Orthotics and Prosthetics in Rehabilitation

by Lusardi & Nielsen

• ISBN13: 9780750698078
• ISBN10: 0750698071
• Edition: 1st
• Format: Hardcover
• Copyright: 2000-06-14
• Publisher: Butterworth-Heinemann

Summary

Up-to-date and authoritative, this text covers orthotics and prosthetics in one comprehensive and cohesive source. Whether you are a student or clinician, if you work with patients with neuromuscular and musculoskeletal impairments, you will appreciate the lucid writing and practical applications this book provides. Organized from a functional, rather than a technical, perspective, this text supplies a strong foundational understanding of the field of orthotics and prosthetics that will give you the critical skills you need when working with this unique client population.

Author Biography

Edmond Ayyappa, M.S., C.P.O.: Assistant Clinical Professor of Physical Medicine and Rehabilitation, University of California, Irvine, College of Medicine, Irvine; Director, Prosthetic and Orthotic Clinical Services, Desert Pacific Health Care System, VA Medical Center, Norwalk, California William J. Barringer, M.S., C.O.: Associate Professor of Orthopedic Surgery and Rehabilitation and Chief of Orthotics, University of Oklahoma Health Sciences Center, Oklahoma City Gary M. Berke, M.S., C.P.: Assistant Professor of Orthopaedic Surgery and Rehabilitation and Chief of Prosthetics, University of Oklahoma Health Sciences Center, Oklahoma City Jennifer M. Bottomley, Ph.D., M.S., P.T.: Core Faculty, Division on Aging, Harvard Medical School, Boston; Geriatric Rehabilitation Program Consultant, Geriatric Wellness and Rehabilitation, Wayland, Massachusetts Karen M. Brewer, P.T.: Former Senior Physical Therapist, National Rehabilitation Hospital, Washington, D.C. James H. Campbell, Ph.D., C.O.: Director of Product Development, Engineering, and Technical Services, Becker Orthopedic, Troy, Michigan Kevin Christensen, M.D.: Assistant Professor of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Parkland Hospital, and Children's Medical Center, Dallas Thomas V. DiBello, B.S., C.O.: President, Dynamic Orthotics and Prosthetics LLC, Houston Joan E. Edelstein, M.A., P.T.: Associate Professor of Clinical Physical Therapy and Director, Program in Physical Therapy, College of Physicians and Surgeons, Columbia University, New York John Fergason, C.P.O.: Director, Division of Prosthetics-Orthotics, Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle Patrick Flanagan, C.O.: Orthotic Prosthetic Centers, BioConcepts, Inc., Burr Ridge, Illinois Juan C. Garbalosa, Ph.D., P.T.: Assistant Professor of Physical Therapy, University of Hartford, West Hartford, Connecticut; Research Consultant, New Britain General Hospital, New Britain, Connecticut; Director, Gait Laboratory, Center for Reconstructive Foot Surgery, Plainville, Connecticut Donna Q. Gavin, C.O.: Certified Orthotist, BioConcepts, Inc., Burr Ridge, Illinois Thomas M. Gavin, C.O.: Teaching Associate, Department of Orthopaedic Surgery, Loyola University Chicago Stritch School of Medicine, Maywood, Illinois; Research Orthotist, Orthopaedic Biomechanics Laboratory, Veterans Administration Hospital, Hines, Illinois Thomas M. Harrigan, P.T., C.P.O.: Seacoast Rehabilitation Services, Orthotic and Prosthetic Center, York, Maine Carolyn B. Kelly, P.T.: Coordinator, Neuropathic Foot Program, Hartford Hospital, Hartford, Connecticut John F. Knecht, M.A., P.T., A.T.C.: Clinical Specialist, Health South-Physical Therapy and Sports Medicine Associates, Manchester, Connecticut Geza F. Kogler, Ph.D., C.O.: Assistant Professor of Clinical Surgery and Director, Orthopaedic Bioengineering Research Laboratory, Southern Illinois University School of Medicine, Springfield Frances J. Lagana, D.P.M.: Active Medical Staff, Department of Surgery, Winchester Hospital, Winchester, Massachusetts; Chief of Service, Podiatric Medicine and Surgery, Massachusetts Hospital School, Canton Robert S. Lin, C.P.O.: Clinical Associate Professor, School of Allied Health Professions, University of Connecticut, Storrs; Director of pediatric Clinical Services and Academic Programs, Department of Orthotics and Prosthetics, Connecticut Children's Medical Center, Hartford Robert D. Lipschutz, B.S.M.E., C.P.: Curriculum Coordinator and Prosthetic and Biomechanics Instructor, Newington Certificate Program in Orthotics and Prosthetics, Newington Orthotics and Prosthetics Systems, Newington, Connecticut; Senior Staff Prosthetist and Myoelectric Specialist, Limb Enhancement Clinic, Connecticut Children's Medical Center, Hartford Michelle M. Lusardi, Ph.D., P.T.: Associate Professor of Physical Therapy, Department of Physical Therapy and Human Movement Sciences, College of Education and Health Professions, Sacred Heart University, Fairfield, Connecticut Sheila A. MacGregor, O.T.R., L.M.S.: Occupational Therapist, Hebrew Home and Hospital, West Hartford, Connecticut John W. Michael, M.Ed., C.P.O.: Instructor, Allied Health Program, Century College, White Bear Lake, Minnesota; President, CPO Services, Inc., Chanhassen, Minnesota Olfat Mohamed, Ph.D., P.T.: Associate Professor of Physical Therapy, California State University, Long Beach Caroline C. Nielsen, Ph.D.: Health Care, Education, and Research Consultant, Wellfleet, Massachusetts; Former Associate Professor and Director, Graduate Program in Allied Health, University of Connecticut, Storrs Roberta Nole, M.A., P.T., C.Ped.: Stride Physical Therapy and Pedorthic Center, Middlebury, Connecticut Laura L. F. Owens, B.S., M.S.: Physical Therapist, Genesis ElderCare Rehabilitation Services, Windsor, Connecticut Avinash G. Patwardhan, Ph.D.: Professor of Orthopaedic Surgery and Rehabilitation and Director, Musculoskeletal Biomechanics Laboratory, Loyola University Chicago Stritch School of Medicine, Maywood, Illinois Richard Psonak, M.S., C.P.O.: Director of Orthotics and Prosthetics, Mississippi Methodist Rehabilitation Center, Jackson Julie D. Ries, M.A., P.T., G.C.S.: Assistant Professor of Physical Therapy, Marymount University, Arlington, Virginia; Physical Therapist, INOVAVNA Home Health, Sterling, Virginia Melvin L. Stills, C.O.: Assistant Professor (Retired) of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas; Orthotist, Parkland Memorial Hospital, Zale Lipshy University Hospital, and Children's Medical Center, Dallas David M. Thompson, M.S., P.T.: Assistant Professor of Physical Therapy, University of Oklahoma Health Science Center, Oklahoma City Jessie M. VanSwearingen, Ph.D., P.T.: Associate Professor of Physical Therapy, University of Pittsburgh School of Medicine R. Scott Ward, Ph.D., P.T.: Associate Professor and Director, Division of Physical Therapy, University of Utah School of Medicine, Salt Lake City; Physical Therapist, Intermountain Burn Center, University of Utah Health Sciences Center, Salt Lake City Richard I. Weiner, M.D.: Chairman of Surgery, Winchester Hospital, Winchester, Massachusetts; Clinical Associate Professor of Surgery, Tufts University School of Medicine, Boston

