Functional capacity of elderly woman with Bilateral Transtibial amputation after prosthesis rehabilitation: a case study

Main Article Content

Fawad Hafeez Qazi. Saeed Akhter. Muhammad Rehan Muddasir. Muhammad Waseem Khan. Anoosha Naseem. Maria Lucky. Marium Moin, Jeetander Thakur. Jan Ali Soomro. Lubna Batool. Mansoor Ahmed.

Keywords

Bilateral below-knee amputation, Lower limb amputation, prosthetic rehabilitation, functional capacity

Abstract

Lower limb amputations present a striking correlation with the elderly diabetic population. The primary impact of lower limb amputation often manifests in compromised functional capacity. The primary aim of training programs for amputees is to enhance and encourage a functional walking pattern.
Objective :

A 60-year-old female patient was referred to the physiotherapy department for pre-prosthetic rehabilitation and prosthetic prescription after bilateral transtibial amputations. Prosthetic rehabilitation was given for 4 weeks. This study aims to investigate the functional capacity of the patient after prosthetic rehabilitation on 1st and 3rd month of follow up.


Method

The Functional Ambulation Classification (FAC), Barthel Index (BI), and Pfeffer questionnaire were used in this study to assess the functional capacity after prosthesis adaptation on 1st month and 3rd month follow-up.


Result

The results showed that on Functional Ambulation Classification, from category 1 to category 2, there was an improvement in ambulatory abilities. Similarly, Barthel Index scores improved from 55 to 85, highlighting enhanced overall functional performance. Furthermore, the Pfeffer scale showed a decline in dependency, with scores decreasing from 11 to 6, reflecting increased independence in daily activities.  


Conclusion

In this study, the patient reported improved mobility and independence, and prosthesis use with more efficiency. This analysis and positive feedback should be helpful in prosthetic rehabilitation and gait training of patients with Bilateral Transtibial Amputation. Further research in this area is essential to refine rehabilitation strategies and improve outcomes for amputees

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