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Description

The Department of Veterans Affairs (VA) and the Department of Defense (DoD) have jointly published three clinical practice guidelines (CPGs) focused on amputation rehabilitation. These publications include an Upper Extremity Amputation Rehabilitation CPG published in 2014 and a new Lower Limb Amputation Rehabilitation CPG published in October 2017. While these guidelines have been developed primarily for the VA and DoD healthcare systems, there is a lack of similar guidance available outside of the federal sector.

This presentation will highlight the key research findings and treatment recommendations from the recently published 2017 VA-DoD Lower Limb Amputation Rehabilitation CPG. Comparisons will be made with the guidelines published in 2007 and 2014. Emphasis will be placed on the practical application of these recommendations across the all phases of amputation rehabilitation independent of the treatment setting.

More specifically, attendees will become familiar with the use of treatment algorithms to facilitate the most appropriate, evidence-based prosthetic limb prescription and rehabilitation interventions. Attendees will also gain an appreciation for the critical research appraisal process and the research evidence grading system utilized for the guideline development. Attendees will understand how this process has evolved over time and the implications of this structured approach on treatment recommendations and future research directions.

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