Daily functioning of patients with an amputated lower extremity

The National Center for Health statistics estimates more than 300,000 individuals with major lower extremity amputation currently are living in the United States. Current healthcare climate mandates effective rehabilitation be provided in the most effective manner. An interdisciplinary amputee team approach to rehabilitation with active participation of the patient should be implemented early in the preamputation period to facilitate short hospital stays and earlier return to productivity with associated cost savings. This paper discusses preoperative assessment and education, postoperative intervention, and indications for inpatient rehabilitation. Gait training with prosthesis in simple and complex environments, assistive devices needed for effective functioning at home, and prosthetic modification for participation in recreational activities are reviewed along with issues related to vocational rehabilitation.