PMR Prosthetics Orthotics

PMR Prosthetics Orthotics

PM&R Residency Program Manual
PM&R Resident Rotation Descriptions

PM&R Outpatient Clinic: P&O Component of Rotation  - Walt Davis, MD; Mary Grant, CP; Don Payne, CP - PM&R Prosthetic & Orthotic Clinic, Townside
PM&R residents learn to evaluate and care for patients requiring orthotic and/or prosthetic devices and follow-up management during this rotation component. They will gain knowledge of the basic anatomy and biomechanics related to the most commonly prescribed orthotic and prosthetic devices, and attain an understanding of the role of physical and occupational therapy in the rehabilitation of patients using orthotic and prosthetic devices. Residents will learn the natural history and pathology of disease progression in patients with diabetes and peripheral vascular disease as the major medical factor leading to limb amputation. Residents will understand the diagnosis and management of the most common complications of lower and upper extremity amputation and other barriers to prosthesis use. They will additionally develop awareness of the psychosocial issues involved in limb loss and how to deal with them in the clinical setting.

Goals and Objectives:

  • To describe the different energy requirements for different levels of amputation.
  • To consistently write appropriate prosthetic prescriptions for:
    • Above knee amputations
    • Below knee amputations
    • Above elbow amputations
    • Below elbow amputations
  • To be able to discuss phantom pain and utilize different pharmacologic options.
  • To personalize a prosthetic prescription for each individual based on patient’s needs, desires, body habits, lifestyle, etc.
  • To write appropriate orthotic prescriptions including for the following groups:
    • Patients with foot drop
    • Patients with absent/limited sensation
    • Patients with weak knee extensors
  • To understand and practically apply normal gait to both prosthetic and orthotics patients.