Rehabilitation in Amputees
|
|
- Henry Ray
- 5 years ago
- Views:
Transcription
1 Rehabilitation in Amputees Dr Sue Inglis MBBS FAFRM DipEdClinEd Myers Street Medical Group
2 Bran Nue Leg
3 A limb lost every 3 hours: can Australia reduce amputations in people with diabetes? Shan M Bergin, Jan B Alford, Bernard P Allard, Joel M Gurr, Emma L Holland, Mark W Horsley, Maarten C Kamp, Peter A Lazzarini, Vanessa L Nube, Ashim K Sinha, Jason T Warnock and Paul R Wraight. Med J Aust 2012; 197 (4):
4 30% Increase in diabetes in the last decade 8% of diabetic related deaths are due to foot disease
5 Indigenous people aged years with diabetes Minor amputations were 27 times more likely Major amputations 38 times more likely Paul E Norman, Deborah E Schoen, Joel M Gurr and Marlene L Kolybaba MJA Volume 192 Number 7 5 April 2010
6
7
8
9 Diabetic Complications Wound healing Renal dysfunction Autonomic neuropathy Hypoglycaemia with exercise
10 Level Choosing Factors Treat underlying disease Consider functional potential Preserve length Fast healing Avoid further surgery
11 Energy Consumption in Amputees Level of amputation (Traumatic) BKA BKA + BKA AKA AKA + BKA AKA + AKA Increased energy above normal 20-25% (Short-40%) (Long-10%) 41% (Gonzalez-1974) 60-70% 118% (Traugh-1975) 260% (Huang 1979)
12 Rigid Dressings Immediate oedema control Possible weight-bearing Need appropriate personnel Application immediately post-operatively
13 Range of Motion Pain control pre and post op Avoid propping on pillows, prolonged sitting in flexion Prone lying daily
14 Phantom Pain Anticonvulsants (gabapentin / pregabalin) Adjuvants antidepressants, antiarhythmics, SSRI? topical modalities Total contact shrinkers
15 Early Patient Involvement Pre-op counselling if possible Realistic goal setting Learn to touch, massage and wrap stump Managing prosthesis Risk factor modification
16 Falling and Fear of Falling (lower extremity amputees) Arch Phys Med Rehabil 2001 Aug;82(8):1031-7, Miler et al 52% fell past year 49% fear of falling
17 References 1. Australian Institute of Health and Welfare. Diabetes: Australian facts Canberra: AIHW, (AIHW Cat. No. CVD 40; Diabetes Series No. 8.) (accessed Mar 2012). 2. Payne CB. Diabetes-related lower-limb amputations in Australia. Med J Aust 2000; 173: International Diabetes Federation; International Working Group on the Diabetic Foot. International consensus on the diabetic foot and practical and specific guidelines on the management and prevention of the diabetic foot. Noordwjerhout, Netherlands: IDF, National Health and Medical Research Council. National evidence-based guideline on prevention, identification and management of foot complications in diabetes (part of the guidelines on management of type 2 diabetes). Canberra: NHMRC, (accessed Mar 2012). 5. Menz HB. Utilisation of podiatry services in Australia under the Medicare Enhanced Primary Care Program, J Foot Ankle Res 2009; 2: Lavery LA, Higgins KR, Lanctot DR, et al. Preventing diabetic foot ulcer recurrence in high risk patients: use of temperature monitoring as a self-assessment tool. Diabetes Care 2007; 30: Wraight PR. Improving clinical outcomes for patients with diabetes related foot complications [PhD thesis]. Melbourne: The University of Melbourne, Sydney Health Projects Group, School of Public Health. Chronic and complex priority healthcare programs: evaluation of the Diabetic Foot Disease Program. Sydney: University of Sydney, Santamaria N, Carville K, Ellis I, Prentice J. The effectiveness of digital imaging and remote expert wound consultation on healing rates in chronic lower leg ulcers in the Kimberley region of Western Australia. Primary Intention 2004; 12: May 2012). 10. Norman PE, Schoen DE, Gurr JM, Kolybaba ML. High rates of amputation among Indigenous people in Western Australia [letter]. Med J Aust 2010; 192: NYU School of Medicine, Rusk Rehabilitation Department. 40 th Annual Comprehensive Review of Physical Medicine and Rehabilitation [text book]
Above Knee Amputation: Post-op Information
Above Knee Amputation: Post-op Information This package contains information to help as you begin the recovery process following your amputation. The topics included are: Emotions following an amputation.
