1\Over View
1\ A- Target population:This unit is directed to the second class students in the
physiotherapy department
1\ B- rationale:Therapeutic method is very important subject to be studied in
order to have a full knowledge about its definition, and causes
of disease, clinical feature, medical treatment, surgical
treatment, and physical treatment.
1\C- central idea:1- Amputation definition
2- Surgical amputation is undertaken for the following
reasons
3- Levels of amputation
4- Post operative management
5- Principle of pre operative physiotherapy
6- Principle of post operative physiotherapy
2\ performance objectives:1.
2.
3.
4.
5.
Define of amputation
What are the reasons for the surgical amputation
Name the level of amputation
Explain the post operative management
Discus the principle of pre and post operative
physiotherapy
3\ pre test:1. Amputation means
a-discontinuity of structure b- ablation of the whole or
partial limbs c- paralysis of the lower limbs
2. One of causes for the surgical amputation
a. Cross and multiple injuries
b. Spinal cord damage
c. To increase the spread of infection
3. Levels of amputation in lower limb
a.finqers of thumb b. mid fore arm c. mid thigh
4. post operative management
A . spinal support by plaster jacket
B . prevent limitation
C . permanent prosthesis fitted later
5. prevention of contracture one of from
a. principle of pre operative physiotherapy
b. principle of post operative physiotherapy
c. principle of physiotherapy
Note:
-Check your answer in key answer page at the ending of
this modular unit.
-2degree for each.
4\ the text:: amputation is the ablation of the whole or partial of a limb
Quiz 1 Define of amputation?
Note
Check your answers in key answer page at the ending of
this modular unit.
1)
2)
3)
4)
5)
6)
7)
To save the pt. life (tumor).
To prevent the spread of infection (gas gangrene).
To improve mobility and function (gross deformity).
Peripheral vascular disease (diabetic patient).
Malignant bone disease (osteo sarcoma).
Cross and multiple injuries.
Flail limb (brachial plexus lesion of the upper limb).
Quiz 2 What are the reasons for the surgical amputation?
Note
Check your answers in key answer page at the ending of
this modular unit.
Lower limb:
1)
2)
3)
4)
5)
Hind quarter.
Disarticulation of the hip.
Mid thigh.
Through knee or critti stokes.
Below knee.
6) Symes.
7) Toes.
upper limb :
1)
2)
3)
4)
5)
Fore quarter.
Disarticulation of shoulder.
Upper arm amputation.
Mid for arm.
Fingers of thumb.
Quiz 3 Name the level of amputation?
Note
Check your answers in key answer page at the ending of
this modular unit.
1)
2)
3)
4)
5)
Wound is drained for two to three days.
Patient is allowed up after two or three days.
Application of stump bandage applied.
Immediate prosthesis applied few days (lower limb).
Permanent prosthesis fitted later.
Quiz 4 Explain the post operative management?
Note
Check your answers in key answer page at the ending of
this modular unit.
Principle of pre operative physiotherapy
1) Gain the patient’s confidence.
2) Assure respiratory function.
3) Commence the rehabilitation programs by teaching ex appropriate
…….
Principle of post-operative physiotherapy
_prevention of contractures a- posture and position of stump.
b- appraperties of exe.
Strengthening muscle of
a- stump
b- Trunk
c- Arm
d- Scapula
Function of training: application and scar of prosthesis (lower limb)
1) Mobility 2)dressing 3)toilet
_training in use of prosthesis usually under token by occupational
therapists in special units
_prepetition for home and work
Control oedema
1) Exercises for all muscle groups of stump.
2) Stump bandage.
3) Regular wearing of prosthesis.
Quiz 5 Discus the principle of pre and post operative
physiotherapy?
Note
Check your answers in key answer page at the ending of
this modular unit.
5\ post test
1. Levels of amputation in lower limb
a.finqers of thumb b. mid fore arm c. mid thigh
2. post operative management
A . spinal support by plaster jacket
B . prevent limitation
C . permanent prosthesis fitted later
3. prevention of contracture one of from
a. principle of pre operative physiotherapy
b. principle of post operative physiotherapy
c. principle of physiotherapy
4. Amputation means
a-discontinuity of structure b- ablation of the whole or
partial limbs c- paralysis of the lower limbs
5. One of causes for the surgical amputation
d. Cross and multiple injuries
e. Spinal cord damage
f. To increase the spread of infection
6\ key answer
1- Pre test
1-b
2-a
3-c
4-c
5-b
2- post test
1-c
2-c
3-b
4-b
5-a
Quiz 1:: amputation is the ablation of the whole or partial of a limb
Quiz 2:
1- To save the pt. life (tumor).
3- To prevent the spread of infection (gas gangrene).
4- To improve mobility and function (gross deformity).
5- Peripheral vascular disease (diabetic patient).
6- Malignant bone disease (osteo sarcoma).
7- Cross and multiple injuries.
8- Flail limb (brachial plexus lesion of the upper limb).
Quiz 3:
Lower limb:
1234567-
Hind quarter.
Disarticulation of the hip.
Mid thigh.
Through knee or critti stokes.
Below knee.
Symes.
Toes.
upper limb :
12345-
Fore quarter.
Disarticulation of shoulder.
Upper arm amputation.
Mid for arm.
Fingers of thumb.
Quiz4:
12345-
Wound is drained for two to three days.
Patient is allowed up after two or three days.
Application of stump bandage applied.
Immediate prosthesis applied few days (lower limb).
Permanent prosthesis fitted later.
Quiz 5
Principle of pre operative physiotherapy
1- Gain the patient’s confidence.
2- Assure respiratory function.
3- Commence the rehabilitation programs by teaching ex appropriate
…….
Principle of post-operative physiotherapy
_prevention of contractures a- posture and position of stump.
b- appraperties of exe.
Strengthening muscle of
a- stump
b- Trunk
c- Arm
d- Scapula
Function of training: application and scar of prosthesis (lower limb)
2) Mobility
2)dressing
3)toilet
_training in use of prosthesis usually under token by occupational
therapists in special units
_prepetition for home and work
Control oedema
1- Exercises for all muscle groups of stump.
2- Stump bandage.
3- Regular wearing of prosthesis.
References
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Physiotherapy in some surgical condition
Cush. J. E
Tidys massage and remedial exercises
internet