Brandes and Diesing, Germany

Learning how to walk with the prosthesis is a very important aspect in therapy. A physiological gait should be

trained in varying situations of daily life, so that the patient is able to integrate as good as possible into social

life. Depending on the reason for an amputation there exist different restrictions for the amputee which require

diagnosis-orientated therapeutical actions. With patients of the mobility grade 1&2 the focus is on walking safely,

balance and a physiological gait. With patients of the mobility grade 3&4 the focus is more on complex situations

of daily life, outdoor and sports. A detailed diagonsis and gait analysis give information which therapy improves

the conditions for a physiological gait. A combination of contracture-prophylaxis, PNF, manual therapy, treatment

of scarfs, facial therapy, strengthening muscles, core stability, drainage of the lymphatic system, handling of the

prosthesis as well as treating phantom pain e.g. With mirror therapy. A very important aspect in rehabilitation

is interdisciplinary collaboration. An adequately built prosthesis as well as the exchange between the orthopaedic

technician and the physiotherapist lead to a better result. We practice this in our prosthetic gait training in groups in

our practice and company in Germany with success.