More information재활의방법과시기 / 길이는얼마가적당한가?
BK amputation 재활의방법과시기 / 길이는얼마가적당한가? Soo-Kyung, Bok. M.D., Ph.D Chungnam National University Hospital Contents Level selection of BKA Rehabilitation Preoperative management Immediate postoperative management
More informationBelow Knee Amputation: Post-op Information
Below Knee Amputation: Post-op Information This package contains information to help as you begin the recovery process following your amputation. The topics included are: Emotions following an amputation.
More informationDiabetic amputations. Diabetic Amputations. Indications for Major Amputation in Patients with DM
When is Primary Amputation Better for the Patient UCSF Vascular Symposium 2015 Diabetic amputations One of the most feared complications of diabetes : Armstrong Int Wound J 2007 Dane K. Wukich MD UPMC
More informationAssessment and problem solving: starting with a temporary prosthesis
Assessment and problem solving: starting with a temporary prosthesis Stump assessment Skin Colour, temperature, appearance sensitivity and allergies to materials Integrity eg frail, thin, dry Abrasions,
More informationWe would like to thank the following people for their contributions to the report:
0 Acknowledgements Services for Australian Rural and Remote Allied Health (SARRAH) is proud to acknowledge the traditional owners of the land on which we live and work, and pay our respect to their elders
More informationDIABETES AND THE AT-RISK LOWER LIMB:
DIABETES AND THE AT-RISK LOWER LIMB: Shawn M. Cazzell Disclosure of Commercial Support: Dr. Shawn Cazzell reports the following financial relationships: Speakers Bureau: Organogenesis Grants/Research Support:
More informationDiabetic Foot-Evidence that counts
Bahrain Medical Bulletin, Vol. 28, No. 3, September 2006 Family Physician Corner Diabetic Foot-Evidence that counts Abeer Al-Saweer, MD* Evidence-based medicine has systemized the medical thinking in each
More informationHIGH- VOLTAGE PULSED CURRENT (HVPC) ELECTRICAL STIMULATION FOR TREATMENT OF DIABETIC FOOT ULCER (DFU) - A REVIEW
Review Article Allied Science International Journal of Pharma and Bio Sciences ISSN 0975-6299 HIGH- VOLTAGE PULSED CURRENT (HVPC) ELECTRICAL STIMULATION FOR TREATMENT OF DIABETIC FOOT ULCER (DFU) - A REVIEW
More informationSSWAHS EBP Summary Sheet
SSWAHS EBP Summary Sheet PART A SEARCHING THE EVIDENCE 1. Date Commenced: 2003 2. EBP Question Is elastic bandaging or stump shrinkers more effective in reducing residual limb volume in amputations of
More informationAmputations of the digit, ray and midfoot
Amputations of the digit, ray and midfoot Dane K. Wukich M.D. Chief, Division of Foot and Ankle Surgery Medical Director, UPMC Foot and Ankle Center University of Pittsburgh School of Medicine Disclosure
More informationThe estimated burden of diabetes-related foot disease in Australia in 2017
DFA Guides You Through The estimated burden of diabetes-related foot disease in Australia in 2017 Contained in the Australian diabetes-related foot disease strategy 2018-2022 Introduction The backbone
More informationA survey of offloading practices for diabetes-related plantar neuropathic foot ulcers
Raspovic and Landorf Journal of Foot and Ankle Research 2014, 7:35 JOURNAL OF FOOT AND ANKLE RESEARCH RESEARCH Open Access A survey of offloading practices for diabetes-related plantar neuropathic foot
More informationAWMA MODULE ACCREDITATION. Module Five: The High Risk Foot (Including the Diabetic Foot)
AWMA MODULE ACCREDITATION Module Five: The High Risk Foot (Including the Diabetic Foot) Introduction - The Australian Wound Management Association Education & Professional Development Sub Committee-(AWMA
More informationProsthetic Rehab Plan
Prosthetic Rehab Plan First 4 6 weeks after surgery Until sutures are removed, follow the instructions below: Gently wash your limb daily with anti-bacterial soap and water Wear the brown stump shrinker
More informationDiabetes - The Facts
Diabetes - The Facts What is Diabetes? In people with diabetes, blood glucose levels are higher than normal because the body either does not produce enough insulin or cannot use insulin properly. The body
