Comorbidities impact functional mobility after amputation. What’s a PT to do?
People with limb loss require lifelong care but optimal community integration can be limited by decreased mobility. Clinical Practice Guidelines detail initial training, but less guidance for ongoing care. Recent research has revealed that the modifiable factors influencing functional mobility depend on whether prosthetic walking ability was defined by subjective patient-reported outcomes or objective clinical measures. While clinical measures of mobility such as walking speed are influenced by balance ability and balance confidence; patient-reported prosthetic mobility has been found to depend on factors that include cognitive, cardiopulmonary, integumentary, and musculoskeletal comorbidities. Cognition can also impact the choice, comfort, and use of prostheses. This course will present recent research on modifiable factors including comorbidities in multiple systems that can be addressed to maximize prosthetic mobility after lower limb loss. Attendees will leave with concrete clinical approaches to address common problems that impact prosthetic function among people with limb loss.
Meet our Presenters
Christopher K. Wong, PT, PhD, OCS, Columbia University
Daniel J. Lee, PT, DPT, GCS, Touro College
People with limb loss require lifelong care but optimal community integration can be limited by decreased mobility. Clinical Practice Guidelines detail initial training, but less guidance for ongoing care. Recent research has revealed that the modifiable factors influencing functional mobility depend on whether prosthetic walking ability was defined by subjective patient-reported outcomes or objective clinical measures. While clinical measures of mobility such as walking speed are influenced by balance ability and balance confidence; patient-reported prosthetic mobility has been found to depend on factors that include cognitive, cardiopulmonary, integumentary, and musculoskeletal comorbidities. Cognition can also impact the choice, comfort, and use of prostheses. This course will present recent research on modifiable factors including comorbidities in multiple systems that can be addressed to maximize prosthetic mobility after lower limb loss. Attendees will leave with concrete clinical approaches to address common problems that impact prosthetic function among people with limb loss.
Meet our Presenters
Christopher K. Wong, PT, PhD, OCS, Columbia University
Daniel J. Lee, PT, DPT, GCS, Touro College
Course Code:
Completion Instructions
Review recorded content, complete assessment with at least a 70% score, download and save your certificate
Course level
Delivery method
Instructor(s)
Learning objectives
- Recommend solutions to common integumentary comorbidities
- Address common cardiopulmonary comorbidities to improve exercise capacity
- Anticipate and address common musculoskeletal comorbidities that affect performance
- Recognize common prosthetics related issues and make appropriate recommendations
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# | Lessons: |
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1 | CEWM_Comorbidities_2020 Apr.mp4 |
2 | Assessment |
The following credits are available upon completion of these activities.
- Non Member$100.00(until 12/31/2030)
- Member$60.00(until 12/31/2030)