Article

There are various reasons for an amputation. Sometimes a systemic disease as chicken pox or a neurological disease such as
spina bifida and sometimes a rare neurocutaneous disease such as Klippel­Trenaunay­Weber (KTW) syndrome can cause
amputation. This article presents the prosthetic rehabilitation of a 16-year-old boy with KTW syndrome. In our examination,
we observed that there were no wounds at the distal part of the residual limb; however, we found eczema in some regions.
The patient had no phantom pain/feeling or any limitation concerning the sound side joint ranges; however, hamstring and
gastrosoleus muscle groups were short, abductors and adductors were weak, and upper limb gross muscle strength was good.
Sensory evaluation of the residual limb revealed hyperesthesia on the anterior distal part of the residual limb. The physiotherapyrehabilitation
program consisted of stretching and strengthening exercises, residual limb dynamic and isometric exercises to
prepare the amputee for gait, as well as balancing and weightbearing exercises.
As the program continued, the measurements
for the prosthesis were taken. The amputee was able to walk with his prosthesis without bilateral crutches at the end of 2 weeks.
The patient was evaluated with a gait trainer, footprint, Nottingham Health Profile, and the Medicare Classification Functional
Level system before and after the rehabilitation program. It can be said that physiotherapy-rehabilitation approaches and
prosthetic training were important facilitators for regaining independence

Langue : ANGLAIS