Book Review


Title: Prosthetic Restoration and Rehabilitation of the Upper and Lower Extremity
Authors: Mary Catherine Spires, PT, MD, Brian M. Kelly, DO, and Alicia J. Davis, CPO, FAAOP
Publisher: DemosMedical, 382 pages
Reviewed by: Wendy Remington Glissmeyer, CPO

Prosthetic Restoration and Rehabilitation of the Upper and Lower Extremity is a worthwhile text for a wide range of rehab clinicians. Many allied health professionals, including physicians, prosthetists, and therapists, can benefit from reading this first edition.

The text's editors are colleagues at the University of Michigan Department of Physical Medicine and Rehabilitation. They provide a basic overview of treatment for individuals with upper and lower limb amputation.

The outline format of the text makes information easy to find. The content is divided into five main sections. Sections one and two cover lower limb amputation and upper limb amputation, respectively. Each section examines basic anatomy of the limb, pre-amputation decision making, post-operative care, prosthetic prescriptions and design, and components. Photographs and figures clearly present the biomechanical principles affecting socket design and illustrating typical socket pressures. The detailed post-operative care section discusses the importance of rigid dressing and proper care. The section on gait training is nicely laid out with useful tables addressing typical gait dysfunctions.

Section three covers common post-amputation clinical conditions and concerns. Topics in this section include psychological adjustment, sexuality after limb loss, sports and recreation, chronic pain, skin challenges, and associated musculoskeletal problems. Section four handles special considerations such as multi-limb amputations, limb loss due to tumor, pediatrics, and effects of amputation on aging. The last section explores the future of prosthetics.

The supplemental content—including a glossary and appendices that address writing a prosthetic prescription and the documentation necessary to provide prostheses-is an excellent source of practical knowledge. Additional appendices with sample patient information handouts, gait deviation tables, and functional assessments are also quite valuable.

Summary: The editors of this book have done an excellent job condensing a large amount of material into a useful text for a range of clinicians. They present fundamental concepts in logical figures and tables. All members of the rehab team will find valuable the segments on proper documentation for reimbursement. The tables on prosthetic components will be helpful to physicians as they make prescription recommendations. Particularly refreshing is the focus on treating the human as a whole individual and the psychosocial elements involved in treating people with amputations.

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