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Related Experiment Video

Updated: Jul 17, 2026

A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
06:58

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Published on: November 6, 2015

Management of the multiple limb amputee.

J H Davidson1, L E Jones, J Cornet

  • 1Prince Henry Hospital, Anzac Parade, Little Bay, 2036, Australia. judyd@accsoft.com.au

Disability and Rehabilitation
|September 26, 2002
PubMed
Summary

Multiple limb amputations, especially involving an arm and leg, present unique challenges. Rehabilitation requires specialized care, focusing on prosthetic options and long-term needs for improved outcomes.

Area of Science:

  • Rehabilitation Medicine
  • Prosthetics and Orthotics
  • Trauma Surgery

Background:

  • Multiple limb amputations, particularly involving upper and lower extremities, are rare.
  • Therapists face uncertainty regarding optimal treatment protocols for these complex cases.
  • Unique challenges include thermoregulation issues and difficulties with prosthetic donning and mobility aids.

Purpose of the Study:

  • To review rehabilitation outcomes for patients with multiple limb amputations.
  • To provide guidelines for prosthetic and pre-prosthetic care.
  • To highlight the need for specialized rehabilitation centers for these individuals.

Main Methods:

  • Retrospective review of 16 multiple limb amputees over 15 years.
  • Analysis of return-to-work rates and contributing factors.

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  • Examination of behavioral factors influencing rehabilitation.

    • Main Results:

    • One-third of patients returned to work, independent of amputation level.
    • Higher incidence of alcoholism and attempted suicide associated with these amputations.
    • Behavioral issues present management challenges for rehabilitation teams.

    Conclusions:

    • Specialized rehabilitation centers are crucial for discussing prosthetic options and long-term care.
    • Guidelines are provided to assist practitioners in managing acute and long-term needs.
    • Focus is on upper and lower limb amputations, excluding isolated bilateral lower limb amputations.