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Neuro > 5.2- Amputation 2- Equipment > Flashcards

5.2- Amputation 2- Equipment Flashcards

1
Q

BK- what is used as an important first step?

A

temporary BK prosthetic- fitted after would is healed, but before swelling is down

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2
Q

BK- why is walking an important initial consideration?

A

best way to decrease swelling and shape stump

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3
Q

BK initial considerations- What must be assessed?

A
  1. Ability to transfer in bed and wheelchair
  2. Cognitive state
  3. Family status
  4. Endurance
  5. Ambulate with walker without prosthetic
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4
Q

BK Fitting- ROM

Most have flexion contracture, if bad the prosthetist issues a _____ first. If minor, using the prosthetic will ______.

A

stretching program

stretch it out

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5
Q

How long does it take to make prosthetic from cast?

A

1-2 weeks

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6
Q

What are two types of BK sockets?

A
  1. Total contact socket

2. Patellar tendon bearing socket

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7
Q
  • the shell that is in contact with the stump
  • must be in complete contact with all areas of the stump, but no excessive pressure
  • areas not in contact will swell excessively
A

Total Contact Socket

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8
Q

______ - occurs where not making total contact

A

Enduration (Brawny edema)

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9
Q

What should you do if too much contact of stump and prosthesis? (BK)

A

Add socks

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10
Q

PTB socket transfers body weight to ____, ____, and ____.

A

patellar tendon, anterior tib, gastroc

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11
Q

BK Suspension-

Waist belt not used much anymore. Supracondular cuff goes around the femoral condyles and is good for ______.

A

Knee hyperextension

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12
Q

What are the 4 types of suspension of BK?

A
  1. Waist belt
  2. Supracondular cuff
  3. Pin system
  4. Neopreen sleeve
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13
Q

What is the most common BK suspension?

A

Pin system- pin on distal end of the sleeve locks into the prosthesis

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14
Q
  • can be use with permanent prosthesis

- rolled up leg, grips onto skin to hold up

A

Neopreen sleeve

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15
Q

What type of suspension is used with a vacuum system?

A

Neopreen sleeve

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16
Q

What type of suspension is good for preventing knee hyperextension?

A

Supracondular cuff

17
Q

____- metal bar with foam over it to look like other leg and is very easy to adjust

A

Endoskeleton (most common)

18
Q

___- hard outer covering made of plastic and is durable

A

Exoskeleton

19
Q

What is a SACH foot?

A

Solid ankle, cushioned heel

- foot of choice for temporaries, older adults, kids

20
Q

What is an advantage to a SACH foot? A disadvantage?

A

Advantage- cheap and durable

Disadvantage- can’t have a normal gait pattern b/c no DF/PF- unable to go up ramps, drive, or be an uneven terrain

21
Q

What order do you follow to don a prosthesis?

A
  1. Liner
  2. Socks
  3. Pants
  4. Prosthesis
  5. Strap suspension
    (6. Assess Pressure)
22
Q

AK or BK?

Good cognition b/c they are learning a new gait pattern

A

AK

-rely on hip extension and weightbearing to keep artificial knee locked

23
Q

How is an AK prosthesis fitted differently than a BK?

A

BK is casted.

AK has extensive measurements taken and based on those the person is put into a prefab socket

24
Q

_____- has a posterior lip that allows the ischium to sit on it- where most of the body weight is loaded

A

Soft socket (AK)

25
Q

______- uses suction to hold prosthetic onto stump

A

Suction socket

26
Q

What type of suspension part doesn’t work with short residual limbs, vascular problems, people that have large variations in size of stump throughout the day?

A

suction socket

27
Q

____- liner is rolled up the residual limb, the prosthetic is attached to the liner by a pin

A

Pin/shuttle

28
Q

What are three types of knees?

A
  1. Mechanical friction (rarely used)
  2. Pneumatic and hydraulic
  3. Computerized knee
29
Q

Foot and ankle~

  1. Older adults prefer using a _____
  2. Athletes prefer using a _____
  3. Runners prefer using a ______
A
  1. older adults- SACH (feel more secure)
  2. athletes- uniaxial & multiaxial ankles (much heavier)
  3. runners- numerous energy storing feet for runners
30
Q

Prosthesis gait training always begins ______.

A

in the parallel bars

31
Q

Gait training- practice ________ knee and work on ________ LE forward.

A

flexing and extending knee and work on lifting and placing LE forward

32
Q

Teach AK to swing through with ___ and fully ____ in order to ______.

A

swing through with hip and fully weightbear in order to lock the knee

33
Q

A vacuum system may help with _______.

A

wound healing

Neuro (30 decks)

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