A case-based textual content, now with terminology in step with the APTA's advisor to actual Therapist perform, makes use of a holistic method of the administration of people with amputations. Concise but accomplished, it discusses stressful amputations, juvenile amputees, and the administration of people with peripheral vascular ailments. The 2d version experiences the newest technological advances in prosthetic fabrication and offers details on correct web content.
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Additional info for Amputations and Prosthetics: A Case Study Approach
CHAPTER TWO. 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.
II Va ricosities may be observable. Edema in fOOl and ankle > 1 em. which may not resolve with limb elevation . Client complains 01 heavy aching sensallon with prolonged standing. Evidence of beginning changes in pigm entation in lower leg. Beginninginduration 01the skin. 1\1 Severe thick edema extending 10 midcalf. Client complains of heavy aching pain after short periods of standing. Dark brown pi gm enla~n in the lower leg and ankle. Evidence of skin induralion. dermatitis, and eczema of the lower leg.
No hair below the knee. When the patient stands for several minutes, the skin of both lower legs around the ankles and feet becomes a deepe r purple. ROM: All ranges of motion of both lower extremities are within normal limits except as follows (active and passive ranges are the same): Dorsiflexion active and passive Plantar flexion active and passive Eversion active and passive Inversion active and passive L R 0--9 0--15 0--5 0-10 (h3 0--10 0--5 0-5 Muscle Strength: Musculature around both ankles is in the Fau+ (3 +/S1 range; rest of the lower extremity is in the Good to Good ...