No two people with amputations are affected in the same way. Some amputees can function as well as any non-disabled person, while others are severely impaired. This depends on a number of factors, such as level of amputation, number of amputations, cause of amputation, other medical conditions, type of prostheses, prosthetic fit, length of residual limb and scar tissue.
As an amputee cannot generate a muscular force to cause the prosthetic joint to rotate, other joints (most frequently the hips) will have to work harder to enable the movement. For instance, a lower-limb amputee will not be able to push the leg from the ankle; rather, they will pull the leg from the hip.
Below are some top tips for coaches to help them support participants in their sessions.
- Prosthetic limbs mimic real limbs in a more simplistic way. The coaching techniques you normally use are a good place to start, but you might have to make adaptations.
- A user should be aware that they can exercise on practically any type of prosthesis and do not need a blade. Some of the less active feet may restrict performance, feeling heavy and slow, but will allow them to do a degree of exercise. Encourage the individual to speak to their prosthetist.
- If the participant is limited by their prosthesis, work with them on alternative exercises – keep the approach simple.
- Participants may use stump socks or liners to help with the fit of the residual limb into the socket (like wearing socks in shoes). Participants will sweat in the socket, which can become swollen and uncomfortable, so give them time out to change them or remove their prosthesis during the session if necessary.
- Find out what the participant can do, or what may be preventing them from taking part (eg self- confidence, socket fit, pain, technology).
- Consider the individual’s physique, mobility and application. Speak to the participant to understand their personal abilities and desires.