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Amputation

Amputation is a major blow to anyone, both physically and psychologically. To help a person deal with the loss of a limb a team of trained professionals is engaged – a doctor, a prosthetist, a psychologist, and nurses. To rehabilitate an amputee, a physiotherapist is also required.

When a person is adjusting to life without a limb, a physiotherapist is almost indispensable in the patient’s healing process. An amputee has to deal with several physical and physiological issues the. Among these are phantom pains, which are painful sensations that seem to emanate from the limb that has already been removed, as if it still exists. These are nervous responses and require physiotherapy to overcome and treat it.

A prosthetic limb is a must-have for most amputees. Though it is a common notion that learning how to wear it is enough, most don’t realize how difficult it can be to adjust to an alien appendage. There are many amputees who have been wearing prosthetic limbs for years, but can still not function normally. Such situations only underline the need for amputee rehabilitation.

The use of a prosthetic limb can be made easier with physiotherapy. Therapy allows a person to get used to the new limb. The routine followed by the patient for this adaptation depends on individual needs and abilities.

Often amputees lose their sense of balance and have to be taught how to walk or stand without support. This is seen more often in the case of a leg or foot amputation. That, however, does not mean that a person who loses an arm will not have a problem with his balance. The redistribution of weight due to the loss of an arm can also result in balancing problems for the amputee.

Many amputees do not realize that it is possible to completely mask a limp, even with the use of a prosthetic limb, if the person learns to walk in the best suitable manner. Physiotherapist are able to train amputees during the rehabilitation program and once this limp is camouflaged, the battle is half won.

It is best to begin physiotherapy immediately after the surgery, to avoid the weakening or unequal strengthening of muscles. An amputee subconsciously uses only one set of muscles as far as possible to avoid strain on the weakened set, thus weakening them further. The sooner the physiotherapy starts, the easier it will be to address such issues.

Physiotherapy for amputees is never a generalized program. It depends on individual needs and will always be a program tailor-made to suit the patient. Exercise routines are customized according to the kind of rehabilitation required in the case of each amputee.

Massages, otherwise called manual therapies, are also included in the physiotherapy program. Exercise stresses the muscles and manual therapy helps to ease out the tension and pain from the muscles that are being taxed to adjust to their difficult situation. Other manual therapies include acupuncture, heat compresses, ultrasound massages and electrical stimulation.

In amputee rehabilitation programs, physiotherapy is an indispensable treatment. A person having lost a limb needs such therapy and help without any question. Yet there are amputees who think it is not necessary, or are too shocked to consider recovery a possibility. It is imperative that such patients be convinced to start physiotherapy to get back to their normal daily lives without feeling at a loss.

Dr Alex B. Miguel
http://www.articlesbase.com/medicine-articles/introduction-to-physical-therapy-rehabilitation-of-amputees-and-the-advantages-of-physiotherapy-435972.html

Brought to you by Physical Therapy Roswell

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I am wanting to go into physical therapy or sports medicine when i get older. I was wondering if someone could tell me what the difference is between physical therapy and occupational therapy though. Thanks in advance! Happy new year!!

Physical Therapy and Occupational Therapy both aim to help a patient improve their abilities. The Physical Therapist will do this primarily by working with the patient to change their muscles, balance, strength, power, or stamina etc. Their treatment will usually include exercises that will work on different muscles or movements so that the patient increases their amount of movement, or relearns to move in a correct way. The physical therapist may need to work on the patient first by applying heat, or moving their arms legs etc for them. A physical therapist can work with sports injuries (as you say), and also with people who have had accidents ie. Stroke, Head Injury, amputation etc. They also work with people who need to improve their balance i.e. the elderly who have lost mobility skills, their input them helps prevent a patient from falling and breaking their hips etc. Physical therapists are also vital in helping children and adults with disabilities learn how to move.
An Occupational Therapist’s aim is to help a patient to gain as much independence in daily activities as possible. Activities include being able to do essential things like washing, eating etc, things you need to do like food preparation, getting out etc and things they would like to do i.e. working, hobbies etc. Reasons why activities are difficult vary from person to person – so the patient may not be able to eat because they cannot move their arm / hand. Treatment could therefore start with helping the patient improve their hand/ arm movements. This could look like physical therapy. If a patient cannot achieve the movement required though the occupational therapist will then work to adapt the activity – for example by giving the patient the correct specialist cutlery, or a special plate. The OT knows how to help a patient develop their skills, and adapt the activity and the environment – so they can advise to have ramps, lifts etc put in for a new wheelchair user too.
All the treatment that an occupational therapist gives will be activity based. So an OT uses a task as a means of improving a patent’s skill. So a physical therapist will give an exercise ie. making a pinch grip 10 times, but an OT will get the patient to pick up something tiny within an activity that they want to do i.e for a child – playing a game with small counters.
Physical therapist’s tend to have a more in depth knowledge of the muscular skeletal system, occupational therapists are expert in task analysis and working out how to enable someone to do things for themselves,rather than requiring assistance. These 2 disciplines frequently work closely together on the the same patient.
I hope this helps!

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