Physiotherapy intervention during pre and post-prosthetic fitting of lower limb amputees: a systematic review
DOI:
https://doi.org/10.5935/0104-7795.20170019Keywords:
Amputation, Lower Extremity, Physical Therapy Modalities, RehabilitationAbstract
Physical therapy interventions in amputee patient before and after the placement of a prosthesis are cited in a variety of physical therapy services, however, it is necessary to systematize evidence of rehabilitation protocols. Objective: The objective of this study was to add scientific evidence to guide the physical therapy practice in pre- and post-fitting of lower limb amputee. Method: We conducted a systematic review during the months of August to December 2014 in the databases Lilacs, Medline, Pedro, Pubmed, Scielo and Cochrane. Articles published from 2000 to the first half of 2014 were selected by key words in Portuguese, English and Spanish. Results: Six articles met the inclusion criteria, and only one was related to the pre-fitting stage highlighting the intervention: bandaging of the stump. The other interventions referred to the post-fitting stage as muscle force training, aerobic training, functional and gait. Conclusion: Few articles were found with scientific evidence related to major interventions pre and post prosthesis routinely used by the physiotherapist, which hinders the establishment of protocols and the reinforcement of the effectiveness of commonly described therapies.
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