Prosthetics Management of Diabetic Foot

Introduction
A diabetic foot is any pathology that results directly from peripheral arterial disease (PAD) and/or sensory neuropathy affecting the feet in diabetes mellitus; it is a long-term (or “chronic”) complication of diabetes mellitus. Diabetic is the leading cause of non-accident related foot amputation. It is estimated that, one in four persons will develop some type of foot problem requiring care. More than 85% of amputations are done due to foot ulcer on people with diabetes. Throughout the world it is estimated that, every 30 seconds one leg is amputated due to diabetes.  The global prevalence of diabetes in 2025 was estimated to be 415 million whereas Africa and Asia along was estimated to be 14.2 million which is 3.4% of the global population. In Tanzania, 70% of lower limb amputation is done on patients with diabetes.

In most of developed countries, the evaluation, assessment, and specialized care are given by a specialist who is most often known as Podiatrists. These are individuals who have completed specialized training in the design, manufacturing, and fitting of footwear (shoes and foot orthoses) for individuals with diabetes. In reference to rehabilitating a person amputated due to diabetes with a prosthesis, one has to be conscious about ischemia, neuropathy in both limbs, poor muscle strength, coordination and endurance, visual impairment, balance problems, and cognitive and desire to resume an active life. It is therefore the basis of not having anyone in most of our settings in developing countries to impart current practicing Prosthetists/Orthotist with the knowledge, skills, and attitude of providing this service to the lower limb amputees as a result of diabetes. It is an independent course that provides the required capacity to rehabilitate a lower-limb amputee due to diabetes.
 
Course Aim
This course is designed to equip the trainee with the knowledge and skills to design, fabricate, align and assemble a prosthesis with the required special features for a client amputated due to diabetes.
 
Course objectives
To train participants on designing concepts, principles, and methods of fabricating and fitting foot prostheses for clients amputated due to diabetes.
 
 
 
Learning Outcomes
1.     Cary out a visual and physical assessment of a foot amputee
2.     Demonstrate an understanding of measurement transfer of a negative cast for a foot amputee
3.     Design an image of a foot stump socket on a negative cast viewed from both frontal, transverse and sagittal plane
4.     Rectify a foot stump positive cast
5.     Demonstrate the moulding/lamination process of the foot stump socket
6.     Fit a foot stump socket
7.     Demonstrate the assembling of Foot Prosthesis (FP)
8.     Carry out the static and dynamic alignment of FP
 
Expected competence after taking the course
1.     Acquire knowledge and skills in fabricating an FP
2.     Assess static and dynamic changes achieved as compared to the initial status without an FP
3.     Analyse structural and functional quality achieved when an FP is fitted following a hybrid technology
 
Credits: 35.6
 
Instructional methods
The course will be in English and is a Blended Learning Course whereby students will be attending scheduled lectures online and there will be PowerPoint presentations, notes of the session, quizzes, and video presentations for a step-by-step demonstration of carrying out specific clinical and practical procedures. The participants will come to the college for the first and last week of face-face practical sessions.
 
Who can apply:
This course is for Prosthetists/Orthotist working in different Prosthetics & Orthotics Centers/departments within and outside the country. It is also for all those who are working in private centers supported by religious organizations or NGOs. All those who will be eligible for the course must at least have their Desktops or Laptops Computers.
 
 
 
Dates and duration:              THREE MONTHS (3)
Hours:                                    355.5 Hrs for three months
Place:                                      KCMUCo
Course Fees                           800,000/=
This fee will cover the cost of course material, which will be made available to all participants during presentations of individual sessions. Also it will be used to purchase consumables required for the fabrication of FP during the two weeks face-face workshop.
 
Organizers:
This course has been organized by KCMUCo, Department of Prosthetics & Orthotics, Faculty of Rehabilitation Medicine and Umweltzentrum (UWZ)
 
Coordinator of Short Courses: Ms. A. Menuka
 
Facilitators:
Anatomy & Physiology:         25 Hrs Ms. S. Tinkasimile
Pathology:                            30 Hrs Mrs. A. Menuka
Biomechanics:                      30 Hrs Mrs. E. Kombe
Clinic/Practical Procedures: 216 Hrs Ms. S. Tinkasimile, Mrs. H. Mranga. Mrs. A. Menuka, Mrs. E. Kombe
Group Presentations/Discussions: 6 Hrs Ms. A. Menuka, Mrs. E. Kombe
 
Scheduled Time: 14th August 2023 up to 13th November 2023
All applications including CV and application letter should be sent to asterya.casmir@gmail.com before (06th July 2023)