Amputations and Prosthetics

Question 1

levels of upper limb amputations (9)

Answer 1

• proximal to distal
  1. interscapular thoracic
  2. shoulder disarticulation
  3. transhumeral (short)
  4. transhumeral (long)
  5. elbow disarticulation
  6. transradial (short)
  7. transradial (long)
  8. wrist disarticulation
  9. transmetacarpal

Question 2

levels and losses

Answer 2

the higher the level of amputation the greater the functional loss of the limb
the greater the functional loss the more complex the prosthesis

Question 3

phocomelia

Answer 3

shortening or absence of limbs as a side effect of thaliodomide
occurred in many children in the 1960s

Question 4

amputation postsurgical care (4)

Answer 4

1. skin
2. sensation
3. bone
4. wound healing

Question 5

skin issues postsurgical amputation (6)

Answer 5

1. skin breakdown
2. delayed healing
3. edema
4. cysts
5. ischemia
6. scar adhesions

Question 6

sensation issues postsurgical amputation (3)

Answer 6

1. neuroma
2. phantom limb
3. phantom sensation
   * patients rely on vision and propriocepetion

Question 7

bone issues postsurgical amputation

Answer 7

bone spurs may develop

Question 8

body-powered prosthesis components (5)

Answer 8

• for wrist disarticulation and higher
  1. prosthetic sock
  2. socket
  3. harness and control system
  4. terminal device
  5. wrist unit

Question 9

functional training with prosthesis

Answer 9

most functional activities are performed with the uninvolved hand/arm as the dominant hand

Question 10

What is the determining factor in deciding which hand to use?

Answer 10

sensory feedback

Question 11

preprosthetic therapy (3)

Answer 11

1. identify or test potential muscle sites for control
2. improve muscle site control and strength
3. obtain adequate financial sponsorship for prosthesis and training

Question 12

postprosthetic therapy

Answer 12

training of ADLs and IADLs with use of prosthesis

Question 13

Coat Method of donning/doffing prosthesis

Answer 13

The prosthesis is on a table/bed and the person pushes the limb between the control cable and the Y-strap from the medial side into the socket. The harness is then brought across the shoulder of the amputated side and dangles the harness down the back. The sound hand reaches around the back and slips into the axilla loop. The person then slips into the harness as if putting on a coat.

Question 14

Sweater Method for donning/doffing prosthesis

Answer 14

placing the residual and sound limb in at the same time and then raising both arms up, out, and up to don the prosthesis