Table of Contents

Contributing Authors	xi
Foreword	xiii
Joan E. Edelstein
Preface	xv
Acknowledgments	xvii
Section I Building Baseline Knowledge
Orthotics and Prosthetics in Rehabilitation: The Multidisciplinary Approach	3	(8)
Caroline C. Nielsen
Materials and Technology	11	(22)
Geza F. Kogler
Clinical Assessment of Pathologic Gait	33	(20)
Edmond Ayyappa
Olfat Mohamed
Exercise, Energy Cost, and Aging in Orthotic and Prosthetic Rehabilitation	53	(24)
Jessie M. VanSwearingen
Michelle M. Lusardi
Section II Orthotics in Rehabilitation
Principles of Orthotic Design	77	(12)
Michelle M. Lusardi
Assessment Strategies for Lower Extremity Orthoses	89	(20)
Michelle M. Lusardi
Footwear: Foundation for Lower Extremity Orthotics	109	(20)
Jennifer M. Bottomley
Functional Foot Orthoses	129	(30)
Roberta Nole
Juan C. Garbalosa
Ankle-Foot Orthoses	159	(18)
Robert S. Lin
Knee Orthoses	177	(14)
John F. Knecht
Knee-Ankle-Foot Orthoses	191	(14)
Thomas V. DiBello
Hip-Knee-Ankle-Foot Orthoses	205	(12)
James H. Campbell
Hip Orthoses	217	(14)
William J. Barringer
Spinal Orthoses	231	(22)
Patrick Flanagan
Thomas M. Gavin
Donna Q. Gavin
Avinash G. Patwardhan
Orthotics and Exercise in the Management of Scoliosis	253	(18)
Thomas M. Harrigan
Principles of Splinting for the Hand	271	(20)
Sheila A. MacGregor
Management of Extremity Fractures: Principles of Casting and Orthotics	291	(16)
Melvin L. Stills
Kevin Christensen
Splinting, Orthotics, and Prosthetics in the Management of Burns	307	(20)
R. Scott Ward
Section III Prosthetics in Rehabilitation
Etiology of Amputation	327	(10)
Caroline C. Nielsen
Conservative Management of Vulnerable Feet	337	(26)
Carolyn B. Kelly
When Amputation Is Necessary: Preoperative Assessment and Surgery	363	(16)
Frances J. Lagana
Richard I. Weiner
Postsurgical Management of Partial Foot and Syme's Amputation	379	(16)
Edmond Ayyappa
Postoperative and Preprosthetic Care	395	(26)
Michelle M. Lusardi
Laura L. F. Owens
Prosthetic Feet	421	(16)
John Fergason
Transtibial Prosthetics	437	(30)
Gary M. Berke
Transtibial Prosthetic Training and Rehabilitation	467	(24)
Julie D. Ries
Karen M. Brewer
Transfemoral Prosthetics	491	(30)
Richard Psonak
Rehabilitation for Persons with Transfemoral Amputation	521	(22)
David M. Thompson
Prosthetic Options for High-Level and Bilateral Amputation	543	(10)
John W. Michael
Rehabilitation for Children with Limb Deficiencies	553	(16)
Joan E. Edelstein
Upper Extremity Amputations and Prosthetic Management	569	(20)
Robert D. Lipschutz
Index	589