Rehabilitation Following Multiple Limb Amputation: A Case Report

Multiple limb amputations are uncommon and may result from various causes, including trauma, metabolic disorders, severe burns, purpura fulminans, and drug use. Such amputations pose substantial physical, emotional, and social challenges, necessitating a comprehensive and multidisciplinary rehabilitation approach. This report discusses the rehabilitation of a 30-year-old male patient with multiple limb amputations, including a right transradial amputation, a left transhumeral amputation, and a left transfemoral amputation, following a railway accident. The patient was managed with a multidisciplinary strategy, incorporating stump-strengthening exercises, scar mobilization techniques, and transcutaneous electrical nerve stimulation (TENS) therapy for neuroma management, supplemented by the administration of 2% lignocaine. Prosthetic devices, including a right below-elbow cosmo-functional prosthesis, a left above-elbow cosmo-functional prosthesis with a hook as a terminal device, and a left above-knee prosthesis, were fitted. Gait training was provided to enhance mobility, independence, and reintegration into daily and occupational activities. A tailored rehabilitation program, combined with psychological counseling, addressed both physical recovery and emotional well-being. Functional progress was assessed using the Nottingham Extended Activities of Daily Living (ADL) Index, which showed a significant improvement from a score of 0 to 27 after two weeks of rehabilitation. This case underscores the importance of individualized, multidisciplinary care in achieving optimal functional outcomes and quality of life for patients with multiple limb amputations.