Volume 24, Issue 105, September - October, 2020

Early gait training program and proprioceptive neuromuscular facilitation in the patient with post debridement amputation – A rare case report

Aachal Birelliwar¹, Vrushali Athawale¹, Angela kapoor^2♦, Waqar M. Naqvi³

¹Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Science, Wardha, India
²Department of Cardiorespiratory Physiotherapy; Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Science, Wardha, India
³Department of Community Physiotherapy; Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Science, Wardha, India

^♦Corresponding author
Department of Cardiorespiratory Physiotherapy; Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Science, Wardha, India; Email: angelakapoor1@gmail.com

ABSTRACT

Introduction: Lower limb amputation is most common amputation. Indication for amputation is traumatic injuries, tumours, vascular diseases and thermal injuries. Case description: A case of 56 year male, presented in this report who had a pain over right foot with blackish colour discoloration results gangrene over dorsal aspect of right foot. The patient was having the history of diabetes since 10 years and operated with midfoot amputation. The primary goals of the rehabilitation program are to increase range of motion, improve muscle strength and prevention of stiffness and deformities. Conclusion: Dynamic balance and overall mobility of patient is improved by Proprioceptive neuromuscular facilitation and also improving the parameters, gait performance and ambulation of patient. The combined effect of strengthening exercises, PNF technique, Gait training had significantly produced the positive effect on patient by performing activities of daily living and improving quality of life of patient.

Keywords: Post debridement gangrene, gait training, amputation, proprioceptive neuromuscular facilitation, rehabilitation

Medical Science, 2020, 24(105), 3421-3426

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