This self-assessment has 35 questions and requires a minimum passing score of 70% to claim CME. You will have unlimited attempts to achieve a passing score.

This learning activity meets the self-assessment criteria of the Part II: Life-long Learning and Self-Assessment component as part of the ABPM&R's Maintenance of Certification^©program.

Learning Objectives
After completing this enduring material, the participant should be able to:

• Recognize appropriate clinical management strategies and apply these techniques and knowledge into their practice.
• Assess the current state of their knowledge specific to the activity topic and identify knowledge gaps in which additional study is needed.
• Develop a strategy to closing the identified knowledge gaps using resources provided as references within the activity.

Associated Articles

• Haustein D, Panchang P. PM&R Knowledge Now. https://now.aapmr.org/phantom-pain/ Originally Published 11/11/2011. Last Updated 4/19/16. Accessed 11/7/18.
• Madsen UR, Baath C, Berthelsen CB, Hommel A. Age and health-related quality of life, general self-efficacy, and functional level 12 months following dysvascular major lower limb amputation: a prospective longitudinal study. Disability and rehabilitation. 2018 Jun 18:1-0.
• Reichmann JP, Stevens PM, Rheinstein J, Kreulen, CD. Removable Rigid Dressings for Postoperative Management of Transtibial Amputations: A Review of Published Evidence. PM&R, Vol. 10. 2018, p 516-523.
• Wang SW, Hsu J, Trent L, Ryan T, Kearns NT, Civillico EF, Kontson KL. Evaluation of performance-based outcome measures for the upper limb: a comprehensive narrative review. PMR 10(2018): 951-962.
• Stineman MG, Kwong PL, Xie D, Kurichi JE, Ripley DC, Brooks DM, et al.: Prognostic differences for functional recovery after major lower limb amputation: effects of the timing and type of inpatient rehabilitation services in the Veterans Health Administration. PM R 2010;2:232–243.
• Esquenazi A. Gait Analysis in Lower-Limb Amputation and Prosthetic Rehabilitation. Phy Med Rehabil Clin N Am. 2014 Feb;25(1):153-67.
• Le JT, Scott-Wyard PR. Pediatric Limb Differences and Amputations. Phys Med Rehabil Clin N Am. 2015 Feb;26(1):95-108.
• Hebert JS, Rehani M, Stiegelmar R. Osseointegration for Lower-Limb Amputation: A Systematic Review of Clinical Outcomes. JBJS Rev. 2017 Oct;5(10) e10. doi: 10.2106/JBJS.RVW.17.00037
• VA/DoD Clinical Practice Guideline for Rehabilitation of Individuals with Lower Limb Amputation. Version 2.0. 2017

Accreditation Statement

AAPM&R is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CME Credit Designation

AAPM&R designates this enduring material for a maximum of 8.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty and their Disclosures
All faculty, planners and reviewers participating in continuing medical education programs must disclose to the learner any financial interests with any commercial supporter or other relationships with manufacturer(s) or providers of any product or service related to content of their presentation. For this activity, all self-assessment questions were developed and peer-reviewed to ensure quality and independence by the Self-Assessment Committee, under the oversight of the chair and the Medical Education Committee.  Their disclosures are provided below.  Disclosures from the article authors can be found in the article PDFs.

Prinicpal Faculty/Self-Assessment Committee Members:
Atul T. Patel, MD, MHSA, Chair
Speaker's Bureau for Allergan, Ipsen, Merz; participates in clinical trials for Ipsen, Merz, and Revance; Guideline and AUC Committee for the AAOS, nonremunerative position of influence.

Kim D. D. Barker, MD
Disclosed no relevant financial relationships.

Marcie Bockbrader, MD, PhD
Participates in clinical trials for Micro Transponder, Inc.

Maria Aurora Dajoyag-Mejia, MD
Disclosed no relevant financial relationships.

Sarah M. Eickmeyer, MD
Disclosed no relevant financial relationships.

Colby Hansen, MD
Consultant for CSRA International, Inc..

Prathap Jacob Joseph, MD
Disclosed no relevant financial relationships.

Jill R. Meilahn, DO
Disclosed no relevant financial relationships.

Marilyn S. Pacheco, MD
Disclosed no relevant financial relationships.

Monica Verduzco-Gutierrez, MD
Speakers Bureau and Consultant for Merz Pharmaceuticals

AAPM&R Medical Education Committee:
Steven R. Flanagan, MD, Chair
Royalties from Springer Publishing; research grant from Brain Injury of America

Anna-Christina Bevelaqua, MD
Disclosed no relevant financial relationships.

Justin M. Bishop, MD, MBA, MS (RPC Liaison)
Disclosed no relevant financial relationships.

Joseph E. Burris, MD
Serves on the Speakers Bureau for, and received clinical research grants from Allergan.

John C. Cianca, MD
Independent contractor, Houston Marathon Committee; owner, Musculoskeletal Ultrasound Consultants, LLC; consultant, 2nd MD; royalties from Demos Medical Publishing

Andrew B. Collins, MD (RPC Liaison)
Disclosed no relevant financial relationships.

Rita G. Hamilton, DO
Disclosed no relevant financial relationships.

Charles D. Kenyon, DO
Disclosed no relevant financial relationships.

R. Sam Mayer, MD
Royalties from Demos Medical Publishing.

Andre Panagos, MD
Disclosed no relevant financial relationships.

Atul T. Patel, MD, MHSA
Speakers Bureau for Allergan, Ipsen, Merz; participates in clinical trials for Ipsen, Merz, and Revance; Guideline and AUC Committee for the AAOS, nonremunerative position of influence.

Kerrie M. Reed, MD
Disclosed no relevant financial relationships.

Sunil Sabharwal, MD
Royalties from Demos Publishing; board member, American Board of Physical Medicine and Rehabilitation.

Rebecca DeVivo, MPH, MSW
Staff Liaison
Disclosed no relevant financial relationships.

No other planners, faculty or other individuals in control of content disclosed any relevant financial relationships.