Limb Loss Management in the Homecare Setting (Live on 09/30/26)

Please register for the course using the registration link below. You will be able to open the course to view course materials and find the Zoom link no later than one business day before the course.

Presented by the Spaulding Amputee and Prosthetic Training Special Interest Group

Wednesday, September 30th, 2026
5:30 – 7:30 p.m. EST

Virtual via Zoom


Limb loss doesn’t stop at the hospital door — the work of recovery continues at home. This course equips homecare clinicians with practical strategies for guiding patients through the pre-prosthetic and early prosthetic phases, from residual limb care and positioning to phantom limb pain, fall prevention, and mobility training. Participants will explore prosthetic readiness, equipment selection, outcome measures, and community resources that support safe, functional recovery in the patient’s own environment.

Course Information

Estimated Time: 2.0 Hours

Continuing Education Credits Anticipated: APTA (PT), AOTA (OT)
Pricing
MGB Employees: Free with coupon code and proof of MGB User ID
Click here for coupon code
Non MGB Employees: $50.00


Learning OutcomesFollowing this course, participants will be able to:

  • Identify at least 3 strategies for residual limb management, positioning, phantom pain management, and fall prevention.
  • List at least 3 considerations when recommending equipment and environmental modifications to support safe function at home.
  • Define at least two considerations for determining readiness for prosthetic fitting and initiation of basic prosthetic graining interventions.
  • Identify at least two outcome measures and community resources that can support optimal patient outcomes.

Time-Ordered Agenda

  • 5-minutes: Introduction and review of objectives
  • 25-minutes: Pre-prosthetic management: Healing, positioning, limb shaping & phantom pain
  • 20-minutes: Fall prevention & functional mobility
  • 20-minutes: Equipment needs & home accessibility considerations
  • 25-minutes: Prosthetic readiness, components & suspension systems
  • 20-minutes: Outcome measures, therapeutic exercise & early gait training
  • 5-minutes: Special populations & community resources

Michele D. Bickford, PT graduated Northeastern University in 1990 Extensive experience in many settings: Inpatient rehab, outpatient, acute care and home care. 15 years of home care experience, treating multiple populations including limb loss patients in the home care setting. Has worked for MGB Spaulding for over 9 years. Have spent my career working on the South Shore of Boston. Been a PT for 36 years. Currently Treats a caseload of neurological, orthopedic, oncology, and surgical patients in the outpatient setting. Varying experience that gives me a great perspective on the entire rehab process, from acute care to inpatient rehab, to home care and then outpatient. Have enjoyed working with all the different settings of physical therapy and feel so blessed to have assisted patients on this journey.

Katherine Breen, PT, DPT is a physical therapist with 4 years of inpatient rehab experience at SRH Charlestown. Since earning her DPT from the MGH IHP in 2022, Kate has worked on the comprehensive rehab unit with a special interest in limb loss and prosthetic training and treating individuals with multi-traumas, burns, and vestibular disorders. Kate is also a member of Spaulding’s Amputee Special Interest Group.

Kathleen M Buzzeo PT, DPT, CBIS is a Senior Clinician at Spaulding Rehabilitation’s outpatient clinic in Hanover, MA, specializing in neurologic, vestibular, and limb loss rehabilitation. She earned her Doctorate of Physical Therapy degree from Quinnipiac University. Kathleen is a Certified Brain Injury Specialist (CBIS) and an APTA Credentialed Clinical Instructor. She completed the BOOST Mentorship Program in Boston, an advanced training program for clinicians treating individuals with limb loss. An active member of the American Physical Therapy Association (APTA) since 2011, Kathleen serves as an Alternate Delegate to the APTA House of Delegates and an APTA Key Contact, advocating for patients and the profession at both the state and federal levels. She is passionate about combining clinical excellence, evidence-based practice, mentorship, and advocacy to advance physical therapy and improve patient care.

Victoria Misitano, PT, DPT is a Physical Therapist with over 6 years of experience specializing in the rehabilitation of individuals with limb loss. After earning her Doctor of Physical Therapy degree from the MGH Institute of Health Professions, she joined Spaulding Rehabilitation Hospital as an inpatient physical therapist in 2021 and became an Advanced Clinician in 2023. She treats patients on the Comprehensive Rehabilitation unit, with expertise in acute limb loss management, pre-prosthetic rehabilitation, and prosthetic gait training. Victoria also serves as a lab instructor at the MGH Institute of Health Professions, teaching in the limb loss and prosthetics curriculum, and has experience in Spaulding’s multidisciplinary outpatient Limb Loss Clinic. She is passionate about educating clinicians on evidence-based limb loss management and promoting successful transitions to home and community-based care to maximize functional independence.

Sarah Welch, PT, DPT is a Senior Physical Therapist at Brigham and Women’s Hospital specializing in lower extremity limb loss rehabilitation. She has extensive clinical experience caring for individuals undergoing traditional and advanced amputations, including Agonist-Antagonist Myoneural Interface (AMI/Ewing) procedures, and works as part of multidisciplinary teams advancing innovative approaches to amputation care. Dr. Welch is an active clinical collaborator on multiple funded research initiatives focused on improving prosthetic control, proprioception, and functional outcomes after limb loss. She has presented nationally on AMI rehabilitation and regularly teaches prosthetics, orthotics, and rehabilitation through lectures and laboratory instruction across multiple Boston-area Doctor of Physical Therapy programs. Her clinical, research, and teaching roles are dedicated to advancing evidence-based rehabilitation for individuals with limb loss.

Target Audience: Athletic Trainers, Occupational Therapists, Physical Therapists
Instructional Level: Introductory
Prerequisites: None
Cancellation Policy: Spaulding reserves the right to adjust components of this program or to cancel the program for unexpected occurrences.  Notice of changes or cancellation will be provided expediently.  Upon cancellation of a course, a refund for the price paid for the course will be given. A processing fee of $10 may be charged when the registrant provides written notice of cancellation of their attendance less than 7 business days prior to the program date. Tuition is non-refundable if the registrant does not provide notice of cancellation at least 7 days prior to the program date.  Spaulding apologizes but will not be responsible for inconveniences incurred due to program changes.
Speaker DisclosuresMicaela St Germain is a salaried employee of MGB and a team ATC for the Mystic River Rugby Club and the New England Rugby Football Union. She has no other financial or non-financial disclosures to share.

Spaulding Rehabilitation (BOC AP#: P2855) is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers (ATs). The live program was eligible for a maximum of 2.0 Category A hours/CEUs. ATs should claim only those hours actually spent in the educational program.

Spaulding Rehabilitation is recognized as an approved provider of continuing education by AOTA. This course is offered for an anticipated .2 AOTA CEUs (Introductory level; OT Service Delivery and Foundational Knowledge category) pending approval. The assignment of AOTA CEU’s does not imply endorsement of specific course content, products or clinical procedures by AOTA.

Spaulding Rehabilitation is recognized as an approved provider of continuing education by APTA. Information provided should be used within scope of practice.  Anticipated 2.0 contact hours/CEHs.

SR Division of Education and Training CEU facilitators Marianne Savastano, MS, CCC-SLP; Katherine MacKirdy, MSPT, GCS, MPH;
Matt Keilty, OTR/L; Debra Abele, RN, DNP; Jeanne Putnam OT, CCM; and Kathleen Crosskill, MS, CCC-SLP

Course Information

Estimated Time: 2.0 Hours

Limb Loss Part III: Homecare

$50.00
access until September 30, 2029 12:00 am

Join Live Lecture on Wednesday, September 30th, 2026, 5:30 p.m. – 7:30 p.m.

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