Rehabilitation for Ambulation of Triple Amputee: A case report.

, Park, Jeong Mee; , Kim, Yong Jin; , Kim, Ik Soo; , Lee, Yang Tak; , Kim, Sung Hoon; , Kim, Young Ho; , Whang, Sung Jae

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2007;31(1):123-126.

Park, Jeong Mee , Kim, Yong Jin , Kim, Ik Soo , Lee, Yang Tak , Kim, Sung Hoon , Kim, Young Ho , Whang, Sung Jae

¹Department of Rehabilitation, Wonju College of Medicine, Yonsei University, Korea. dragomuse@daum.net
²Department of Biomedical Engineering, Yonsei University, Korea.

삼지 절단인의 보행을 위한 재활 ⁣증례보고⁣

박정미, 김용진, 김익수, 이양탁, 김성훈, 김영호¹, 황성재¹

연세대학교 원주의과대학 재활의학교실, ¹연세대학교 의공학과

Abstract

Triple amputee is an uncommon impairment and has been rarely reported. We reported a case of success in independent bipedal ambulation of a triple amputee with bilateral lower limb prostheses. We selected a thirty five-year-old male who underwent a left shoulder disarticulation and a left very short transfemoral amputation and a right transfemoral amputation due to trauma. After program of gait training for eight weeks, he could walk independently, donning right hip disarticulation prosthesis and left transfemoral prosthesis and left shoulder disarticulation prosthesis with right Lofstrand forearm orthosis. We measured the amount of oxygen consumption of the patient before and after rehabilitation program done, of which all parameters including oxygen consumption were more improved than before that program. The patient preferred to walk by himself and got a feeling of full achievement. Nevertheless higher energy consumption, young active triple amputees need fitting prostheses with intensive rehabilitation training program for bipedal ambulation to prevent deterioration of physical function and mental health due to immobilization. (J Korean Acad Rehab Med 2007; 31: 123-126)

Key Words: Triple amputation, Independent bipedal ambulation, Oxygen consumption