Exam 1: Introduction to Prosthetics

Question 1

A patient centered rehabilitation team will consist of a multidisciplinary team. List the different types of care givers that could all be working with on patient.

Answer 1

Physician
Nurse
PT
OT
Prosthetic/Orthotist
Social worker
nutritionist 
patient 
family
psychologist

Question 2

A multidisciplinary team must _____ and ____ each other.
They must have a good ____ base.
They must share ____ and have mutual ____ for all members.
A great team will have good _____ and be (optimist/pessimistic).

Answer 2

Collaborate and trust
knowledge
responsibility and respect
communication and optimistic

Question 3

True or False:

Multidisciplinary teams should be open and receptive to ideas of others

Answer 3

true

Question 4

True or False:

Multidisciplinary teams should work individually and value their own opinion over their teammates

Answer 4

false

Question 5

True or False:

Multidisciplinary teams should value interdependence and acceptance of commitment to patient centered care

Answer 5

true

Question 6

True or False:

Multidisciplinary teams should be not share ideas with each and only take responsibility for themselves

Answer 6

false

Question 7

What is the most important job of a rehab team

Answer 7

patient education

Question 8

True or False:

Patients who feel prepared and informed are most likely to invest in and comply with recommended interventions and often have the positive health outcomes

Answer 8

true

Question 9

Only ___% of new amputees surveyed indicated receiving info about the timing and rehab process and prosthetic options before or right after surgery

Answer 9

50%

Question 10

Which two team members were indicated to provide the most education during amputation, and which two team members were indicated to be the most helpful after amputation

Answer 10

PT’s and Physicians provided the most education

PT’s and prosthetists were the most helpful

Question 11

Most amputees are (young/elderly) patients

Answer 11

elderly

Question 12

Many amputee have a number of _____ that will cause a decrease in activity tolerance

Answer 12

co-morbidities

Question 13

Many amputees have a number of co-morbidities that will cause a (increase/decrease) in activity tolerance

Answer 13

decrease

Question 14

What are two underlying conditions that could be present when working with the amputee population

Answer 14

cardiovascular and pulmonary issues

Question 15

Many amputee patients have (active/sedentary) lives before amputation and potentially (short/lengthy) down time after amputation

Answer 15

sedentary; lengthy

Question 16

Typically, an amputee will walk with decreased ____ and ____ ____ while wearing a prosthesis

Answer 16

speed and stride length

Question 17

Young traumatic amputees are usually (slower/faster) than those who lost their limb from dysvascular etiology

Answer 17

faster

Question 18

(young traumatic/dysvascular etiology) amputees are usually faster than those who lost their limb from a (young traumatic/dysvascular etiology) event

Answer 18

young traumatic; dysvascular event

Question 19

Young amputees are (close to/far away) normal values if they are transtibial

Answer 19

close to

Question 20

Young amputees are very close to normal values if they are (transtibial/transfemoral)

Answer 20

transtibial

Question 21

Preservation of the ______ ____ also plays a significant role in the amount of work it takes an amputee to walk

Answer 21

anatomical knee

Question 22

A study showed that compared to a non-amputee patient, amputees have oxygen costs that are __-__% higher for transtibial amputees and __-__% higher for transfemoral amputees

Answer 22

16-28 for tibial

60-100 for femoral

Question 23

Patients walking with a prosthetic will need frequent ____, and you must monitor exertion levels via ___

Answer 23

breaks; RPE

Question 24

Many amputees will be ___ and their blood sugar levels will need to be watched

Answer 24

diabetic

Question 25

Many amputees will be diabetic and their ___ ___ levels will need to be watched

Answer 25

blood sugar

Question 26

Movement is ____ ____

Answer 26

goal directed

Question 27

____ is goal directed

Answer 27

movement

Question 28

There (is one/are many) different ways to accomplish any task

Answer 28

are many

Question 29

Each person will develop ___ ways of moving

Answer 29

preferential

Question 30

What term is described as the dynamic ability of the brain to structurally and functionally reorganize neural circuits in response to activity and environmental demand

