Etapas da reabilitação na fase de pré-protetização de membros superiores e membros inferiores.

Abstract

Upper limb amputation has a high incidence in Brazil, especially among young adults due to trauma, making multidisciplinary rehabilitation essential for physical functional recovery and autonomy. This study aimed to describe the rehabilitation stages during the pre-prosthetic phase in a case of bilateral transradial amputation. It is a longitudinal ambispective case study conducted at the Physical Rehabilitation Service of UNISC, with a 51-year-old female patient who underwent bilateral upper and lower limb amputations. Physical and functional assessment tools were used, such as the SF 36 questionnaire and the Functional Measure for Amputees (FMA), as well as muscle strength evaluation, range of motion, and desensitization techniques. The results showed significant improvement in muscle strength, reduction in pain and phantom limb sensation, maintenance of range of motion, and positive evolution in quality of life scores, despite the absence of a myoelectric prosthesis during the evaluation period. It is concluded that physiotherapeutic intervention during the pre-prosthetic phase is essential to optimize clinical conditions, promote autonomy, and prepare the patient for future prosthetic adaptation, highlighting the importance of access to myoelectric prostheses to maximize functional gains.