Rehabilitation of People with Lower-Limb Amputations

Abstract

Rehabilitation of persons with lower-limb amputation is a complex endeavor that requires the consideration of a multitude of factors. This article provides an overview of the current practice of prosthesis prescription, mobility training, and the utilization of wheeled mobility options in the clinical care for this population. Recent technological advancements have helped fit persons with lower-limb amputation with more functional, better fitting, and less activity-limiting artificial limbs and wheelchairs. This is exemplified in modern computer-controlled prosthetic components and biomechanically optimized socket-fitting methods, as well as light weight and versatile wheelchairs to supplement or replace prosthetic devices. In the research setting, technology has enabled new approaches to the kinematic and kinetic assessment of prosthetic interventions, and the development of more accurate fitting and evaluation methods. Despite the noted progress in the field, there is still a considerable gap between the functionality of a sound leg and even the most advanced prosthesis. It can be predicted that continued research efforts will be undertaken to further close this gap.