Author/Editor		Damjan, Hermina
Title		Rehabilitacija otrok s pomanjkljivostjo spodnjih udov
Type		članek
Source		In: Burger H, editor. Amputacije in protetika. Zbornik predavanj 13. dnevi rehabilitacijske medicine; 2002 mar 15-16; Ljubljana. 1. izd. Ljubljana: Inštitut Republike Slovenije za rehabilitacijo,
Publication year		2002
Volume		str. 35-46
Language		slo
Abstract		A child with limb deficiency must be treated firstly as a child and secondly as a person with special needs. A (re)habilitation program depends on whether the limb deficiency is congenital or acquired. Children with congenital leg deficiency can have very heterogeneous forms of absence ofparts of one orboth legs and deformities of the remaining segments. In addition, a child can have limited mobility in the joints of the remaining extremity and deformations that make it difficult to fit a prosthesis. Some deformities need surgical correction, but it is always important to preserve as much of the extremity as possible to allow maximal growth. Lower-limb deficiency or deformity can limit a child's motor development. Through therapeutic interventions, the Child must be helped to achieve motor abilities as close as possible to normal development. The time of the first prosthetic fitting depends on the extent of the limb deficiency but it should always be in the first year of life, at the beginning for standing and later for gait training. Prostheses should always be designed to support the child's development. The child can suffer from acquired leg deficiency in any period of childhood. Most frequent causes are different types of injuries, followed by surgical amputations due to malignant disease of bone and soft tissue. A rehabilitation program should immediately follow the acute medical treatment. Prosthetic fitting is a part of the early rehabilitation program. Light flexible materials and prosthetic parts should be used. Prostheses for the above-knee amputation for children under 4 years of age use a lockable knee joint. From that age on, if the child's menta! development is normal, he or she is able to learn the active control of a flexible knee joint in walking. Crutches are usually used for support in walking only during the training phase. Most children are able to walk with a prosthesis without using crutches. (Abstract truncated at 2000 characters).
Descriptors		LEG AMPUTATION LEG LENGTH INEQUALITY ORTHOTIC DEVICES CHILD