Amputation is the removal of a limb by trauma, medical illness, or surgery. As a surgical measure, it is used to control pain or a disease process in the affected limb, such as malignancy or gangrene. In some cases, it is carried out on individuals as a preventive surgery for such problems. A special case is that of congenital amputation, a congenital disorder, where fetal limbs have been cut off by constrictive bands. In some countries, amputation is currently used to punish people who commit crimes. Amputation has also been used as a tactic in war and acts of terrorism; it may also occur as a war injury. In some cultures and religions, minor amputations or mutilations are considered a ritual accomplishment. When done by a person, the person executing the amputation is an amputator. The oldest evidence of this practice comes from a skeleton found buried in Liang Tebo cave, East Kalimantan, Indonesian Borneo dating back to at least 31,000 years ago, where it was done when the amputee was a young child.
In medicine, a prosthesis, or a prosthetic implant, is an artificial device that replaces a missing body part, which may be lost through trauma, disease, or a condition present at birth. Prostheses are intended to restore the normal functions of the missing body part. Amputee rehabilitation is primarily coordinated by a physiatrist as part of an inter-disciplinary team consisting of physiatrists, prosthetists, nurses, physical therapists, and occupational therapists. Prostheses can be created by hand or with computer-aided design (CAD), a software interface that helps creators design and analyze the creation with computer-generated 2-D and 3-D graphics as well as analysis and optimization tools.
Acrotomophilia (from the Greek ἀκρότομος "having the top cut off" is a paraphilia in which an individual expresses strong sexual interest in amputees. It is a counterpart to apotemnophilia, the desire to be an amputee.
S8, SB7, SM8 are disability swimming classifications used for categorizing swimmers based on their level of disability. This class includes a number of different disabilities including people with amputations and cerebral palsy. The classification is governed by the International Paralympic Committee, and competes at the Paralympic Games.
2 point player and 2.5 point player is a disability sport classification for wheelchair basketball. People in this class have partial trunk control when making forward motions. The class includes people with T8-L1 paraplegia, post-polio paralysis and amputations. People in this class handle the ball less than higher-point players. They have some stability issues on court, and may hold their wheel when trying to one hand grab rebounds.
3-point player is a disability sport classification for wheelchair basketball. People in this class have good forward and backward trunk movement but poor to no sideways trunk movement. The class includes people with L2–L4 paraplegia and amputations. Amputees are put into this class generally if they have hip disarticulations or hip abductions. Players in this class can generally rebound balls that are over their heads, but they can have some issues with balance during lateral rebounds.
4-point player is a disability sport classification for wheelchair basketball. Players in this class have normal trunk function but have a reduced level of functioning in one or both of their lower limbs. They may have difficulty with sideways movements. People in this class include ISOD classified A1, A2 and A3 players.
4.5-point player is a disability sport classification for wheelchair basketball. Players in this class tend to have normal trunk movement, few problems with side-to-side movements, and ability to reach to the side of their chair. Players generally have a below-knee amputation, or some other partial single-leg dysfunction. This classification is for players with minimal levels of disability. In some places, there is a class beyond this called 5-point player for players with no disabilities.
T43 is a disability sport classification for disability athletics, applying to athletes with "Double below knee amputation or similar disability." It includes ISOD classified athletes from the A4 and A9 classes.
T44 is a disability sport classification for disability athletics, applying to "Single below knee amputation or an athlete who can walk with moderately reduced function in one or both legs." It includes ISOD A4 and A9 classes.
T46 and F46 are disability sport classification for disability athletics. People in this class have a single below or above the elbow amputation. The amputee sports equivalent class is ISOD the A6 and A8 classes. People in this class can have injuries as a result of over use of their remaining upper limb. The classification process to be included in this class has four parts: a medical exam, observation during training, observation during competition and then being classified into this class.
Paratriathlon classification is the classification system for athletes participating in paratriathlon. It is governed by the World Triathlon The sport has been included in the 2016 Summer Paralympics.
Amputee football is a disabled sport played with seven players on each team. Outfield players have lower extremity amputations, and goalkeepers have an upper extremity amputation. Outfield players use loftstrand (forearm) crutches, and play without their prosthesis.
Amputee sports classification is a disability specific sport classification used for disability sports to facilitate fair competition among people with different types of amputations. This classification was set up by International Sports Organization for the Disabled (ISOD), and is currently managed by IWAS who ISOD merged with in 2005. Several sports have sport specific governing bodies managing classification for amputee sportspeople.
A3 is an amputee sport classification used by the International Sports Organization for the Disabled (ISOD) for people with acquired or congenital amputations. A3 classified sportspeople have both legs amputated below knee. Their amputations impact their sport performance, including having balance issues, increased energy costs, higher rates of oxygen consumption, and issues with their gait. Sports people in this class are eligible to participate in include athletics, swimming, sitting volleyball, archery, weightlifting, badminton, lawn bowls, sitzball and wheelchair basketball.
A4 is an amputee sport classification used by the International Sports Organization for the Disabled (ISOD).for people with acquired or congenital amputations. People in this class have one leg amputated below the knee. Their amputations impact their sport performance, including having balance issues, increased energy costs, higher rates of oxygen consumption, and issues with their gait. Sports people in this class are eligible to participate in include athletics, swimming, sitting volleyball, archery, weightlifting, wheelchair basketball, amputee basketball, amputee football, lawn bowls, and sitzball.
LA4 is a Les Autres sport classification is an ambulatory sport classification for a sportsperson with a disability that impacts their locomotor function. People in this class may or may not uses crutches and/or braces on a daily basis. They have some issues with balance and reduced function in their upper limbs.
Robert S. Gailey Jr., PT, PhD, FAPTA, is an American physical therapist; professor at the University of Miami Miller School of Medicine Department of Physical Therapy; and the Director of the Neil Spielholz Functional Outcomes Research & Evaluation Center. His research efforts include amputee rehabilitation, prosthetic gait, and functional assessment. He developed the Amputee Mobility Predictor (AMP), an outcome measure designed to evaluate the ambulatory potential of lower-limb amputees with and without the use of a prosthesis. In 2002, he was appointed as a Special Advisor to the United States Department of Defense for amputee rehabilitation. In the aftermath of the 2010 Haiti earthquake, he served as the rehabilitation coordinator for Project Medishare.
Project Medishare is a 501(c)(3), non-profit organization registered in the State of Florida. It was founded by Dr. Barth Green and Arthur Fournier from the University of Miami School of Medicine. The organization was created in 1994 to improve healthcare in Haiti. Since then, it has been committed to help its Haitian partners by establishing and funding sustainable programs, providing technology and equipment to hospitals, clinics, and other affiliated programs and training of Haitian physicians, nurses, and allied health professionals.
Adaptive Standing Tennis is a form of tennis for individuals with physical disability who play the sport of tennis standing, or ambulatory as opposed to their counterparts who play wheelchair tennis, playing tennis in a wheelchair.