More informationA clinical evaluation of stumps in lower limb amputees
Prosthetics and Orthotics International, 1991, 15, 178-184 A clinical evaluation of stumps in lower limb amputees T. POHJOLAINEN Invalid Foundation Orthopaedic Hospital, Helsinki, Finland Abstract A study
More informationASSESSING THE VASCULAR STATUS OF THE FEET FOR PATIENTS WITH DIABETES
ASSESSING THE VASCULAR STATUS OF THE FEET FOR PATIENTS WITH DIABETES Caroline McIntosh is Senior Lecturer in Podiatry, University of Huddersfield, Yorkshire A reduced blood supply to the lower limb, due
More informationEssential intervention No. 3 Oedema control KEY OBJECTIVES. Danger
Essential intervention No. 3 Oedema control KEY OBJECTIVES To know what causes oedema. To know which kind of oedema needs to be referred for emergency surgery and why. To know the effects of oedema on
More informationWhy RMH Diabetes and Endocrinology is a Centre of Excellence
Why RMH Diabetes and Endocrinology is a Centre of Excellence Peter Colman, on behalf of the whole team Diabetes and Endocrinology Royal Melbourne Hospital History 1926 Nurses instruction clinic established
More informationAnaesthesia and Pain Management for Endo Exo Femoral Prosthesis (EEFP) Bridging the Gap from Surgery to Rehabilitation
Anaesthesia and Pain Management for Endo Exo Femoral Prosthesis (EEFP) Bridging the Gap from Surgery to Rehabilitation Dr Ajay Kumar Senior Lecturer Macquarie and Melbourne University Introduction Amputee
More informationBelow Knee Amputee Home Exercise Program
Below Knee Amputee Home Exercise Program It is important that you take an active role in your rehabilitation. The following exercises must be done every day to prevent complications. After below the knee
More informationAnthony J. Cavallo, DPM Sentara Podiatry Specialists 4/27/2018. Lose a toe, Save a Limb: The Value of Complex Foot Reconstructions
Anthony J. Cavallo, DPM Sentara Podiatry Specialists 4/27/2018 Lose a toe, Save a Limb: The Value of Complex Foot Reconstructions Objectives Review the morbidity and mortality associated with amputation
More informationResearch Article Foot Complications in a Representative Australian Inpatient Population
Hindawi Journal of Diabetes Research Volume 2017, Article ID 4138095, 12 pages https://doi.org/10.1155/2017/4138095 Research Article Foot Complications in a Representative Australian Inpatient Population
More informationRapid Recovery Hyperbarics 9439 Archibald Ave. Suite 104 Rancho Cucamonga CA,
Foot at risk Age Well By Dr LIEW NGOH CHIN Are limb amputations due to diabetes preventable? DIABETES mellitus is a major global health problem and has reached epidemic proportions in many developed and
More informationCare of the Diabetic Patient
Care of the Diabetic Patient Aarti Deshpande, CPO Clinic Manager Zuckerberg San Francisco General Department of Orthopaedic Surgery University of California, San Francisco March 16, 2017 Diabetes Diabetes
More informationused despite its inability to maintain continuous snugness and the difficulty encountered in applying the wrap. The usefulness of this type of dressin
Comparing the Effectiveness of Elastic Bandages and Shrinker Socks for Lower Extremity Amputees Kathleen J. Manella, B.S., R.P.T. Delaying prosthetic fitting because of inadequate shrinkage of the residual
More informationHealth and Human Development
Sample examination material 22 Health and Human Development Written examination November Introduction The following advice is part of the implementation of the Health and Human Development examination
More informationPhysiotherapy management
Physiotherapy management Pre-operative Focus is on the objective assessment looking at ROM and muscle power. Using assessment findings, knowledge of prosthetic componentry and gait patterns, provide a
More informationMeet the Expert: Diabetes Foot Disease and the NADC Foot Network Working Party
Meet the Expert: Diabetes Foot Disease and the NADC Foot Network Working Party Professor Stephen Twigg MBBS(Hons-I), PhD(Syd), FRACP Head, Dept of Endocrinology, the High Risk Foot Service, and Endocrinology
