Course 2. Amputation, gait analysis and gait training


Session 1.

Introduction to module amputation, gait analysis and gait training

  • Module overview
  • Introductory video of the author
  • Introduction to the RPS form and the ICF and relation to persons with an amputation.

Session 2.

History taking and assessment in prosthetic treatment

  • Regarding the community and making use of the RPS-form.  A close look at advantages and disadvantages of recommended tools like Determinants of the Lower-Limb Amputee’s Ability
to Ambulate.

Session 3.

Treatment and goal setting

  • Using the International Classification of Functioning, Disability and Health (ICF) as core framework for planning evaluation. Within the rehabilitation phases the determination of specific interventions concerning amputees. (Including timelines)

Session 4.

The residual limb

  • This will involve: Stump care, bandaging and contracture prevention (theoretical and practical and environmental)

Session 5.

Fitting techniques

  • The design of below knee and above knee prosthesis with the pro’s and con’s and the consequences for the amputee and his or her prosthetic comfort and ambulation




Session 6.

Biomechanical principles in prosthetic solutions of the lower extremity

  • This will involve: weight bearing, balance, static alignment and dynamic alignment and measurement tools

Session 7.

Gait analysis

  • Normal gait and gait deviation
  • Monitoring general problems, problem solving in specific situations and. Based on the prosthesis or patient related (physical) problems.
  • Gait analyser, tracking gait deviation
  • Multidisciplinary approach in prosthetic treatment (with a close look the physiotherapist and the orthopedic technician and the occupational therapist)

Session 8.

  • Gait training
  • Basic training overview
  • Specific gait training
  • Advanced exercises
  • Functional exercises

Session 9.

Decision-making in postoperative prosthetic treatment

Many new advanced technological solutions are introduced in the world of prosthetic treatment. We need critical thinking towards these new technical designs and solutions and existing possibilities.

Key words: complex versus simple, new possibilities versus environmental issues.

Key question: What does the client really want/need and what can you offer in his or her present surrounding?


Eligibility Requirements

Orthotic / Prosthetic Engineers, Occupational Therapists and Physiotherapists and Rehabilitation doctors


Expected Learning Outcomes

At the end of the course the participant

  1. Has knowledge and understanding about the basic details in amputation: the residual limb, post-operative prosthetic treatment, fitting techniques and biomechanical principles.
  2. Will be able to analyse and improve the gait of a person walking with a below-knee or above-knee prosthesis
  3. Will be able to consider and understand the necessary reasoning to meaningful prosthetic appliance in any kind of environment.  

Suggested Background Reading

  • Orthotics & prosthetics in rehabilitation, third edition 2012 Michelle M. Lusardi, Milagros Jorge, Caroline Nielsen
  • Guidelines for rehabilitation of the lower extremity, WHO, 2010
  • Prosthetics and Orthotics, lower limb and spinal; Ron Seymour 2002
Pre test 0.5 hours
Online 14 hours
Post test 0.5 hours
Total 15 hours