| Rehabilitation factors following transmetatarsal amputation. | |
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MedLine Citation:
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PMID: 7972363 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Despite the occurrence of approximately 10,000 transmetatarsal amputations (TMAs) a year in the United States, there are few reports describing rehabilitation for this patient group. The purposes of this clinical perspective are (1) to identify common problems encountered during rehabilitation of patients with TMA, (2) to identify factors that may contribute to these problems, and (3) to propose methods to manage these problems. A review of the literature and biomechanical models of the residuum, footwear, and orthotic devices are provided to help accomplish these purposes. Common problems encountered during rehabilitation of patients with TMA are skin breakdown and instability during functional activities. Decreased foot length and peripheral neuropathies appear to contribute to these problems. Solutions focus on attempting to provide a substitute for the plantar-flexor lever arm and protection of the insensitive residual foot. Suggestions for additional research are presented. |
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Authors:
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M J Mueller; D R Sinacore |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S.; Review |
Journal Detail:
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Title: Physical therapy Volume: 74 ISSN: 0031-9023 ISO Abbreviation: Phys Ther Publication Date: 1994 Nov |
Date Detail:
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Created Date: 1994-12-01 Completed Date: 1994-12-01 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0022623 Medline TA: Phys Ther Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1027-33 Citation Subset: AIM; IM |
Affiliation:
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Program of Physical Therapy, Washington University School of Medicine, St Louis, MO 63110-1093. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Accidental Falls
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statistics & numerical data Activities of Daily Living Amputation / adverse effects, rehabilitation* Biomechanics Foot Ulcer / epidemiology, etiology Gait Humans Incidence Metatarsus / physiopathology, surgery* Orthotic Devices Postural Balance Prosthesis Design Range of Motion, Articular Risk Factors Shoes Weight-Bearing |
| Grant Support | |
ID/Acronym/Agency:
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HD31486/HD/NICHD NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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