Ch. 6 UE Prosthetics Flashcards

1
Q

What are causes of UE amputation?

A
  1. Congenital disorder
  2. Trauma
  3. Tumor
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2
Q

Is scar placement during surgery important for UE amputation?

A

No, unlike LE scar placement is not critical as there is little weight bearing pressure placed on the limb and few bony concerns

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3
Q

There is a possibility of what developing after surgery of UE amputation?

A

Neuromas (benign growth of nerve tissue)

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4
Q

What is the residual limb of an UE amputation placed in post surgery?

A

Rigid dressing to prevent edema

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5
Q

What are the various levels of UE amputation?

A
  1. Wrist disarticulation
  2. Forearm
  3. Elbow disarticulation
  4. Above elbow
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6
Q

With a forearm UE amputation, what should we keep in mind?

A
  1. As distal as possible

2. Lose pro/supination so there is no rotation in the socket

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7
Q

With an elbow disarticulation, what should we keep in mind?

A

Difficult prosthetic fitting

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8
Q

With an above elbow amputation, what should we keep in mind?

A
  1. As distal as possible

2. Leaving sufficient padding on anterior humerus is important

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9
Q

What length is the prosthesis made compared to the anatomic limb?

A

Slightly shorter

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10
Q

What are the important bony landmarks which much be considered when fitting the patient with a harness body-powered prosthesis?

A
  1. C7 - harness ring must sit below or it will place excessive pressure on cervical spine
  2. Clavicle - harness passes over the clavicle which may cause breakdown
  3. Acromion process - to measure length
  4. Scapula - need max mobility to assist with mechanics
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11
Q

T/F The below elbow harness system is both operational and secure suspension

A

True

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12
Q

What is the purpose of the anterior strap for a below elbow harness system?

A

Resists downward translation or slippage

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13
Q

Shoulder flexion with a below elbow harness system does what?

A

Tightens cable and opens terminal device

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14
Q

Shoulder extension with a below elbow harness system does what?

A

Lessen tension on cable and close the terminal device

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15
Q

Shoulder abduction with a below elbow harness system does what?

A

Help augment tension on cable to open the terminal device further

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16
Q

A hook is good for what?

A

Manual labor (very durable)

17
Q

What do UE amputees put around hand to help control tension?

A

Rubber bands

18
Q

T/F The above-elbow harness is naturally more involved than the below-elbow devide

A

True

19
Q

In the A/E harness, the anterior strap helps resist what?

A

Helps resist rotation of the unit

20
Q

In the A/E harness, the main suspension elements travel over what muscle?

A

Deltoids

21
Q

What shoulder motion operates terminal device in A/E harness?

A

Shoulder flexion

22
Q

How do you lock the elbow of an A/E harness?

A

Through depression of shoulder and humeral abduction and extension to operate terminal device

23
Q

Elbow must be what to operate terminal device?

A

Locked

24
Q

Newer arms are bionic in nature meaning what?

A

They are powered by the user through electronics

25
Q

Some arms are controlled by ____ in the residual limb while the newest arms are controlled by _____

A

Muscles

Thought processes

26
Q

Myoelectric arms are suspended through what saystems>?

A
  1. Pin and lock
  2. Suction
  3. Supracondylar
27
Q

What is targeted muscle reinnervation?

A
  • Nerves in residuum are transferred to target mm that no longer perform function
  • Augments signal to muscle for easier and enhanced prosthetic control
  • nerves grow into new target tissues and enhances control of myoelectric arm
28
Q

Targeted muscle reinnervation should only be used for what two types of amputations?

A
  1. Shoulder disarticulation

2. Transhumeral

29
Q

For osseointegration of the UE, how many surgeries will they have?

A

2 surgeries 6 months apart

30
Q

T/F Small studies report improved function and QOL for patients with osseointegration of the UE.

A

TRUE

31
Q

What are neural prosthesis interfaces?

A
  • Use functioning neural transmission pathways for direct control of robotic limbs
  • Can restore movement and touch
32
Q

neural prosthesis interfaces combine with two types of control?

A
  • Combing forward control with feedback control (something slipping from hand)