Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 3, Supplement , Pages 21-27, March 2006

Limb Deficiency and Prosthetic Management. 4. Comorbidities Associated With Limb Loss

  • Toni L. Roberts, DO

      Affiliations

    • Physical Medicine and Rehabilitation Service, George E. Wahlen Department of Veterans Affairs Medical Center, Salt Lake City, UT
    • Corresponding Author InformationReprint requests to Toni L. Roberts, DO, George E. Wahlen Department of Veterans Affairs Medical Center, 500 Foothill Blvd, #117, Salt Lake City, UT 84148
    • ,
  • Paul F. Pasquina, MD

      Affiliations

    • Physical Medicine and Rehabilitation Service, Walter Reed Army Medical Center, Washington, DC
    • ,
  • Virginia S. Nelson, MD, MPH

      Affiliations

    • Department of Physical Medicine and Rehabilitation, University of Michigan Medical School, Ann Arbor, MI
    • ,
  • Katherine M. Flood, MD

      Affiliations

    • Physical Medicine and Rehabilitation Program, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA
    • ,
  • Phillip R. Bryant, DO

      Affiliations

    • Good Shepherd Rehabilitation Hospitals, Allentown, PA
    • ,
  • Mark E. Huang, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Rehabilitation Institute of Chicago, Feinberg School of Medicine, Northwestern University, Chicago, IL

Abstract 

Roberts TL, Pasquina PF, Nelson VS, Flood KM, Bryant PR, Huang ME. Limb deficiency and prosthetic management. 4. Comorbidities associated with limb loss.

This self-directed learning module highlights common comorbidities found in people with amputations and their impact on functional outcome. It is part of the study guide on limb deficiency and vascular rehabilitation in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. This article focuses on prosthetic considerations, functional outcome, and potential complications for a woman with the comorbidities of stroke and diabetes who experiences a dysvascular amputation. Formulation of the differential diagnosis, management of limb pain, and evaluation of the potential psychosocial issues arising after amputation are also discussed.

Overall Article Objective

To analyze common comorbidities of people with amputations and to delineate their impact on functional outcome.

Key Words:  Amputation , Comorbidity , Outcome assessment (health care) , Pain , Rehabilitation

 

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

PII: S0003-9993(05)01459-0

doi:10.1016/j.apmr.2005.11.025

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 3, Supplement , Pages 21-27, March 2006

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