Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Orthotics > Amputee Mobility Predictor > Flashcards

Amputee Mobility Predictor Flashcards

1
Q

What are the important uses of the Amputee Mobility Predictor?

A
  • Determine Functional Level
  • Predict the distance walked
  • Determine the contribution of function ability
  • Determine what physical systems need to be addressed in rehab
  • Measure change over time
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Assessment Task #1 (sitting balance): Procedure and scoring?

A
  • ** Have pt sit forward in a chair with their arms folded across chest for 60 sec
  • Cannot sit upright independently for 60 sec = 0
  • Can sit upright independently 60 sec = 1
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Assessment Task #1 (sitting balance): What systems are challenged?

A
  • trunk stability
  • sitting balance
  • sitting endurance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Assessment Task #1 (sitting balance): Treatment Options?

A
  • Sitting supported w/ reaching
  • Pelvic tilts/plinth activities
  • Rhythmic stabilizations (Core glute med)
  • Physioball (balance pad/airex/disc)
  • Trunk rot – (iso walkout)
  • Resisted trunk flex/ext
  • Sitting endurance progression
  • Rest ball (against wall) behind pt head while sitting have the pt maintain the position
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Assessment Task #2 (sitting reach): Procedure and Scoring?

A
  • **Place ruler 12 inches in front of pt and have them reach out and grab ruler.
  • Does not attempt = 0
  • Cannot grasp or requires support = 1
  • Reaches forward and grasps item = 2
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Assessment Task #2 (sitting reach): What muscle groups are being challenged?

A

Challenge the trunk, back, and hip extensor strength, vestibular challenges

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Assessment Task #2 (sitting reach): Treatment?

A
  • juggling balloon/balloon batting
  • Cone reaching
  • PNF – reaching up/across/diagonal/lift
  • Cane trunk twists
  • Plyoball tosses with trunk reaching
  • Wand reaches
  • For reaching - have them reach to the same side their prosthetic is on
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Assessment Task #3 (chair to chair transfer): Procedure and Scoring?

A
  • ** Have 2 chairs at 90 deg angles. pt can choose which direction to transfer and is allowed to use their UE.
  • Cannot do or requires assistance = 0
  • Performs independently, unsteady = 1
  • Performs independently, steady and safe = 2
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Assessment Task #3 (chair to chair transfer): Treatment?

A
  • Sit to stand
  • Arm strength (tricep dips, push-ups)
  • Glute squeezes
  • Bridges (single leg)
  • Eccentric knee (sound limb)
  • Scooting and pivoting on mat
  • Seated prostetic weight bearing
  • Sitting balance on unsteady surface
  • Planning for task is a problem for many of these patients b/c of preexisting conditions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Are you allowed to push on prosthesis?

A

YES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the biggest challenge with a prosthesis pt?

A

They do not utilize prosthesis (put weight thru prosthetic limb)!
- Fear of knee collapse, stump pain, etc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the max score a pt can get on the AMP?

A

47

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the AMP?

A

21 Task Assessment designed to measure a patient’s physical and psychological potential for prosthetic rehab.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

True or False: The AMP score can NOT be linked to K levels?

A

FALSE - the AMP can be linked to K level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

AMP Test #4 Scoring (Arise from Chair)

A

Unable w/o help=0
Able, uses arms/AD=1
Able, w/o using arms=2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are treatment ideas for #4: Arise from Chair

A

Weight shift/rocking
Partial wall squats
Tricep Pushup
Stand against resistance on non-involved leg or trunk resistance
Step-by-step processing /organizational skills
Squat machine/Total Gym
Sit>Stand from a higher table (easier)

17
Q

What will patients say about their prosthetic the first time they put it on?

A

Feel too long

18
Q

What type of amputation do we see more often

A

Transfemoral more often than transtibial

19
Q

Difference between #4 and #5 Sit>Stand? And Scoring

A

Monitoring the # of attempts it takes for them
0=Unable w/o help
1=able requires >1 attempt
2=able to rise one attempt

20
Q

What are tested in #6 and #7 of AMP?

