Abstract:
This lecture will discuss the clinical experiences and provision of rehabilitation services for
amputee military service members at the Center For the Intrepid located at Brooke Army
Medical Center (BAMC) Fort Sam Houston, Texas. This is part one of a series illustrating the
prosthetic services, rehabilitation and research currently underway at BAMC. Case presentations
will be utilized to illustrate the team approach to provide clinically appropriate amputee
rehabilitation. This cohesive effort includes surgical considerations, early prosthetic fittings,
long-term prosthetic care, rehabilitation services, case management, physiological and social
support services. Protocols for advanced prosthetic training will be presented with emphasis on
various prosthetic componentry. Advancements in the rehabilitation of the military amputee at
the Center For the Intrepid will be discussed in detail to include functional capacity evaluations,
drivers training, and firearms training simulator. A case study that involves an individual who
sustained a dominant upper extremity transhumeral amputation with total loss of vision will also
be discussed. In addition, current and future clinical research studies that involve individuals
who have sustained upper extremity loss and who are undergoing rehabilitation at the Center For
the Intrepid will be highlighted.
