a. Assist the client in coping with psychological aspects of limb loss, including changed body scheme, reduced self-esteem and self-efficacy, shock, disbelief, anger, grief, guilt, denial, hope- lessness, and depression.
b. Optimize wound healing.
c. Maximize residual limb shrinkage and shaping to achieve tapered distal end, the optimal shape for a prosthetic socket.
d. Desensitize residual limb.
e. Maintain or increase ROM and strength.
f. Facilitate independence in basic ADLs.
g. Explore prosthetic options.
Fixed posture because of shortening of skin, ligaments, joint capsule, tendons, and muscles resulting from conditions such as burns, wound healing, muscle imbalance because of peripheral nerve injury, spinal cord injury, increased muscle tone from a stroke, head injury, and cerebral palsy proximal interphalangeal (PIP) joints, metacarpophalangeal (MCP) joints,
all thumb joints, wrist, elbow, ankle, metatarsophalangeal (MTP) joints, temporomandibular joints, hips, knees, shoulder, and cervical spine.