More informationSurgical Off-loading. Reiber et al Goals of Diabetic Foot Surgery 4/28/2012. The most common causal pathway to a diabetic foot ulceration
Reiber et al. 1999 Surgical Off-loading The most common causal pathway to a diabetic foot ulceration Alex Reyzelman DPM Associate Professor California School of Podiatric Medicine at Samuel Merritt University
More informationAboriginal and Torres Strait Islander women and cervical cancer prevention. Menzies School of Health
Aboriginal and Torres Strait Islander women and cervical cancer prevention Menzies School of Health Research @lisa_j_whop Cervical cancer incidence, worldwide GLOBOCAN 2012 Indigenous Australian women
More informationProf. Dr. Sehnaz Karadeniz
Prof. Dr. Sehnaz Karadeniz An ophthalmologist, Dr. Karadeniz has been actively involved in the field of diabetes for the past 20 years in a series of medical, scientific and social projects both at national
More informationDiabetic/Neuropathic Foot Ulcer Assessment Guide South West Regional Wound Care Program Last Updated April 7,
Developed in collaboration with the Wound Care Champions, Wound Care Specialists, Enterostomal Nurses, and South West Regional Wound Care Program (SWRWCP) members from Long Term Care Homes, Hospitals,
More informationMICROFRACTURE & PASTE GRAFT
MICROFRACTURE & PASTE GRAFT Overview This is a protocol that provides you with general information and guidelines for the initial stage and progression of rehabilitation according to the listed timeframes.
More informationManagement of Diabetic Foot Ulcers. {Original Article (Diabetic Foot Ulcers)} 1. Ansar Latif 2. Anila Ansar 3. Sadia Waheed 4. Abdul Hamid ABSTRACT
Management of Diabetic Foot Ulcers {Original Article (Diabetic Foot Ulcers)} 1. Ansar Latif 2. Anila Ansar 3. Sadia Waheed 4. Abdul Hamid 1. Asstt. Prof. of Surgery, Islam Teaching Hospital Sialkot 2 &
More informationMonitoring Prevent. Can Temperature. DFUs
Can Temperature Monitoring Prevent DFUs Alexander Reyzelman DPM Associate Professor, California School of Podiatric Medicine at Samuel Merritt University Oakland, CA Co-Director, UCSF Center for Limb Preservation
More informationDiabetic Foot Ulcer Treatment and Prevention
Diabetic Foot Ulcer Treatment and Prevention Alexander Reyzelman DPM, FACFAS Associate Professor California School of Podiatric Medicine at Samuel Merritt University Diabetic Foot Ulcers One of the most
More informationPHYSIOTHERAPY AND DIABETES
PHYSIOTHERAPY AND DIABETES March 2006 Executive Summary The Australian Physiotherapy Association (APA) strongly supports the use of multidisciplinary teams to provide evidence-based care to individuals
More informationBRIDGING THE GAP. Know your population How bad is it? Is it changing? Why the difference? The continuum of care
Aboriginal & Torres Strait Islander diabetes and coronary heart disease BRIDGING THE GAP Graeme Maguire Cairns Base Hospital James Cook University Deaths per 1 population 1 1 8 6 4 8 6 4 1977 1981 Ischaemic
More informationAbove Knee Amputee Home Exercise Program
An Amputee Associates Clinic Above Knee Amputee Home Exercise Program It is important that you take an active role in your rehabilitation. The following exercises must be done every day to prevent complications.
More informationANTERIOR CRUCTIATE LIGAMENT RECONSTRUCTION COLLATERAL LIGAMENT RECONSTRUCION/REPAIR AND MENISCUS REPAIR REHABILITATION PROTOCOL
ANTERIOR CRUCTIATE LIGAMENT RECONSTRUCTION COLLATERAL LIGAMENT RECONSTRUCION/REPAIR AND MENISCUS REPAIR REHABILITATION PROTOCOL GENERAL GUIDELINES - The local anesthetic (similar to novacaine) in your
More informationConservative Management to Restore and Maintain Function in Limb Preservation Patients
Conservative Management to Restore and Maintain Function in Limb Preservation Patients Tyson Green, DPM Department Chair Imperial Health Center for Orthopaedics Lake Charles, LA Founder & Medical Director
More informationIndex. Foot Ankle Clin N Am 11 (2006) Note: Page numbers of article titles are in boldface type.
