Volume 2, 2002

First Step - A Guide for Adapting to Limb Loss, A publication of the National Limb Loss Information Center

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Published biennially by
Amputee Coalition of America
900 E. Hill Ave., Suite 205
Knoxville, TN 37915-2566
Phone: 865/524-8772
1-888/AMP-KNOW (267-5669)
FAX: 865/525-7917
E-mail: editor@amputee-coalition.org
Web site: www.amputee-coalition.org

President & CEO
Paddy Rossbach, RN

Executive Editor
Nancy M. Carroll

Associate Editor
Rick Bowers

Graphic Design
Karen Jenkins

ACA Board of Directors
Executive Board:

Chair
Paul Ising

Vice Chair
Tamar Luchow

Secretary
Hon. John J. Farley, III

Treasurer
Maynard Carkhuff

ACA Medical Director
Doug Smith, MD

ACA Legal Counsel
Douglas McCormack, JD

Directors:
Ralph Fowler
Bruce G. Nitsche
Marianne Rankin
Brad Ruhl

Executive Publications Committee:
John Bowker, MD
Missy Wolff-Burke, EdD, PT, ATC
Jan Garrett, JD
Tamar Luchow
Al Pike, CP
Marianne Rankin
Kathleen K. Spozio
Charlie E. Steele
Philip Tamoush
Col. William E. Weber

The ACA educates people with limb loss about resources, opportunities, and options that affect their lives. This may include information concerning products, services, and treatments, a courtesy that is not meant to imply endorsement by the ACA, its members, or the staff of the National Limb Loss Information Center (NLLIC).

This publication is fully supported by Grant/Cooperative Agreement Number U59 DD000347 from the Centers for Disease Control and Prevention (CDC). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the CDC.

© 2001 ACA; all rights reserved.

Call ACA Today and Become a First Step Distribution Partner!
The 2001 edition of First Step is the essential Guide for all people who are coping with the challenges of limb loss. Published by the National Limb Loss Information Center (NLLIC), First Step offers readers over 100 pages of reliable information on consumer issues that have been raised time and time again by amputees attempting to make educated choices, get better services or decide on available options.

Help the ACA get this important publication into the hands of your patients, clients, and colleagues. Whether you distribute 5 copies or 5,000 copies, First Step is free of charge. For facilities with multiple locations, we ask that you help us save postage by accepting all copies at one location. First Step is also available for your meetings and events. The ACA would appreciate assistance with postage fees for large orders!

For More Information
Call 1-888/AMP-KNOW

 

Table of Contents

image: surgeonSECTION 1 - FACING AMPUTATION SURGERY

Lower Extremity
Raymond Francis, CP

Upper Extremity
Sean Toren

Questions to Ask Your Surgeon
Things you need to know about your
amputation
John W. Bowker, MD

Small Part for Above-Knee Prosthesis Makes a Big Difference
The importance of push-button rotators
John Rheinstein, CP

Dealing With Grief and Depression
Preserving your physical, emotional, mental, and spiritual health
Omal Bani Saberi, LCSW, CCHT

Finding a Qualified Therapist: What’s in a Name?
What the different types of therapists do and their qualifications
Omal Bani Saberi, LCSW, CCHT

image: pain in headPain: What to Expect
A discussion of pain from the preoperative stage through postoperative phantom pain
ACA Staff Writers

The Value of Peer Contact
inMotion Staff Writers

Young Amputee Gives Kennedy Hope After Amputation
The story of Edward "Ted" Kennedy Jr.’s loss of a leg to bone cancer in 1973 and how peer support helped him adjust
inMotion Staff Writers

Youths Reach Out to Help Others
The story of two young amputees who went out of their way to give peer support to new amputees
Rick Bowers

Post-op Prostheses Offer Benefits After Amputation Surgery
John Rheinstein, CP

image: toddler wearing leg prosthesisFacing Congenital Limb Differences: A Child is More Than an Arm or a Leg
Several families share their inspiring stories of pain and joy
Rick Bowers

Early Fitting is Key to Success
Occupational therapist discusses her belief that every child should have the opportunity to use a prosthesis
Diane Atkins, OTR/L, FISPO

Assistive Devices Give Upper-Extremity Amputees a Helping Hand
Simple, complex products make life easier for prosthetic and nonprosthetic users
Rick Bowers

SECTION 2 - ARE YOU READY FOR A PROSTHESIS? 

