Abstract:
Background. The rehabilitation of individuals with extremity injury is a common but complex problem for the surgical and rehabilitative teams. Basic science tenets of fracture
and soft tissue reconstruction and healing guide postoperative weight-bearing and range of motion protocols. Aim of
study. To evaluate rehabilitation of post traumatic patients
with limb consequences. Methods and materials. A systematic approach was employed to examine pre reviewed
articles between the years 2020 and 2024 in Pubmed, Google Scholar were analyzed the articles with keyword “rehabilitation of limb”. Results. All patients who sustained
limb loss because of the Troubles and were referred to our
rehabilitation center were sent a questionnaire. The main
outcome measures were the SIGAM mobility grades, the
General Health Questionnaire (GHQ12) and three screening questions for Post Traumatic Stress Disorder (PTSD) out of
a 66% response rate, 52 (69%) patients felt that the period of primary prosthetic rehabilitation was adequate; 32
(54%) lower limb amputees graded themselves SIGAM C or
D; 45 (60%) patients stated that they were still having significant stump pain. Significant stump pain was associated
with poorer mobility. 33 (44%) patients showed „psychiatric caseness” on the GHQ 12 and 50 (67%) had symptoms
of PTSD. Conclusion. Most patients felt that the period of
physical rehabilitation had been adequate; those who did
not were more likely to be having ongoing psychological
problems. A high percentage of patients continue to have
psychological problems and stump pain.