Answer 30

neuroplasticity

Question 31

What term is described as the ability of the brain to change and repair itself

Answer 31

neuroplasticity

Question 32

What term is described as remodeling in the brain

Answer 32

neuroplasticity

Question 33

Using an understanding of motor ____ and motor ____ can drive neuroplasticity in acute and chronic stages of neurological and neuromuscular diseases

Answer 33

control; learning

Question 34

We need to make sure our _______ are sufficient in intensity and duration to trigger neuroplastic changes that will improve function and quality of life

Answer 34

interventions

Question 35

We need to make sure our interventions are sufficient in _____ and _____ to trigger neuroplastic changes that will improve function and quality of life

Answer 35

intensity and duration

Question 36

What are the two key components of neuroplasticity

Answer 36

intensity and duration

Question 37

State what principle is related to following description: Failure to drive specific brain function can lead to functional degradation

Answer 37

use it or lose it

Question 38

State what principle is related to following description: Training that drives a specific brain function can lead to enhancement of that function

Answer 38

use it and improve it

Question 39

State what principle is related to following description: The nature of the training experience dictates the nature of the plasticity

Answer 39

specificity

Question 40

State what principle is related to following description: Induction of plasticity requires high levels of repetition

Answer 40

repetition matters

Question 41

State what principle is related to following description: Induction of plasticity requires high-intensity training

Answer 41

intensity matters

Question 42

State what principle is related to following description: Different forms of plasticity occur at different times during training

Answer 42

time matters

Question 43

State what principle is related to following description: Different forms of plasticity occur with exercise prior to and following training

Answer 43

exercise matters

Question 44

State what principle is related to following description: The training experience must be sufficiently salient to induce plasticity

Answer 44

salience matters

Question 45

State what principle is related to following description: Training induced plasticity occurs more readily in younger brains

Answer 45

age matters

Question 46

State what principle is related to following description: Plasticity in response to one training experience can enhance the acquisition of similar behaviors

Answer 46

transference

Question 47

State what principle is related to following description: Plasticity in response to one experience can interfere with acquisition of other behaviors

Answer 47

interference

Question 48

State what principle is related to following description: Both internal reinforcement and external validation of success are necessary

Answer 48

success reinforcement

Question 49

State the description that is related to the following principle: use it or lose it

Answer 49

Failure to drive specific brain function can lead to functional degradation

Question 50

State the description that is related to the following principle: use it and improve it

Answer 50

Training that drives a specific brain function can lead to enhancement of that function

Question 51

State the description that is related to the following principle: specificity

Answer 51

The nature of the training experience dictates the nature of the plasticity

Question 52

State the description that is related to the following principle: repetition matters

Answer 52

Induction of plasticity requires high levels of repetition

Question 53

State the description that is related to the following principle: intensity matters

Answer 53

Induction of plasticity requires high intensity training

Question 54

State the description that is related to the following principle: time matters

Answer 54

Different forms of plasticity occur at different times during training

Question 55

State the description that is related to the following principle: exercise matters

Answer 55

Different forms of plasticity occur with exercise prior to and following training

Question 56

State the description that is related to the following principle: salience matters

Answer 56

The training experience must be sufficiently salient to induce plasticity

Question 57

State the description that is related to the following principle: age matters

Answer 57

Training induced plasticity occurs more readily in younger brains

Question 58

State the description that is related to the following principle: transference

Answer 58

Plasticity in response to one training experience can enhance the acquisition of similar behaviors

Question 59

State the description that is related to the following principle: interference

Answer 59

Plasticity in response to one experience can interfere with acquisition of other behaviors

Question 60

State the description that is related to the following principle: success reinforement

Answer 60

Both internal reinforcement and external validation of success are necessary

Question 61

How many steps are the in EBP process

Answer 61

4

Question 62

What are the four steps of the EBP process

Answer 62

1. Formulating an answerable clinical question PICO 2. Locating and accessing the best evidence 3. Critically appraising the evidence 4. Applicability to patients and clinical practice