Acute Care, Preprosthetic

Question 1

Removeable rigid dressing

Answer 1

• allows for visual inspection of surgical incision
• provides limb protection: can eliminate need for revision due to falls
• controls edema
• prevents contractures

Question 2

Residual limb wrapping

Answer 2

ACE wrap

• stretch to about 50%
• wrap from bottom to top
• with criss cross pattern

Shrinker

• can use once staples/sutures removed

Question 3

Wheelchair considerations

Answer 3

• anti-tip devices
• positioning residual limb support

Question 4

early scar massage

Answer 4

• can begin when incision closed, no signs of inflammation
• fingers on either side of incision
• approximate edges of incision
• fingers move in same directions

Question 5

intermediate scar massage

Answer 5

• when incision fully closed
• fingers on either side of incision
• fingers move in opposite directions

Question 6

Advanced scar massage

Answer 6

• as scar becomes flatter
• fingers directly on incision
• circular motions

Question 7

Exercise: immediate pos-op

Answer 7

• focus on ROM and muscle activation

Question 8

exercise: preprosthetic

Answer 8

• modified closed chain exercises have biggest impact
• exercises should be gait specific

Question 9

Muscle groups: to strengthen shortly after surgery

Answer 9

• hip extensors
• hip adductors
• hip flexors
• hip abductors
• core control