T2 transtibial amputation and gait training after lower limb prosthetization from an occupational therapeutic perspective: an experience report

Abstract

Introduction: Amputation is the traumatic or surgical removal of a limb. Assistive Technology collaborates in the process of social readaptation of the amputee through the development of prostheses. This device allows to recover the functional independence and autonomy of the patient in daily activities. Objective: The present study aimed to describe the gait training of a transtibial amputation patient. Method: It is a case report of descriptive, narrative and reflective character, coming from the clinical practice in Occupational Therapy in the Laboratory of Assistive Technology (LABTA). A literature review was performed in databases. Results: This study presents two phases of care for people with amputation; the pre-prosthetic and post-prosthetic phases. In the first phase there is the preparation of the stump: strengthening of the muscles, training of the bandage of the stump and others, while in the second phase, there are the training of use of the prosthesis, to provide independence in daily activities and functional mobility, especially transfer and ambulation. Conclusion: The amputation causes occupational limitations to the individual bringing damages to the biopsychosocial level. Therefore, a careful evaluation should be made by the Occupational Therapist considering the previous functional capacity and occupational history of the patient. Thus, programs should perceive the patient, in their goals and ambitions to better assist and benefit them.

DOI:https://doi.org/10.56238/innovhealthknow-017