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Special Considerations for Multiple Limb Amputation.

Paul F Pasquina1, Matthew Miller1, A J Carvalho2

  • 1Department of Physical Medicine & Rehabilitation, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814 USA ; Department of Rehabilitation, Walter Reed National Military Medical Center, Bethesda, MD USA ; Center for Rehabilitation Sciences Research (CRSR), Uniformed Services University of the Health Sciences, Bethesda, MD USA.

Current Physical Medicine and Rehabilitation Reports
|November 21, 2014
PubMed
Summary
This summary is machine-generated.

Individuals with multiple limb loss face amplified challenges. This article details recommended care, including pain management, rehabilitation, and assistive technology for this growing population.

Keywords:
Adaptive technologyAmputationAssistive technologyBehavioral healthMultiple limb amputationMultiple limb lossPain managementProstheticsRehabilitation

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Area of Science:

  • Medical Science
  • Rehabilitation Medicine
  • Public Health

Background:

  • Over 1.6 million Americans have had at least one amputation.
  • Individuals with multiple limb loss represent an overlooked and vulnerable subpopulation.
  • Dysvascular disease accounts for over 80% of new amputations, with diabetes being a major comorbidity.

Approach:

  • This article reviews current literature on multiple limb loss.
  • It outlines recommended care strategies tailored to this population.
  • Focuses on pain management, behavioral health, rehabilitation, and assistive technology.

Key Points:

  • Multiple limb loss exacerbates challenges like pain and lifestyle adjustment.
  • Individuals with diabetes and dysvascular disease have a high risk of contralateral limb amputation.
  • The aging population and rising disease prevalence predict an increase in multiple limb loss cases.

Conclusions:

  • Comprehensive care is essential for individuals with multiple limb loss.
  • Tailored pain management and behavioral health support are crucial.
  • Effective rehabilitation and assistive technology can significantly improve quality of life.