Evidence based clinical guidelines for the physiotherapy management of adults with lower limb prostheses
Linee guida per la fisioterapia dell’adulto portatore di protesi di arto inferiore. Sono applicabili per tutti i livelli di amputazione, incluse le amputazioni bilaterali, e tutte le cause e patologie.
The British Association of Chartered Physiotherapists in Amputee Rehabilitation (BACPAR) is a clinical interest group recognised by the Chartered Society of Physiotherapy (CSP). BACPAR aims to promote best practice, through evidence and education, in the field of amputee and prosthetic rehabilitation for the benefit of patients and the profession. It is committed to research and education, providing a network for the dissemination of best practice in pursuit of excellence and equity whilst maintaining cost effectiveness.
These guidelines have been produced by practising physiotherapists who are members of the Chartered Society of Physiotherapy and who hold State Registration with the Health Professions Council.
A clinical guideline is not a mandate for practice – it can only assist the clinician with the decision making process about a particular intervention. Regardless of the strength of the evidence on which the guideline recommendations are made, it is the responsibility of the individual clinician to interpret their application for each particular patient encounter. This will include taking account of patient preferences as well as local circumstances. Patient consent should always be gained prior to any treatment. These guidelines do not constitute a legally binding document. They are based on the best evidence currently available, and are intended as a resource to guide application of best practice.
They should be used in conjunction with the CSP Core Standards. The scope of these guidelines is purposely broad. It was not BACPAR’s intention to include details of specific areas of physiotherapy management as these would detract from the broader overview that these guidelines present.
Recommendations for local implementation were developed by the working party based on the best available evidence and their expert knowledge. They are given to assist individual physiotherapists and service managers to implement the recommendations of the guidelines. It is recognised that local variations in service provision will influence their implementation. These guidelines are intended to be useful to physiotherapists working in this clinical area as a readily available source of information. They can assist in clinical decision making, adapting knowledge into practice and providing recommendations to ensure competence. For the experienced clinician, the guidelines can act as a reference to support and guide clinical practice and service provision. They are intended to be a framework for best practice that all physiotherapists should aspire to achieve as part of their professional responsibilities. BACPAR acknowledges that not everyone who undergoes a lower limb amputation will benefit from a prosthesis. These guidelines are intended for those adults who do receive a prosthesis.
A cura di: The Chartered Society of Physiotherapy