILL, WI
DATE: October 8th 2016, 8:00AM – 1:00PM
2016 Leaf Pile Run 6th Annual 5k Run/Walk & 1k Kids Run
CLINICS: Sport & Spine Physical Therapy & Merrill Physical Therapy
Please join Sport & Spine Physical Therapy, Merrill Physical Therapy and other WVAM members for a fun and festive fall run, to help support Wisconsin Valley Athletic Medicine by participating in the 2016 Leaf Pile Annual Event. All 5k and 1k participants receive a complimentary wristband for same day entry to Helene’s Hilltop Orchard to enjoy a hayride, corn maze, cow train, and the play area. Complimentary beverages from Red Eye Brewing Co. and root beer from Central Beer Distributors. Need more info? Contact Andy at Sport & Spine Clinic at adavis@usphclinic.com or call (715) 693-7727. For more information about Merrill Physical Therapy, visit them online at http://www.merrillpt.com.