Protetização e reabilitação de um paciente amputado transfemoral bilateral usuário do serviço de reabilitação física : um estudo de caso.

Abstract

Amputation is the final stage of vascular diseases and accounts for the highest percentage of amputations performed in the lower limbs. In bilateral transfemoral amputations, stubbies should be the starting point of the prosthesis process. Objective: The study aimed to monitor the physical-functional rehabilitation processes and describe the prosthesis process of a bilateral transfemoral amputee patient from the use of stubbies to definitive prostheses. Methodology: This is a case study with retrospective data describing the physiotherapeutic interventions carried out at the Unisc Physical Rehabilitation Service – SRFis. The choice of participant came from the screening carried out, whose case caught the attention of the technical team due to the patient's etiology, challenging the team due to the complexity of the condition. Results: The individual was assessed in order to find the points to be developed, from this the process of prosthetic fitting and rehabilitation of the patient began. With the development of the process, the patient's satisfactory evolution was observed, expanding the objectives and conduct applied during treatment. Furthermore, the patient's prostheses have evolved efficiently, being able to increase walking and other similar behaviors, despite the prostheses requiring better adaptation. Conclusion: It is concluded that the prosthesis process proved to be effective and satisfactory during the study. Resulting in a significant evolution of the individual throughout the care. However, as we noticed throughout the execution of this research, the patient is still not satisfactorily adapted to the prosthesis in terms of its placement autonomously and independently.