A report on the rehabilitation of right above-knee amputation and left hemiplegia by using an A/K prosthesis and a knee-ankle-foot orthosis

Abstract

In recent years, the number of older adult amputees has increased, and lower limb amputations are often accompanied by hemiplegia. Although it is not easy to acquire a practical gait following limb amputation, attempting to walk with a prosthetic leg is considered necessary to maximize residual abilities. In this study, patients with right above-the-knee amputation and left moderate hemiplegia were subjected to basic movement practice, as well as standing and walking practice using a right above-the-knee prosthesis and left knee-ankle-foot orthosis. We found that, although the patient was unable to achieve practical walking, she was able to transfer under supervision and stand up with little assistance; thus, she was discharged home. Even if the acquisition of practical walking is difficult, active standing and walking practice may improve the motor function of the paralyzed leg and reduce the amount of assistance needed to perform basic activities and activities of daily lining.