Congenital and acquired limb deficiency – rehabilitation importance
DOI:
https://doi.org/10.25759/spmfr.26Abstract
Objective: Characterize children with limb deficiency observed at Hospital Pediátrico de Coimbra betweenJanuary 2005 and July 2009.Compare prosthetic prescription and functioning in children with congenital and acquired limb deficiency.
Methods: Retrospective study based on informatic reports of the 36 patients as well as complete clinical processesof the 12 children with upper limb deficiency.
Results: Thirty six patients, 21 with congenital and 15 with acquired limb deficiency. Transtibial amputation wasthe most frequent acquired amputation and upper limb longitidinal deficiency was the congenital deficiencymost representative. Acquired amputations were most frequently caused by trauma. Twelve patients had upper limb deficiency. The most frequent was transverse below the elbow reductiondeficiency. The rejection to use a prosthetic device is higher on the congenital group. The children who still areprosthetic users, mainly use active devices. Children with upper limb reduction deficiency perform well on dailyactivities, even the prosthetic non-users.
Conclusions: Congenital limb deficiencies outnumber acquired amputations, being unknown its precise cause.The cause and level of acquired amputations in our population are similar to those described in other studies.Nevertheless, upper limb congenital defect was not the most frequent.Even though the prescription of active devices in children with upper limb defect is related with the currentprosthetic use, the prostheses are useful for specific activities, rather than for daily activities in general.
Keywords: Amputation; Congenital deficiency; Rehabilitation; Prostheses.
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