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Sveikatos grąžinamojo gydymo įtaka pacientų po kojos amputacijos mobilumui pirminio protezavimo laikotarpiu / Early rehabilitation after lower limb amputation and influence on mobility in the primary stage of prostheticsGarbenienė, Gražina 17 May 2005 (has links)
In Lithuania there is a widespread opinion that the best time for applying prosthesis for lower extremity is, on average, six months after the amputation. However, in many countries the process of preparation for prosthetics begins immediately after leaving the surgical department.
The aim of this work was to estimate the effect of health returnable on mobility of the patients after the lower extremity amputation in the primary stage of prosthetics. The patients whom the early physiotherapy program after the amputation was applied, were compared with the patients who came back to hospital for prosthetic after 8,5 months after trans-tibial amputation without the health returnable treatment.
The muscle force of the amputated lower extremity and the knee and hip joint motion range were measured for both groups of the patients before and after the primary prosthetics stage. The patients balance and mobility were estimated using the “Functional reaching” and “Get up and go” tests.
The patients who came for prosthetics, on the average, after 8,6 months had lower range of knee and hip joint extension, a weaker force of calf and thigh extension, abduction. The worse results were obtained in performing the “Get up and go” test, which requires the ADL: to stand up, to turn, to go, and to sit down on the chair.
The muscle force, the range of motion, balance and motor abilities reliably improved in both groups after the primary prosthetics. However, the patients who underwent the health... [to full text]
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