S...... ATLANTA 1, GA. BALTIMORE 1, MD. BIRMINGHAM 1, ALA. BOSTON 16, MASS. CHARLESTON 2, W. VA. CHARLOTTE 2, N. C. OIICAGO 5, ILL CINCIPIATI 2, OHIO <strong>The</strong> Clinical Approach to Prosthesis <strong>The</strong> Clinical Approach at the Woodrow Wilson Rehabilitation Center, Fisherville, Virginia, features the Clinical Team-the Orthopedist, the Prosthetic Technician (ci HAN- GER Certified Prosthetist), the Physical <strong>The</strong>rapist, and the Occupational <strong>The</strong>rapist (for arm amputees only). All amputee patients are examined by this Clinical Team with the complete medical history and other records at hand. During the examination the patient is analyzed as an individual case with his particular advantages and limitations evaluated in relation to the possible courses <strong>of</strong> treatment. For example, whether a particular stump or joint condition can be corrected with therapy, or with special prosthesis fitting and construction; if not, is further surgery desirable. <strong>The</strong>n a AVAILABLE AT AUTHORIZED course <strong>of</strong> rehabilitation is prescribed by the Orthopedist, including the Physical (and Occupational for arm amputees) <strong>The</strong>rapy necessary, the type <strong>of</strong> Prosthesis to be worn, and other special treatment or training required. Immediately the patient’s treatment by the Center begins according to the Prescription. <strong>The</strong> patient receives pre-prosthetic therapy in which the stump is conditioned to provide the most efficient use <strong>of</strong> the Prosthesis. He is supervised and treated in baths, heat, exercise, etc., by therapists and nurses specially-trained for this work. When the patient actually begins to wear the prosthesis, the Clinical Team again works closely together in the rehabilitation program. <strong>The</strong> Prosthesis itself has been fabricated according to the measurements and specifications taken by the Prosthetist member <strong>of</strong> the Clinical Team. Careful attention is now given to fitting adjustments, continued therapy, and training exercises, such as walking, sifting, steps, etc. Unusual problems are cause for a complete review and possible change <strong>of</strong> prescription. For arm amputees, Occupational <strong>The</strong>rapy now becomes COLUMBIA 5, 5. C. COLUMBUS 5, OHIO DALLAS 1, TEXAS EVANSVILLE, IND. INDIANAPOLIS 2, IND. JACKSONVILLE, NA. KNOXVILLE, TEPII. MEMPHIS, TEI*I. MIAMI 37, FLA. tion through blocks, games, doorknobs, etc. faucets, tools, S...... FACILITIES IN THE FOLLOWING CITIES: MOBILE, ALA. MONTGOMERY, ALA. NASHVILLE, TENN. NEW ORLEANS 19, LA. NEW YORK 11, N. Y. OKLAHOMA CITY 3, OKLA. ORLANDO, FLA. PHILADELPHIA 7, PA. PITTSBURGH 30, PA. In answering advert is(’IUeIIt s, please mentioti ‘l’he <strong>Journal</strong> <strong>of</strong> <strong>Bone</strong> and .Joinl ‘suraer!/. 30 important, and the amputee spends part <strong>of</strong> each day learning to use the Prosthesis and to live an independent life. Trained <strong>The</strong>rapists and nurses supervise the teaching <strong>of</strong> dexterity and manipula- Most patients are ready for discharge in about six weeks. Each must appear at the Clinic for a final Prosthetic Performance Check-out by the Clinical Team and Official release by the Orthopedist. This is one <strong>of</strong> many such Centers throughout the country where HANGER Technicians function as integral members <strong>of</strong> the Clinical Team. Each is an ABC Certified Prosthetist, and trained in Team rehabilitation. Feel free to call on any HANGER <strong>of</strong>fice for service at any time. RALEIGH, N. C. RICHMOND iS, VA. ROANOKE 12, VA. ST. LOUIS 3, MO. SHREVEPORT, LA. TAMPA 2, FLA. WASH*IGTON 13, D. C. WILKES-BARRE, PA.
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