Foot Ankle Clin N Am 11 (2006) 865 869 Index Note: Page numbers of article titles are in boldface type. A Alpha-lipoic acid, in diabetic neuropathy, 764 Amputation(s), lower-extremity, in diabetes, 791
More informationHeart health CHD management gaps in general practice
professional practice Nancy Huang MBBS, DipRACOG, MPH, is National Manager Clinical Programs, Heart Foundation, Melbourne, Victoria. nancy.huang@heartfoundation.org.au Marcus Daddo BSc(Hons), is Manager
More informationKnee Joint Moments of Transtibial Amputees While Cycling. Laura Jones April 16, 2008
Knee Joint Moments of Transtibial Amputees While Cycling Laura Jones April 16, 2008 INTRODUCTION Main Goal Improve Quality of Life for Amputees Rehabilitation Exercise Amputees less active than nonamputees
More informationMICROFRACTURE & PASTE GRAFT
MICROFRACTURE & PASTE GRAFT Overview This is a protocol that provides you with general information and guidelines for the initial stage and progression of rehabilitation according to the listed timeframes.
More informationDisclosures. Outpatient NPWT Options Free up Hospital Beds, but Do They Work? Objectives. Clinically Effective: Does it Work?
4/16/16 Disclosures Consultant, Volcano Corporation Outpatient Options Free up Hospital Beds, but Do They Work? UCSF Vascular Symposium 16 Jonathan Labovitz, DPM Medical Director, Foot & Ankle Center Associate
More informationHepatitis B from targeted screening and immunisation of migrant mothers to universal immunisation in Australia
Hepatitis B from targeted screening and immunisation of migrant mothers to universal immunisation in Australia Tilman Ruff Nossal Institute for Global Health, University of Melbourne Consultant: Australian
More informationTHE FIRST STEP towards ending avoidable amputations within a generation
THE FIRST STEP towards ending avoidable amputations within a generation Australian Diabetes-Related Foot Disease Strategy 2018-2022 CONTENTS 04 Executive Summary 06 09 15 22 27 Introduction Access to care
More informationSalvaging the Unsalvageable: Intermittent Pneumatic Compression and Foot Ulcer Healing. Revascularize (when possible)
Salvaging the Unsalvageable: Intermittent Pneumatic Compression and Foot Ulcer Healing Thom Rooke, MD Thom Krehbiel Professor of Vascular Medicine Mayo Clinic Approach to the Severely Ischemic Limb Identify
More informationHEART DISEASE. Six actions the next Australian Government must take to tackle our biggest killer: National Heart Foundation of Australia 2016
Six actions the next Australian Government must take to tackle our biggest killer: HEART DISEASE National Heart Foundation of Australia 2016 NATIONAL HEART FOUNDATION OF AUSTRALIA 1 Contents The challenge
More informationA new classification of the diabetic ischaemic foot promotes a modern approach to treatment. Michael Edmonds King s College Hospital London
A new classification of the diabetic ischaemic foot promotes a modern approach to treatment Michael Edmonds King s College Hospital London Disclosure Speaker name: Michael Edmonds... I have the following
More informationThe National Framework for Gynaecological Cancer Control
The National Framework for Gynaecological Cancer Control CNSA Annual Congress 13 May 2016 Jennifer Chynoweth General Manager, Cancer Care Cancer Australia Current and emerging issues in gynaecological
More informationThursday 25 October. Hall A
Thursday 25 October Hall A 14:00-15:15 : Neuropathy Diabetic neuropathy: Newer insights into pathogenesis and management Can we prevent diabetic neuropathy? Motor neuropathy: A neglected complication of
More informationSTATE UNIVERSITY OF NEW YORK COLLEGE OF TECHNOLOGY CANTON, NEW YORK COURSE OUTLINE. PHTA 204 -Cardiopulmonary and Integumentary Pathologies
STATE UNIVERSITY OF NEW YORK COLLEGE OF TECHNOLOGY CANTON, NEW YORK COURSE OUTLINE PHTA 204 -Cardiopulmonary and Integumentary Pathologies PREPARED BY: Deborah S. Molnar SCHOOL OF SCIENCE, HEALTH, AND
