Hermes Lisa M
Physical Medicine and Rehabilitation Clinic and Electrodiagnostic Laboratory, Irwin Army Community Hospital, Fort Riley, Kansas, USA.
Phys Med Rehabil Clin N Am. 2002 Feb;13(1):45-66. doi: 10.1016/s1047-9651(03)00071-8.
The role of the military has changed over the past eight decades. Although the threat of global warfare still exists, the military of today faces new challenges as a peacekeeper in countries under turmoil. Despite these changes, the fear of bodily injury, such as limb loss and even the possibility of death, are real concerns for our active duty personnel. The military physician must be aware of the appropriate surgical, rehabilitative, and psychosocial needs of the lower extremity traumatic amputee. The physical medicine and rehabilitation specialist is a physician particularly suited to provide direction for and to oversee the overall care of the amputee's condition. An amputee center providing a multidisciplinary team approach has worked well for the military during war and peacetimes. The physical medicine and rehabilitation inpatient service at WRAMC continues the tradition and philosophy of the military amputee centers dating back to WWI. By growing with the fast-paced technologic advances in prosthetic devices, yet keeping true to the fundamentals of prosthetic prescription and design, physical medicine and rehabilitation in the military has remained at the forefront of amputee rehabilitation. Patient satisfaction with the rehabilitation process and his or her new artificial limb remain priorities whether the goal is to return to active duty or to resume an active lifestyle in the civilian world.
在过去的八十年里，军队的角色发生了变化。尽管全球战争的威胁依然存在，但如今的军队在动荡国家担任维和角色时面临着新的挑战。尽管有这些变化，但对身体受伤的恐惧，如肢体缺失甚至死亡的可能性，仍是我们现役军人切实担忧的问题。军队医生必须了解下肢创伤截肢患者的适当手术、康复及心理社会需求。物理医学与康复专家是特别适合为截肢患者病情的整体护理提供指导并进行监督的医生。在战争时期和和平时期，一个采用多学科团队方法的截肢康复中心对军队都很有成效。沃尔特·里德陆军医疗中心的物理医学与康复住院服务延续了可追溯到第一次世界大战的军队截肢康复中心的传统和理念。通过随着假肢装置技术的快速进步而发展，同时坚持假肢处方和设计的基本原则，军队中的物理医学与康复一直处于截肢康复的前沿。无论目标是重返现役还是在平民世界恢复积极的生活方式，患者对康复过程及其新假肢的满意度仍然是首要任务。