Preparing for Prosthetic Fitting
Robert S. Gailey, PhD, PT

Choosing a Prosthetist
Questions the amputee should ask when seeking a prosthetist
Wendy Beattie, CPO, FAAOP

A closer look at the ABC and BOC -in their own words
Messages from the two certifying bodies for orthotists and prosthetists

image: adjustable socketThe Process of Creating a Prosthesis
Bill Copeland, CP, LP

Prosthetics and Aging: Mobility for the Long Run
Kevin Carroll, MS, CP, FAAOP

Prosthetic Knees
An overview of the various types of knees available and their advantages and disadvantages
John W. Michael, MEd, CPO, FAAOP, FISPO

Putting Your Best Foot Forward
An overview of options in prosthetic feet
Scott Sabolich, CP

image: hand grip on clubA Guide to "Recreational" Prostheses
Arthur D. Graham, CP (USA), CPO (UK)

Prosthetic Socks and Liners
A discussion of the various socks and liners available and their advantages and disadvantages
Jack E. Uellendahl, CPO

A Prosthetic Conversion
Rethinking the distinctions between functional and cosmetic prostheses
Kim Doolan

image: cutaway view of hand prosthesisAdvances in Arm Prosthetics
An overview of new prosthetic devices for the upper-extremity amputee
Harold Sears, PhD

Advanced-Technology Prostheses: Are They For You?
A discussion of the application of technology in prosthetics, its relevance to the consumer, and common myths about advanced technology
John Michael, MEd, CPO, FAAOP, FISPO

Putting Amputees Back in the Driver’s Seat
An overview of the different types of hand controls and their advantages and disadvantages
Lee Perry

SECTION 3 - LIVING WITH LIMB DIFFERENCES 

Building Self-Esteem
Getting by with a little help from your friends, family, and other amputees
Gail M. Williamson, PhDimage: man lifting weights while seated

Skin and Socket Care
Basic tips on caring for your skin
Paddy Rossbach, RN

Keep Moving... Exercises for Lower-Extremity Amputees
Melissa Wolff-Burke, EdD, PT, ATC, and Elizabeth Cole, PT

Veterans Health Administration
A brief introduction to VHA services for amputees
David Whatley

image: Carl Brashear's US Naval School -SALVAGEA Man of Honor
The story of Navy master diver Carl Brashear
Rick Bowers

Landmine Survivors Network
A brief introduction to the organization founded by landmine survivors for landmine survivors

Who Cares for Caregivers?
An article on the effects of caring for others and how to handle the stress
Nancy Carroll

Prosthetic Costs
Jon B. Holmes, PT, CPimage: patient in meeting

Financial Assistance for Prostheses and Other Assistive Devices
An overview of various funding options
Compiled by Mary Jo Walker, NLLIC information specialist

Diabetes: Preventing Lower-Extremity Amputations
Frank Vinicor, MD, MPH

PHOTO CREDITS

The ACA is grateful to all of the manufacturers who supplied photographs, line drawings and other images for this publication.

Cover: Upper-extremity prosthesis courtesy Motion Control; Photo of small boy courtesy Endolite North America


Back to Top Last updated: 02/22/2008

 Amputee Coalition of America

© Amputee Coalition of America. Local reproduction for use by ACA constituents is permitted as long as this copyright information is included. Organizations or individuals wishing to reprint this article in other publications, including other World Wide Web sites must contact the Amputee Coalition of America for permission to do so.