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  • Physical Therapists
  • Physical Therapist Assistants
Hours: 3 Contact Hours
Author(s): Christopher Kevin Wong, PT, PhD, OCS
Peer Reviewer(s): Carol P. Dionne, PT, DPT, PhD, OCS, Cert MDT
Item#: Q3500
Contents: 1 Course Book (66 pages)
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Lower Limb Amputation: Hospital-Based Rehabilitation

Price $29.95
Item # Q3500
When available, the Online Course format is included with the hard copy, eBook, or audio book formats!

Release Date: February 8, 2016

Expiration Date: February 8, 2019

Periods of armed conflict have always brought attention to the impact of limb loss. Over 1,500 servicemen and women have suffered major limb loss during U.S. military operations in Afghanistan and Iraq. However, the majority of people with limb loss cared for by the Veterans Health Administration (VHA) lose limbs due to vascular disease and diabetes. The VHA reports that 5,000 new cases are added each year to the 43,000 people with limb loss who they cared for annually.  Approximately 1.7 million people live with limb loss in the United States and that number is expected to more than double to more than 3.6 million by the year 2050.  Lasting impairment in walking ability is common among people with lower limb amputations, with more than half of community-dwelling people not reaching a satisfactory level of prosthesis use for mobility.

Physical therapists play an important role in the early restoration of functional mobility to people with lower limb loss. The immediate initiation of postoperative care and pre-prosthetic care within a hospital setting can reduce the risk of adverse events, facilitate wound healing and psychological adjustment, restore functional mobility, and develop the range-of-motion and strength needed to eventually walk with a prosthesis.

Few physical therapists have the opportunity to participate in clinical training experiences specifically focused on amputation rehabilitation and no evidence-based clinical practice guidelines have been developed to guide practice. These factors make it difficult for clinicians to stay abreast of best practice standards for this population. The purpose of this course is to provide physical therapists and physical therapist assistants with current evidence-based concepts for hospital-based rehabilitation of people with lower limb amputations.

This basic level course focuses specifically on hospital-based rehabilitation, early mobility, and pre-prosthetic training. The course provides an introduction to basic information about lower limb amputation and progresses to more in-depth information regarding all systems relevant to amputation rehabilitation, with current evidence-based concepts for risk assessment and suggestions for early rehabilitation activities. Knowledge obtained through this course can be used by physical therapy professionals to improve the hospital-based care and clinical outcomes for people with lower limb amputations.

California PTs & PTAs - Approved by the Physical Therapy Board of California through Net Education Design, Inc., an agency recognized by the board to approved courses that meet Physical Therapy Regulations 1399.96.

Texas PTs & PTAs - This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #1911021TX and meets continuing competence requirements for PT & PTA license renewal in Texas.

Ohio PTs & PTAs - Approval #18S7386 (6/1/18 to 6/1/19)

Florida & Indiana PTs & PTAs – PT boards in your state accept this course based on pre-approval by the Ohio PT Association.

New Jersey PTs & PTAs - Approval #1808-108 (2/1/18 - 1/31/20)

Pennsylvania PTs & PTAs - Pennsylvania PT Board Approved, #PTCE013500, for 2.5 general hours & 0.5 direct access hours. (Exp 12/31/18)

Course Objectives

  • Describe the incidence, prevalence, etiologies, and classifications of lower limb amputations
  • Evaluate the outcomes and risks for patients following lower limb amputation
  • Describe the physical therapy examination of a person with lower limb amputation
  • Identify the highest priority rehabilitation interventions for people with lower limb amputations
  • Identify factors involved in determining readiness for prosthetic fitting and discharge disposition


Christopher Kevin Wong, PT, PhD, OCS, is a graduate of the Columbia University Program in Physical Therapy in New York and earned his PhD in health education and research at Touro University International in Los Angeles, California. An orthopedic certified specialist since 2000, he practices in a private sports/orthopedic clinic in Westchester County, New York, and continues his involvement with the Amputee Support Group and Prosthetic Clinic at New York Presbyterian Medical Center, where he was the amputee specialist for 4 years. Now associate director and associate professor of rehabilitation and regenerative medicine at Columbia University Medical Center, Dr. Wong teaches Prosthetics and Orthotics in the Program in Physical Therapy. He has published several book chapters related to rehabilitation after amputation and presented at national and international physical medicine and physical therapy conferences. Dr. Wong’s research on postoperative rehabilitation after amputation, prosthetic and exercise interventions, balance assessment and prosthetic function, falls, and fall-related injury in people with lower limb amputation has appeared in the Archives of Physical Medicine and Rehabilitation, American Journal of Physical Medicine and Rehabilitation, Journal of Rehabilitation and Research Development, Journal of Rehabilitation Medicine, Prosthetics and Orthotics International, Journal of Prosthetics and Orthotics, Physical Therapy, and Physiotherapy Canada.


Carol P. Dionne, PT, DPT, PhD, OCS, Cert MDT, received her BS in physical therapy at the University at Buffalo, MS in education at Syracuse University, PhD in physical therapy at Texas Woman’s University, and a postprofessional DPT from Arizona State University. She currently serves as an associate professor in rehabilitation sciences at the University of Oklahoma Health Sciences Center, where she leads an interprofessional research team and teaches courses that focus on orthopedic and related topics in the DPT, DSc, and PhD programs. Dr. Dionne has authored numerous research- and clinical-based peer-reviewed publications focused on lower extremity amputation and has presented workshops and panel discussions at local, state, national, and international venues. Dr. Dionne is a Board Certified Orthopedic Clinical Specialist, is credentialed in mechanical diagnosis and therapy, and serves on the Board of Directors of NCOPE (National Commission on Orthotic and Prosthetic Education).

  • Courses must be completed on or before the expiration date noted in the course description above.
  • You must score 75% or higher on the final exam and complete the course evaluation to pass this course and receive a certificate of completion
  • Through our review processes, Western Schools ensures that the course content is presented in a balanced, unbiased manner and is free from commercial influence. It is Western Schools’ policy not to accept commercial support
  • All persons involved in the planning and development of this course have disclosed no relevant financial relationships or other conflicts of interest related to the course content
  • There are no prerequisites for this course