Activities of Daily Living
Instrumental Activities of Daily Living
Transportation / telephone / tools
Steps per minute
The distance between the front of one foot to the heel of another while walking
The distance from the heel of one foot to the heel of the other while walking.
The distance from the heel of one foot the the location where the same heel strikes while walking.
Percent of Time in Stance and Swing
60% in stance
40% in swing
Most Common Cause of Lower Limb Amputations
Risk Factors for Amputation
Diabetes - 9%
Hypertension - 29%
BOTH - 36%
"Other" - 20%
Diabetes and high blood pressure make up a sizeable risk factor.
Principles for Choosing Amputation Level
1. Adequate circulation for wound healing
2. Preserve as many functional joints as possible
3. Adequate soft tissue coverage
4. Future functional prosthetic use and fitting
Residual Limb Pain
Pain that is located in the residual portion of the amputated limb.
Phantom Limb Pain
Pain that is located in the amputated portion of the limb, even though it is no longer there.