An investigation of rehabilitation with special reference to lower limb amputation

Crowther, Helen

Abstract

An investigation was carried out into rehabilitation. The author sought to clarify what appeared to be contradictory practices and the underlying issues. The study centred on the treatment of those who have lost lower limbs but the investigation was carried out in such a way as to reflect more generally on the state of medical rehabilitation.

First, the literature on rehabilitation and on amputation was reviewed. This review questions the rationale of the modern rehabilitation movement. In chapter three the concept of rehabilitation is redefined. An investigative and ethological method was devised with which to observe amputee mobility training. Five centres were investigated. The method was developed at a general hospital, centre A. Data was collected at centres B and C and the results checked at centres D and E. This sample includes a DHSS Artificial Limb and Appliance Centre and both NHS geriatric and accident and emergency units.

In the light of the redefinition of rehabilitation the data on rehabilitation was analysed. Serious problems in the daily practice and aims of amputee
treatments emerged and services which are widely considered to be the crux of rehabilitation were seen not only to exclude truly rehabilitative elements but also to foster anti-rehabilitative behaviour.

This is a broadly based first study in an area where there is nothing similar. The study could provide an impetus for debate and point the way for further research into the treatment of those who have lost limbs. It provides both the ground theory and method for further research into many aspects of medical rehabilitation.

Citation

Crowther, H. An investigation of rehabilitation with special reference to lower limb amputation. (Thesis). University of Hull. https://hull-repository.worktribe.com/output/4217626

• Thesis Type: Thesis
• Deposit Date: Jan 14, 2016
• Publicly Available Date: Feb 23, 2023
• Keywords: Nursing
• Public URL: https://hull-repository.worktribe.com/output/4217626
• Additional Information: Department of Nursing Studies, The University of Hull
• Award Date: Jan 1, 1985