Arthritis, Amputations and Fractures Flashcards
This K-Classification/s states that the amputee will require a Fixed-Cadence prosthetic device during ambulation.
- K0
- K2
- K4
- All of these will require a Fixed-Cadence prosthetic device
K2
A 47 year old professional athlete had a LE amputation after a vehicular accident. He states to the PT that after the accident, he has decided to retire as an athlete, and plans to go back to his previous job as an office employee. This patient is likely to be classified as…?
- K1
- K2
- K3
- K4
K3
The following are true of the Amputee Mobility Predictor (AMP), EXCEPT:
- Can be administered before prosthetic fitting
- Easy to use in clinical practice
- Must be administered only after prosthetic fitting
- Used to classify amputees for prosthetic prescription
- Can be used as an outcome measure tool
Must be administered only after prosthetic fitting
Which among the AMP test items is not performed during AMPnoPRO assessment? Item 6: Immediate Standing Balance Item 8: Single Limb Standing Balance Item 10: Nudge Test Item 16: Step Continuity
Item 8: Single Limb Standing Balance
The highest score possible for AMPPRO is…? 14 43 47 55
47
While providing home instructions to a post-surgical transtibial amputee, the PT warns the patient that the most common joint contracture for similar patients (O’Sullivan, Schmidt & Fulk) is…?
Genu recurvatum
Knee flexion
Hip Abduction
Hip External rotation
Trans tibial amputees are not prone to contractures
Knee flexion
While waiting the permanent/definitive LE prosthesis, post-surgical amputees who have intact balance and functional strength are best trained to use which assistive devices for mobility? Walker Bilateral crutches Manual wheelchair Quadcane
Bilateral crutches
During post-surgical physical therapy, what is the recommended footwear during functional training…?
Barefooted, for optimal somatosensory feedback
Hospital slipper
Socks, for comfort
Sneaker/Rubber shoe
Sneaker/Rubber shoe
What characterizes an effective bandage application? Smooth and wrinkle-free Provides pressure distally Encourages proximal joint extension All of these
All of these
During bandaging of the transtibial stump, emphasis should also be in limiting knee flexion.
True
False
True
When bandaging a short transtibial stump, anchor should be placed
Superior to patella
Inferior to patella
Superior to patella
In bandaging a transfemoral stump, the two 6-in bandages cannot be sewn together end-to-end as this will alter the amount of pull towards the specified direction.
True
False
False
When using the 6 inches and 4 inches bandage, 4-inch bandage serves to promote hip extension.
True
False
False
The lack of complete somatosensory input following an amputation of one limb refers to the:
A. Impairment of LE proprioception due to having only one intact limb.
B. Diminished sensory information regarding the nature of the standing surface
C. Both
D. Neither
C. Both
The following characteristics are not found in amputees who have experienced a falls episode?
A. Increased reliance on vestibular system inputs
B. More frequent use of the ankle strategy to maintain postural control
C. Overreliance on the prosthetic limb during perturbed stance
D. None of the Above
A. Increased reliance on vestibular system inputs
Which of the following tasks will eccentrically strengthen the hip extensors the most on the intact limb of a patient with a left transfemoral amputation?
A. Ascending stairs with the right limb leading
B. Single leg squats while standing on the right limb
C. Single-leg hopping from side-to-side
D. Sit-to-stand exercises, emphasizing symmetrical weight bearing
B. Single leg squats while standing on the right limb
Which of the following training situations will most likely promote adaptation and flexibility during ambulation?
A. Walking in an outdoor setting
B. Walking inside parallel bars
C. Walking on a treadmill at constant speed
D. Walking with both eyes closed
A. Walking in an outdoor setting
In order to maximize an amputee patient’s capacity to return to work and social activities, the following should be included in the physical therapy treatment program:
Balance training with the prosthetic leg Endurance Training Mobility training without the prosthesis Training in navigating obstacles A. I and III only B. II and IV only C. I, II, III only D. All of the Above
D. All of the Above
When ranking the following single-limb balance tasks in terms of difficulty, which one would be ranked the second most difficult?
A. Standing on a foam surface
B. Standing only
C. Standing while touching targets with the hands
D. Standing while turning the head side to side
C. Standing while touching targets with the hands
In order to promote weight-bearing through the stump of a patient with a transfemoral amputation during preprosthetic training, the therapist should:
A. Ask the pt to maintain standing while the distal stump is placed on a non-padded surface.
B. Instruct the pt to lean towards the side with the amputation while bearing weight on the distal stump
C. Make the patient stand on one leg while the therapist manually supports the distal aspect of the stump with both hands.
D. Do none of the above.
D. Do none of the above.
Which of the following interventions could be considered as part of the Evidenced-Based Amputee Rehabilitation (EBAR) Program?
Dynamic balance training Treadmill ambulation Flexibility exercises Static balance training A. I and III only B. II and IV only C. I, II, III only D. All of the Above
D. All of the Above
The following are considered prosthetic causes of CIRCUMDUCTION during swing on a Transfemoral Gait Analysis, EXCEPT: Inadequate suspension Prosthesis too long Abduction contracture Knee unit locked
Abduction contracture
The following Gait deviations/compensations can be observed in the FRONTAL plane, EXCEPT: Terminal swing impact Abducted stance Lateral trunk bending Whip External rotation of Foot
Terminal swing impact (seen in sagittal view)
During static analysis, the intact and prosthetic limbs are compared. In standing, the patient’s pelvis must be:
Level, with both intact and amputated limb with prosthesis at relatively equal length
Non-level, with the amputated limb with prosthesis at longer length to prevent discomfort from the residual limb sinking too deep into the socket
Non-level, with the amputated limb with prosthesis at shorter length to ensure that the residual limb fits snugly into the socket to prevent pistoning action
Level, with both intact and amputated limb with prosthesis at relatively equal length