More informationQuicker application Great comfort. TCC wound healing rate 1,2. Advancing the Gold Standard of Care. ESSENTIAL TO HEALTH
Quicker application Great comfort GOLD STANDARD OF CARE TCC wound healing rate 1,2 Advancing the Gold Standard of Care. ESSENTIAL TO HEALTH Why risk any other treatment method? Potential consequences for
More informationChapter 37: Exercise Prescription in Patients with Diabetes
Chapter 37: Exercise Prescription in Patients with Diabetes American College of Sports Medicine. (2010). ACSM's resource manual for guidelines for exercise testing and prescription (6th ed.). New York:
More informationARTHROSCOPIC KNEE SURGERY REHABILITATION PROTOCOL MENISCUS REPAIR
GENERAL GUIDELINES ARTHROSCOPIC KNEE SURGERY REHABILITATION PROTOCOL MENISCUS REPAIR - The local anesthetic (similar to novacaine) in your knee lasts 6-12 hours - Start taking the pain medication as soon
More information2017 WA Election Platform
2017 WA Election Platform About PHAIWA The Public Health Advocacy Institute of Western Australia (PHAIWA) aims to raise the public profile and understanding of public health, develop local networks and
More informationManagement of Patients Undergoing Dysvascular Limb Amputation. Dr. Amanda Mayo Sunnybrook Health Sciences Centre
Management of Patients Undergoing Dysvascular Limb Amputation Dr. Amanda Mayo Sunnybrook Health Sciences Centre Disclosure No commercial or funding conflicts of interest Objectives Estimate perioperative
More informationPhysical activity. Policy endorsed by the 50th RACGP Council 9 February 2008
This paper provides a background to the Royal Australian College of General Practitioners (RACGP) current position on physical activity, as set out in the RACGP Guidelines for preventive activities in
More informationMy Diabetic Patient Has No Pulses; What Should I Do?
Emily Malgor, MD Assistant Professor of Surgery University of Oklahoma, Oklahoma City My Diabetic Patient Has No Pulses; What Should I Do? There are no disclosures. Background Diabetes affects 387 million
More informationJames R. Romanowski, M.D.
James R. Romanowski, M.D. Novant Health Perry & Cook Orthopedics and Sports Medicine 2826 Randolph Rd. Charlotte, NC 28211 704-358-0308 (Office) 704-358-0037 (Fax) www.charlotteshoulder.com DISCHARGE INSTRUCTIONS
More informationSecondary Prevention Alliance. Progress and Achievements Report. August 2014
Progress and Achievements Report August 2014 Australian : c/- The George Institute for Global Health PO Box M201 Missenden Rd NSW 2050 Australia t 02 9993 4551 f 02 9993 4501 e seriksson@georgeinstitute.org.au
More informationAudit and Implementation Guide: Clinical guidelines for the pre and post operative physiotherapy management of adults with lower limb amputations
2nd Edition- 2016 Audit and Implementation Guide: Clinical guidelines for the pre and post operative physiotherapy British Association of Chartered Physiotherapists in Amputee Rehabilitation NICE has accredited
More informationCase 1. Full-thickness burns covering approximately 54% TBSA Patient Male, 25. Major Roy Danks, United States Army Reserve
CASE STUDIES Traumatic wounds Case 1 Diagnosis Full-thickness burns covering approximately 54% TBSA Patient Male, 25 Location Whole body Surgeon Major Roy Danks, United States Army Reserve Micrografting
More informationWhat is the clinical problem?
Team T2D: Empowering people living with Type 2 Diabetes Implementation and Evaluation of the Combined RBWH and QUT Health Clinics Model of Care for Patients with Type 2 Diabetes Adrienne Young: Research
More informationThe first step to Getting Australia s Health on Track
2017 The first step to Getting Australia s Health on Track Heart Health is the sequential report to the policy roadmap Getting Australia s Health on Track and outlines a national implementation strategy
More informationIs Neuropathy the root of all evil in the diabetic foot?
