Exam 1: Prosthetic Feet Flashcards
The type of prosthetic foot used is based on the _____ level of the patient
functional
True or False:
How the foot functions does not influence how the proximal kinetic chain functions
false
(Medicare/Medicaid) has established functional levels that LE amputees fall into for determining medical necessity for components of the prosthesis
Medicare
What are the categories of patient level that Medicare established based on
current and potential functional abilities
When will Medicare cover the cost of a prosthesis
If the patient will reach or maintain a defined functional state within a reasonable time and is motivated to ambulate
The clinical assessment of rehab potential must be based on the ______ _____
classification system
How many categories are within the classification system
5 categories
K0-K4
Which category of the classification system would an amputee fall under if he or she does not have the ability or potential to ambulate or transfer safely with or without assistance and a prosthesis does not enhance their quality of life or mobility
K0
Which category of the classification system would an amputee fall under if he or she has the ability or potential to use a prosthesis for transfers or ambulation on level surfaces at fixed cadence. Typical of the limited and unlimited household ambulator
K1
Which category of the classification system would an amputee fall under if he or she has the ability or potential for ambulation with the ability to traverse low-level environmental barriers such as curbs, stairs or uneven surfaces. Typical of the community ambulator.
K2
Which category of the classification system would an amputee fall under if he or she has the ability or potential for ambulation with variable cadence. Typical of the community ambulator who has the ability to traverse most environmental barriers and may have vocational, therapeutic, or exercise activity that demands prosthetic utilization beyond simple locomotion
K3
Which category of the classification system would an amputee fall under if he or she has the ability or potential for a prosthetic ambulation that exceeds basic ambulation skills, exhibiting high impact, stress, or energy levels. Typical of the prosthetic demands of the child, active adult, or athlete
K4
Which category of the classification system would be typical of the limited and unlimited household ambulator
K1
Which category of the classification system would be typical of the limited community ambulator
K2
Which category of the classification system would be typical of the community ambulator who has the ability to traverse most environmental barriers and may have vocational, therapeutic, or exercise activity that demands prosthetic utilization beyond simple locomotion
K3
Which category of the classification system would be typical of the prosthetic demands of the child, active adult, or athlete
K4
True or False:
Bilateral amputees are not strictly bound by the classification system
True
Would a physician, PT, and prosthetist prescribe a prosthesis for a patient’s current level or potential level. Why?
potential level in order to save money
What are the four categories of prosthetic feet
- non-articulating
- articulation
- non-articulating dynamic response
- Dynamic response and energy storing
What type of prosthetic feet would be classified as non-articulating
SACH - Solid ankle cushioned heel
What K level would a non articulating foot fall under
K1
A non articulating, SACH foot is (low/high) maintenance
very low
Describe what would happen if an amputee with a non-articulating foot walked on uneven surfaces
With a non-articulating SACH foot, there is basically no accommodation or PF, so the entire leg with move to adjust to the ground since there are no ankle strategies available
If a patient was considered to be at a K1 level, what type of prosthetic feet would be prescribed
non articulating SACH
