Impact of physical therapy for a patient with multiple limb amputations secondary to Legionnaires' disease: A case report

Sally Marie Taylor*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Background and Purpose: Collaboration between the physical therapist and prosthetist is essential for patients with any type of amputation. This case report describes a patient with multiple limb amputations due to medical complications resulting from community acquired Legionnaires' disease (LD). The physical therapy evaluation, examination, diagnosis, interventions, and outcomes along with collaboration with the prosthetist are discussed. Case Description: A 55-year-old previously healthymale contracted LD and subsequently developed multiplemedical complications in acute care. This resulted in left transradial and bilateral transtibial amputations due to hypotension-induced ischemia from sepsis. A 2-month course of inpatient rehabilitation is described, including changes in functional status and progression to safe discharge home. Outcomes: Physical therapy interventions resulted in an improvement fromtotal assist for all functionalmobility to ambulating at a standby assist level with bilateral lower limb and left upper limb prosthesis. He improved his 10-m walk test score from 0.07 to 0.60 m/s, 6-minute walk test to 133 m, and timed up and go test to 47 seconds. Discussion: A comprehensive list of physical therapy interventions needs to be included for successful rehabilitation of a medically complex patient with multiple limb amputations. Collaboration with the prosthetist is inherent and critical. Future research may include a series of case reports or a study using practice-based evidence. This would allow for more associations to be made regarding interventions for patients with multiple limb amputations.

Original languageEnglish (US)
Pages (from-to)118-123
Number of pages6
JournalJournal of Prosthetics and Orthotics
Volume28
Issue number3
DOIs
StatePublished - Jun 1 2016

Keywords

  • Legionnaire's disease
  • Multiple limb amputations
  • Outcomes
  • Physical therapy
  • Prosthetist

ASJC Scopus subject areas

  • Biomedical Engineering
  • Orthopedics and Sports Medicine
  • Rehabilitation

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