Is Neuropathy the root of all evil in the diabetic foot? Andrew J M Boulton, Manchester UK and Miami, FL Vice-President and Director of International Postgraduate Education, EASD The Global Burden of Diabetes
More informationEffect of endurance training program based on anaerobic threshold (AT) for lower limb amputees
Journal of Rehabilitation Research and Development Vol. 38 No. 1, January/February 2001 Pages 7 11 Effect of endurance training program based on anaerobic threshold (AT) for lower limb amputees T. Chin,
More informationISSN East Cent. Afr. J. surg
Prevalence, Indications, Levels and Outcome Limb amputations at University Teaching Hospital-Butare in Rwanda. Murwanashyaka E, Ssebuufu R, Kyamanywa P. University Teaching Hospital-Butare (UTH-B),Huye,Rwanda
More informationThe diabetic foot a focus on ischemia and infection
The diabetic foot a focus on ischemia and infection Stephan Morbach, MD Department of Diabetes and Angiology Marienkrankenhaus ggmbh Soest, Germany s.morbach@mkh-soest.de Epidemiology of Diabetic Foot
More informationClinical assessment of diabetic foot in 5 minutes
Clinical assessment of diabetic foot in 5 minutes Assoc. Prof. N. Tentolouris, MD 1 st Department of Propaedeutic Internal Medicine Medical School Laiko General Hospital Leading Innovative Vascular Education
More informationDiagnosis code for chronic non healing wound
Мобильный портал WAP версия: wap.altmaster.ru Diagnosis code for chronic non healing wound Aug 8, 2017. This article offers practical guidance to the diagnostic coding for ulcers the skin that fails to
More informationEXERCISES FOR AMPUTEES. Joanna Wojcik & Niki Marjerrison
EXERCISES FOR AMPUTEES Joanna Wojcik & Niki Marjerrison Amputation A condition of disability resulting from the loss of one or more limbs 1.7 million people living with limb loss in the US (1 out of every
More informationPeripheral Neuropathy
Peripheral Neuropathy Neuropathy affects 30-50% of patient population with diabetes and this prevalence tends to increase proportionally with duration of diabetes and dependant on control. Often presents
More informationORTHOTICS COMPETENCY FRAMEWORK FOR THE PREVENTION, TREATMENT AND MANAGEMENT OF DIABETIC FOOT DISEASE - 1 -
ORTHOTICS COMPETENCY FRAMEWORK FOR THE PREVENTION, TREATMENT AND MANAGEMENT OF DIABETIC FOOT DISEASE - 1 - THE ORTHOTICS COMPETENCY FRAMEWORK FOR THE PREVENTION, TREATMENT AND MANAGEMENT OF DIABETIC FOOT
More informationRehabilitation after ankle injuries
Rehabilitation after ankle injuries Ahmed Thabet, M.D. Assistant Professor Department of Orthopaedic Surgery & Rehabilitation Texas Tech University Health Sciences Center El Paso What are our objectives?
More informationHEALTH AND HUMAN DEVELOPMENT
Victorian CertiÞcate of Education 2005 SUPERVISOR TO ATTACH PROCESSING LABEL HERE STUDENT NUMBER Letter Figures Words HEALTH AND HUMAN DEVELOPMENT Written examination Monday 7 November 2005 Reading time:
More informationSetting the pace: the 2011 Australasian Podiatry Council conference
JOURNAL OF FOOT AND ANKLE RESEARCH Setting the pace: the 2011 Australasian Podiatry Council conference Menz and Firth Menz and Firth Journal of Foot and Ankle Research 2011, 4:20 (15 July 2011) JOURNAL
More informationIntroduction. Peripheral arterial disease. Hospital inpatient data - 5,498 FCE (2009/10), & 530 deaths in England alone
1 Introduction 2 Introduction Peripheral arterial disease Affects 20% adults in Europe and North America In the UK 500-1000/million PAD, 1-2% require amputation LLA 8-15% in people with diabetes with up
More informationBreast screening among Indigenous women in Australia. Sue Moore Menzies School of Health Research
Breast screening among Indigenous women in Australia Sue Moore Menzies School of Health Research I acknowledge the traditional owners and custodians of the land in which we are meeting today. I wish to
More informationKnee Replacement PROGRAM. Nightingale. Home Healthcare
Knee Replacement PROGRAM TM Nightingale Home Healthcare With the help of Nightingale s experienced and professional rehabilitation team, you will be guided through a more complete and successful recovery
More informationManuscript Title: Estimating Treatment Rates for Mental Disorders in Australia
Manuscript Title: Estimating Treatment Rates for Mental Disorders in Australia Authors: 1 st Author Name Harvey A. Whiteford Qualifications: MPH, FRANZCP Position: Kratzmann Professor of Psychiatry and
More informationTransmetatarsal amputation in an at-risk diabetic population: a retrospective study
The Journal of Diabetic Foot Complications Transmetatarsal amputation in an at-risk diabetic population: a retrospective study Authors: Merribeth Bruntz, DPM, MS* 1,2, Heather Young, MD 3,4, Robert W.
More informationDiabetic/Neuropathic Foot Ulcer Assessment Guide South West Regional Wound Care Program Last Updated June 10,
Developed in collaboration with the Wound Care Champions, Wound Care Specialists, Enterostomal Nurses, and South West Regional Wound Care Program (SWRWCP) members from Long Term Care Homes, Hospitals,
More informationOvarian Cancer Australia submission to the Senate Select Committee into Funding for Research into Cancers with Low Survival Rates
Queen Victoria Women s Centre Level 1, 210 Lonsdale Street Melbourne, VIC 3000 T 1300 660 334 F +61 3 9569 3945 30 April 2017 www.ovariancancer.net.au Committee Secretary Select Committee into Funding
More informationMobility & Wound Healing a2er Trauma6c Amputa6on. David Jones PT, CWS Duke University Medical Center Department of Physical and Occupa6onal Therapy
Mobility & Wound Healing a2er Trauma6c Amputa6on David Jones PT, CWS Duke University Medical Center Department of Physical and Occupa6onal Therapy Objec6ves Discuss the physical therapist s role during
More informationApplication of Cast Brace for Post Acute Care of Lower Extremity Fractures
Application of Cast Brace for Post Acute Care of Lower Extremity Fractures Roy Snelson, C.P.O.*, George Irons, C.P.O.**, and Vert Mooney, M.D.*** The fracture cast brace is designed to allow early ambulation
More informationPatellar Tendon / Quad Tendon Repair Surgery Discharge Instructions
Matthew T. Mantell, MD 128 Medical Circle Winchester, VA 22601 Phone: 540-667-8975 Email: mattmantellmd@gmail.com Web: www.mattmantellmd.com Patellar Tendon / Quad Tendon Repair Surgery Discharge Instructions
More informationBC VASCULAR DAY PRELIMINARY PROGRAM. November 3, :30am 4:00pm
7:30am 4:00pm University of British Columbia 6163 University Boulevard Vancouver, B.C. V6T 1Z1 PRELIMINARY PROGRAM The Most Comprehensive One-Day Vascular Symposium in British Columbia For registration:
More informationFacts and Myths about Wounds
Facts and Myths about Wounds Thomas M. Bozzuto, DO, FACEP, UHM, FFACHM, FUHM. FFAPWCAc Medical Director, Phoebe Wound Care and Hyperbaric Center, Albany, GA Past President, American College of Hyperbaric
More informationBone-Patellar tendon-bone Autograft ACL Recon. Date of Surgery: Patient Name:
Dx: o Right o Left Bone-Patellar tendon-bone Autograft ACL Recon Date of Surgery: Patient Name: PT/OT: Please evaluate and treat. Follow attached protocol. 2-3 x per week x 6 weeks. Signature/Date: GENERAL
More information19 Date clinically ready for DD/MM/YYYY Record date patient was clinically ready for discharge after delay 2
Australian Rehabilitation Outcomes Centre (AROC) Amputation Impairment specific adjunct module to the AROC dataset Please use this excel workbook to record additional data on your amputatee patients. Collection
More informationChristopher Gorrell PT, DPT May 5, 2016
25th Annual Prosthetics Course Pre and Post-Prosthetic Rehab from a Therapist's Perspective Christopher Gorrell PT, DPT May 5, 2016 1 Objectives To review the primary goals related to treatment of a patient
More informationAn Intervention Program to Reduce Falls for Adult In-Patients Following Major Lower Limb Amputation
Improving Care at the Front Lines An Intervention Program to Reduce Falls for Adult In-Patients Following Major Lower Limb Amputation David Dyer, Bonnie Bouman, Monique Davey and Kathleen P. Ismond Abstract
More informationStudy on clinical profile of patients attending a tertiary care hospital with diabetic foot from Andhra Pradesh
Original research article Study on clinical profile of patients attending a tertiary care hospital with diabetic foot from Andhra Pradesh Dr Chakrapani Prabhakar Raju MD (General Medicine), Assistant Professor,
More informationDeborah Behre, DPM
Deborah Behre, DPM db.foot@comcast.net NO DISCLOSURES SAVE THE DATE! SEPTEMBER 22 WHO CARES? PATIENTS FAMILY & FRIENDS YOU, YOUR STAFF AND YOUR PRACTICES THE HEALTH CARE SYSTEM (MEDICARE) CDC & WHO EVERY
More information