Author/Editor		Burger, Helena
Title		Rehabilitacija po amputaciji zgornjega uda
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. 101-13
Language		slo
Abstract		The number of amputations of upper limbs is much smaller than the number of amputations of lower limbs. The main causes of amputations of upper limbs are different injuries, congenital deficiencies of the upper limb and tumors. Therefore, most subjects are young, on average 24-40 years. Good rehabilitation is thus very important. In the rehabilitation, we have to cope with medical problems, prosthetic fitting, occupational therapy, physiotherapy, psychological counseling, vocational rehabilitation and social counseling. A regular follow-up has to follow primary rehabilitation. Factors that influence the prescription of an upper-limb prosthesis are: the level of amputation, age, the level of education and employment status, the quality of the stump, the condition of the other upperlimb, motivation, expectationsand wishes. Upper-limb prostheses are used with different levels of success (28 - 100% of subjects accept the prosthesis). The high rejection rate of the upper-limb prostheses can be attributed to the development of one-handedness, insufficient training of use, poor construction, and reactions of other people. There is still no agreement on whether children with congenital deficiencies of an upper limb should be fitted with a prosthesis or not. If we decide to fit them, we have to start as soon as possible, even before birth. An increasing number of authors have reported good experience with very early myoelectric fitting (around the age of one). The experience of a Slovenian team will be presented. The aim of rehabilitation of subjects after upper-limb amputation is for them to become independent in all activities of daily living, with and without the prosthesis, appropriate to theirage, sex, level of education and environment. They should use the prosthesis the way we normally use the non-dominant hand.
Descriptors		AMPUTATION ARM WOUND HEALING JOINT PROSTHESIS AMPUTATION STUMPS OCCUPATIONAL THERAPY