A 
#6: immediate standing balance
#7: standing balance time (30 sec)
21
Q

What is the scoring for 6 and 7 (score uses same scale for both)

A

0=unsteady (swagger, moves foot, sways)
1=steady using walking aid or other support
2=steady w/o walker or other support

22
Q

Treatment ideas for 6 and 7

A 
trunk rotation with ball
side to side/forward and back weight shifts
narrow BOS or unsteady surface
Diagonal weight shifts
Rhythmic stabilization
Perturbation in standing
Standing on 2x4, airex pad, tilt board
23
Q

Scoring for #8: Single leg standing balance (30 sec)

A

Prosthetic and non-prosthetic are both tested
(same scoring, but score SEPARATELY)
0=unsteady (swaggers, moves foot, sways)
1=steady using walking aid or other support (30 sec)
2=steady w/o walker or other support (30 sec)

24
Q

Treatment for Single leg sance

A

Patient stands on prosthesis

  • non-involved foot on step
  • foot on air ex pad
  • foot on foam roller
  • foot on mini basketball
  • Movement on non-involved leg while on any of above surfaces
  • Step up/down
  • Clock work
  • Parallel Bar work
  • Sideway/backward walk
25
Q

What scores are linked to the K Levels

A

K1:15-26
K2: 27-36
K3: 3-42
K4: 43-47

26
Q

Describe scoring criteria for #9 “Standing Reach” on AMP:

A
  • Does not attempt = 0
  • Cannot grasp/requires support = 1
  • Reaches and grasps item = 2
27
Q

List treatment ideas to improve score on #9, “Standing Reach” (4):

A
  • Forward and backward shift
  • Arm swings up and back
  • Heavy ball swings
  • Standing ball throws
28
Q

Describe scoring criteria and testing protocol for #10 “Nudge Test” on AMP:

A

Examiner pushes lightly on subjects sternum with palm of hands 3 times until toes rise

  • Begins to fall = 0
  • Staggers or grabs support = 1
  • Steady = 2
29
Q

List treatment ideas to improve score on #10, “Nudge Test” (8):

A
  • Ankle strategies
  • Hip strategies
  • Step strategies
  • Rhythmic stabilization
  • Shift arms up and back
  • Standing against wall
  • Heavy ball swings
  • Standing ball tosses
30
Q

Describe scoring criteria for #11 “Eyes Closed” on AMP:

A
  • Unsteady or grips assistive device = 0

- Steady without any use of assistive device= 1

31
Q

Describe scoring criteria for #12 “Picking up Objects off the floor” on AMP:

A
  • Unable to pick up object = 0
  • Performs with some help (chair, table, assistive device) = 1
  • Performs Independently = 2
32
Q

Treatment ideas to improve scores on #11 “Eyes Closed” and #12 “Picking up Objects off the floor” (5):

A
  • Partial squats
  • Partial golfers lift
  • Lunges
  • Cones pick-up off the floor
  • Weighted ball pick-up off the floor
33
Q

Describe scoring criteria for #20 “Stairs” on AMP

A
  • Ascending and Descending
  • Unsteady or can’t perform = 0
  • One step at a time, support = 1
  • Step over step, no support = 2
34
Q

Treatment Ideas for #20 “Stairs”

A
  • stool stepping
  • wall squats
  • lunges
  • squats
  • eccentric lowering
  • glut activities
  • spot the pt at the foot and with socket
35
Q

Describe the scoring for #21 “Assistive Device”

A
  • bed bound = 0
  • Wheelchair = 1
  • Walker = 2
  • Crutches = 3
  • Cane = 4
  • None = 5
36
Q

Ideas for advanced gait training for AK

A
  • heel strikes on different surfaces

- power walk goals

37
Q

How to: Running Gait Training STEP 1

A
  • start w/prosthetic side behind you w/wt on ball of foot
  • push on front wall of socket to initiate start of start of swing phase
  • at same time, take a hop/strong push off of sound side
  • as soon as you hop, pull on the back wall of the socket to drive heel into the ground and land on the prosthetic side
38
Q

How to: Running STEP 2

A
  • once you have accomplished step one, continue by bringing sound leg forward through swing phase
  • press on front wall of socket to cause knee to break/bend
  • cont. to move till you finish in end position (sound side forward, prosthetic side knee bent and weight on ball of foot)
  • keep weight on prosthetic side (practice holding this position)

Orthotics (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions