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4 acute care > Exam 2 > Flashcards

Exam 2 Flashcards

1
Q

what is aitken classification B

A

No osseous connection

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2
Q

what are some muscles for testing the transhumeral

A

biceps
triceps
deltoid

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3
Q

what must you do for a kid right after post opt

A

you must fit the kid with a prothetic right away

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4
Q

what is sleeve suspension

A

neoprene or gel sleeve that fits over the socket and rolled onto the thigh

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5
Q

what are some physical therapy goals

A

Facilitate as normal a developmental sequence

Prevent or minimize impairments, activity limitations, and participation restrictions

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6
Q

Look at slides

A

38 , 39, and 40 of amputation powerpoint

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7
Q

what are the elements of LE prosthetic prescription

A
  • socket
  • feet
  • interface
  • suspension
  • knees
  • additional componenets
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8
Q

what is anatomical suspension

A

Use of the shape of the patient’s residual limb as a means of maintaining the prosthesis during use.

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9
Q

what is the expected outcomes of a child with bilateral transfemoral amputation

A

they will require manual locks at knees until age 6 or older

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10
Q

what is K3

A

The patient has the ability or potential for ambulation with variable cadence. A person at level 3 is typically a community ambulator who also has the ability to traverse most environmental barriers and may have vocational, therapeutic or exercise activity that demands prosthetic use beyond simple locomotion.

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11
Q

what are the K level ratings

A

0-4

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12
Q

what is osteosarcomas

A

this is about 50% of disease amputations

  • peak incidence coincides with puberty
  • distal femur, proximal tibia and proximal humerus
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13
Q

what are some system complications of sensation

A

Neuromas, residual limb pain, phantom pain

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14
Q

what are some muscles for testing at the transradial level

A 
FCR
FCU
ECRL
ECRB
EC
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15
Q

what happens within 5 years after the 1st amputations

A

if it is due ot vascular disease they will die

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16
Q

what are some suspension methods for the UE

A

pin/locking liner suspension
liner wtih lanyard suspension
anatomical suspension

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17
Q

what is sach foot prosthetic

A

solid ankle cushion heel: Simple and stable, low cost, heavy, no flexibility

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18
Q

how many births are are born with limb deficiencies

A

2-7/10,000

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19
Q

what need to be done for the prostheiss for RL

A

Clean daily
• Routine maintenance
(knee/foot)

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20
Q

what is Powered knee:

A

Powered extension with MPK hydraulic knee stability

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21
Q

what does pistoning mean

A

problems with suspension

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22
Q

what is blistering

A
  • Friction
  • Reduce friction by improving the suspension or with nylon sheath.
  • See CPO ASAP
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23
Q

how do you fix bottoming out

A

socks

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24
Q

what is tendoesis

A

Tendon to bone

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25
Q

what is myofascial

A

outer fascial layer of the muscle is attached to deeper muscle

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26
Q

what are some problems with radiation

A

long term effects decreased use in children

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27
Q

what are some problems with chemotherapy

A

know specific agents and side effects

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28
Q

what is the bilateral body powered prostheses

A

The prostheses may be tethered with the same harness for suspension, as shown here. Or, the prostheses may fabricated with harnesses that are independent from the other.

The prosthetist balances the need to suspend and control the prostheses with the need for ease of donning

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29
Q

what are the components of the feet

A
  • sach
  • single axis
  • multi axial
  • flexible keel
  • dynamic response
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30
Q

what is the development of prescription (RX)

A

Primary: prosthetist and the physiatrist

Therapy team input

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31
Q

what are some other UE amputations

A

forequarter
wrist disarticulation
shoulder disarticulation

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32
Q

what are some goals for adolescents for prosthesis

A
  • Monitor and maintain proper fit
  • Skin inspection
  • Independent donning and doffing
  • Independent dressing
  • Engage in full range of ambulatory activities
  • Recognize when prosthesis needs repair or alteration
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33
Q

how many amputations occur in the usa and the cost

A

185,000

$8.3 billion

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34
Q

what are some post surgical phase PAIN

A
  • residual limb pain
  • phantom sensation
  • phantom pain
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35
Q

what are somethings that need to be addressed for positioning someone after limb loss surgery

A

Avoid prolonged sitting

Watch pillow placement

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36
Q

what is the team approach for limb loss

A

They are ALL working together to make it work

  • family
  • social workers
  • psychologist
  • peer support
  • case manager
  • chaplain
  • pt
  • therapy
  • prosthetist
  • nurse
  • physiatrist
  • surgeon
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37
Q

what is the critical period of limb development

A

4-6 wk

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38
Q

what happens with you fit a child for a UE prothetic after the age of 2

A

they will think that their arm is just gets in the way BUT if they fit before the age of 2 it will use the arm as a normal part of their body

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39
Q

what contractures are common after limb loss surgery

A

hip and knee

Develop as a result of muscle imbalance, tightness, withdrawal reflex

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40
Q

what needs to be protected during amputations

A

protection of the neuroma (severed peripheral nerves) allow for faster return to mobility

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41
Q

what are some system complications after post surgical phase

A 
cardiovascular 
integumentary
musculoskeletal 
sensation 
cognitive 
psychological
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42
Q

what is bench of prosthetic alignement

A

the initial position of the socket relative to the foot and knee. Each foot/knee has a specified bench alignment.

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43
Q

what is the body powered motion of the scapular abduciton

A

Spreading the shoulder blades apart in combination with humeral flexion, or alone will open the terminal device.

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44
Q

what is residual limb pain

A

– Confined to residual limb
– Usually recovers after 4-6 weeks
– Primary cause is the prosthesis. Or may be due to ischemia, inflammation, infection, bone spurs, neuroma, referred pain

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45
Q

what is static of prosthetic alignement

A

the initial alignment as the person stands on the prosthesis.

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46
Q

what is the body powered motion of the shoulder depression , extension , abduction

A

This will simulate the motion required to lock and unlock the elbow in the individual with transhumeral amputation.

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47
Q

what are some types of disease related amputations

A

osteosarcoma

ewings sarcoma

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48
Q

what is Fluid-controlled:

A

allows for variable cadence, increased weight and cost

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49
Q

what is Microprocessor knee (MPK):

A

maximum knee stability with computer driven swing and stance and variable cadence, expensive

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50
Q

what kind of cognition support after surgery of a limb

A
  • Entire Rehab Team is responsible for reassurance and education
  • Clear expectations
  • Steps to rehab mapped out
  • Education & PMH guidance
  • Open environment
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51
Q

what is aitken classification D

A

Absent femoral head and acetabulum

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52
Q

what are the 5 classic stages of grief

A

1 denial and isolation (this isnt happening to me )
2 anger (why is this happening to me)
3 bargaining (i promise ill be a better person if)
4 depression ( i dont care anymore )
5 acceptance and hope ( im ready for whatever comes)

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53
Q

what is phantom pain

A

– Chronic pain syndrome felt in the phantom limb

– Interferes with mood and participation in activities

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54
Q

what is body symmetry awareness for UE amputations

A 
Scapular stabilization exercises and core strengthening
Decreased edema
Accelerate wound heeling 
Decrease hospital stay 
Improve proprioceptive input
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55
Q

what are the components fo the TF prosthesis

A
  • foot-ankel assembly
  • shank
  • knee unit
  • socket
  • suspension device
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56
Q

what are some physial therapy goals for infancy and toddler

A

monitor developmental progress, rom, and strength needed for prosthetic use

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57
Q

what is the expected outcomes of a child with unilateral transtibial amputations and walking

A

they woudl achieve an almost normal gait

- no difficulty with stairs

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58
Q

what is K2

A

The patient has the ability or potential for ambulation with the ability to traverse low-level environmental barriers such as curbs, stairs or uneven surfaces. This is typical of the limited community ambulator.

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59
Q

what are some system complications of musculoskeletal

A

Weakness, contractures, boney overgrowth,heterotrophic ossification, bone density

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60
Q

what is the exoskeleton of the shank

A

Wood or rigid plastic
- shaped to simulate the contour of an anatomical leg
- Lack the ability to change angulation
Cosmetic purpose

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61
Q

how to treat aitkens B and C

A

amputation/ revision

prosthetic fitting

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62
Q

what should the wearing schedule be like for someone with a UE amputation

A

start with 15-30 min and increase to 8 hours within 1-2 weeks.

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63
Q

what are some skin problems

A
  • bottoming out
  • distal edema
  • pistoning
  • bell capping
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64
Q

what is a key part of intervention after limb loss

A

mobility

-Specific and Individually developed
-Hip Extension, Hip abductors, knee extensors, knee flexors
======Indicator for prostatic ambulation potential
-Include Trunk Strength
-Don’t forget about coordination & motor control

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65
Q

Prosthetics PP slide

A

30

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66
Q

what si the clinical presentation of PFFD

A
  • Shortened thigh held in flexion and abduction and external rotation
  • Hip and knee flexion contractures
  • Severe leg length discrepancy with the foot often at the level of potilital crease
  • Knee instability due to absence or deficient crucitate ligaments
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67
Q

what are some kinds of control systms of the UE

A

passive
body powereed
externally powered
hybrid

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68
Q

what is dynamic response foot prosthetic

A

Patients feel dynamic response at push-off, shock absorption, costly

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69
Q

what is flexible keel foot prosthetic

A

: Allows smooth rollover, but limited push-off

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70
Q

what is a post surgical phase complications

A

infection

    • this should be monitor throughout phases
    • look for warmth, redness, pain, swelling
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71
Q

what are some cognition issues after surgery

A

Initial Reactions

Future Unknown, body image sexual function, support system responses, employment, Long-Term Adjustments

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72
Q

what are the different types of TF sockets

A
  • quadrilateral socket
  • ischial weight bbearing
  • sub ischial socke t
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73
Q

what are some interventions for phantom pain

A
  • Distraction
  • Exercise and Diet
  • Biofeedback
  • Relaxation training and hypnosis
  • Massage: Acupressure, Acupuncture, Topical Agents
  • Visual feedback: Mirrors, Virtual Reality
  • Neuro-stimulation (TENS)
  • Surgery
  • Injection
  • Medication
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74
Q

what is the elevatd vacuum suspension

A

The use of a pump to reduce the atmospheric pressure within the socket there by maintaining the prosthesis on the residual limb during use.

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75
Q

what is Manual Locking knee:

A

flexion is locked for maximum knee stability

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76
Q

what are some training goals for infants

A
  • Comfort with the prosthesis
  • Wearing tolerance
  • Ability to stand by leaning against a table
  • Ability to cruise around furniture
  • Ability to walk with and without support from toy grocery cart or other supporting toy
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77
Q

what is some surgical management for children

A
  • amputations
  • –skin healing
  • –termial overgrowth
  • –phantom limb sensation
  • limb lengthening
  • limb sparing
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78
Q

what race has the most amputationts

A

African Americans

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79
Q

what is the main cause of limb loss (from the 1st slide)

A

vascular diseases (54%)
trauma (45%)
cancer (less than 2%)

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80
Q

what are some comorbities that need to be addressed pre op of a amputations

A

Cardiovascular
Pulmonary
Metabolic
Nutrition

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81
Q

what is ewings sarcoma

A

this is about 40% of disease amputation

-weight bearing bones of LE and pelvis

82
Q

what is K4

A

The patient has the ability or potential for prosthetic ambulation that exceeds basic ambulation skills, exhibiting high impact, stress or energy levels. This is typical of the prosthetic demands of the child, active adult or athlete.

83
Q

what are some other complications that can happen post surgical phase

A
  • blood loss requiring transfusion
  • deep vein thrombosis
  • pulmonary embolism
  • systemic complication (pneumonia, renal failure, stroke, sepsis)
  • complications at the surgical site include hemorrhage or hematoma, wound infection, and failure to heal requiring additional operative interventions
84
Q

Prosthetics PP

A

slide 22

85
Q

what are some training goals for toddlers

A

= Full–time wear of prosthesis, except
= Use of the prosthesis in age-appropriate ambulation activities
Parents

86
Q

how do you have a high success rate for UE rehab

A

if fitted asap after surgery

87
Q

what are the knee components

A
  • single axis
  • polycentric
  • fluid controlled
  • microprocessor knee
  • powered knee
  • powered knee
  • stance control
  • manual locking knee
88
Q

what is surgical phases and the skin flaps

A

most common: equal length of both and anterior and posterior flaps

  • long posterior flap for increased blood supply
  • skew flap (angular)
89
Q

what is important for a kid to get an UE prothetic

A

to resotre symmetry

90
Q

what are some signs and symptoms of the PVD and limb loss

A
  • rest leg pain
  • gatigue with mobility
  • col ot touch
  • ulcer that isnt healing
  • lack of toenail growth
  • little to no leg hair
  • pale/blue tint to toes and feet
91
Q

what is a post surgical phase PT examination

A

History
Systems Review: Vitals
Cognition: Emotional Status, Alert and Orientation
Integumentary: Skin, Vascularity
Sensory: Pain
Motor: Strength, Range of Motion, Limb Length
Balance: Sitting & Standing, Static and Dynamic
Function: Transfers, Mobility

92
Q

UE amputation look at slide

A

20

93
Q

what is the body powered motion of the humeral flexion

A

allows the terminal device to open. Scapular abduction and humeral flexion are the basic motions for the individual with transradial amputation.

94
Q

what is a prosthesis

A

this is a tool

95
Q

what is the standard approach to getting a new limb

A

3-6 months after complete wound feeling

96
Q

what is the optimum time for fitting for UE in a kid

A

6 months (but you have to start 3 months)

97
Q

what are some PT interventions after limb loss

A 
Pain control
Edema control
Prevent contracture: Positioning, Range of motion
Strengthening
Cardiovascular
Balance/Mobility
Home exercise program
Functional Activities and ADLs
98
Q

what is the semirigid dressing

A

Unna Boot: gauze impregnated with zinc oxide

99
Q

what are the 2 limb lengths that can happen after limb loss

A

TT: Medial Tibial Plateau
TF: Ischial Tuberosity/Greater Trochanter

100
Q

what are the driving factor for a prosthetic

A

Rating system used by Medicare to indicate a persons rehab potential & indicates a person’s potential to use a prosthetic device

-this allows set up for payment for that prosthetic device

101
Q

what ismyotraining of the UE

A

proportional contorl
–myosite testing and training may begin 2-3 wk post injury

sequential vs simultaneous

102
Q

what are the risks factors of the PVD and limb loss

A
  • age
  • diabetes
  • smoking
  • high blood pressure
  • high cholesterol
  • race
  • dialysis
  • family hisotry
103
Q

what is the surgical phase acute goals

A
  • removal of part of the limb
  • allow for primary and secondary wound healing
  • construct a residual limb for optimal prosthetic fitting
  • —skin flaps
  • —-scarring
104
Q

what is the success rate if someone is fitted within a month of surgery

A

93% of success rate

105
Q

how do they do leg reconstruction

A

allograft or endo prosthetic implant

106
Q

what are some shanks of TT

A
  • endoskeleton

- exoskeleton

107
Q

what is K1

A

The patient has the ability or potential to use a prosthesis for transfers or ambulation on level surfaces at fixed cadence. This is typical of a household ambulator or a person who only walks about in their own home.

108
Q

what are the medical management of cancer

A
  • radiation

- chemotherapy

109
Q

what is Stance-control:

A

for knee stability, delayed swing phase, fixed cadence

110
Q

what are some limitations to the wound healing post surgical phase

A 
Smoking, 
severity of preexisting vascular problems, 
diabetes, 
renal disease, 
physiological problems, 
cardiac disease
111
Q

what is Single axis (constant friction):

A

simple, inexpensive, fixed cadence and low stability

112
Q

what are the socks

A

Fabric socks come in various thickness or Ply’s
(1,2,3-5 ply)

Allows for adjustments to be made with changes in edema

> =15ply sock need to see the prosthetist for adjustments

113
Q

what is the surgical phase muscle stabilization

A
  • myoplasty
  • myofascial
  • myodensis
  • tendoesis
114
Q

what are the primary goal for socket of TT

A

Provide fit for residual limb

interface between the residual limb and the rest of the prosthesis

fits securely on the residual limb, providing a comfortable surface for weight bearing and stability for the transmission of forces between the body and the environment.

115
Q

are limb loss in PVD patients preventable

A

yes about 60% of them are preventable

116
Q

what is myodensis

A

muscle to bone

117
Q

what are the types of limb shapes

A

Cylindrical, conical, bulbous end
“Dog Ears”
“Adductor Roll”

118
Q

what is single axis foot prosthetic

A

Simple and low cost, knee stability for low level AK, keel is not flexible

119
Q

what is the proximal femoralfocal deficiency

A
  • Absence of part of the proximal femur
  • Underdevelopment of some or all of the acetabulum, femoral head, patella, tibia and fibula
  • Aitken Classification A-D
  • 1:50,000 births
  • 15 % are bilateral
  • instability of the knee joint
  • totla longitudinal deficiency of the fibula
120
Q

what are the different socket types fo TT

A
  • patellar tendon bearing

- total surface bearing

121
Q

what is pre prosthetic and prosthetic training of the UE amputations

A

within a month after amputations which is the golden window

122
Q

what is microprocessor foot prosthetic

A

very high tech

123
Q

what is the hard socket

A

rarely provided anymore.

124
Q

what are some congenitial limb issues

A

Critical period of limb development
20% genetic
10% environmental
60-70% unknown

125
Q

what is the success rate if someone is fitted after a month of surgery

A

42% of success rate

126
Q

what are the types of dressings for the post surgical phase

A
  • rigid
  • semirigid
  • soft
127
Q

what are some post surgical phase RED flags

A
  • Increased pain
  • Excessive swelling
  • Decreased muscle strength or sensation along a motor and/or sensory nerve distribution
  • Sudden shortness of breath
  • Decreased oxygen saturation increased resting heart rate
  • Change in mental status
128
Q

what needs to be done for liners the RL

A

Clean daily

129
Q

what happens with the shorter level arm

A

the harder it is to control flexion concentrates

130
Q

what are the most common amputations

A 
Amputations of the Toes
Metatarsal Head Resection
Ray Resection
Transmetatarsal Amputation
Midfoot Amputation – Lisfranc and Chopart
-ankle disarticulation 
transtibial amputation 
transfemoral amputation
131
Q

what are some positioning goal after limb loss surgery

A

Extension
TT: full ROM of hips and knee
TF: full ROM of hip extension and adduction

132
Q

how to asses pre and post amputations fx status

A

-amputee mobility predictor amp

  • -tools specific to amputation and prosthetics
  • 21 item outcome measure to assess activity level
  • designed to measure fxal capabilities w/o a prostheiss and to predict ability to ambulate with prosthesis
133
Q

what is phantom sensation

A

– Sense or feeling of the presence of the limb

134
Q

what are the process of TT prosthesis

A
  • tib and fib transected
  • retention of anatomical knee
  • indicated in vascular diseases

1foot/ankle assembly
2 shank
3 socket
4 suspensino system

135
Q

what are the longitudinal deficiency

A

Reduction or absence
May have normal distal elements
Named in a proximal-distal sequence
(this is basically missing a bone)

136
Q

Prosthetics PP slide

A

32-36

137
Q

what is strap suspension

A

may be a cuff strap or a waist belt

138
Q

what is aitken classification C

A

Severe dysplasia, absent femoral head

139
Q

Preventing contractures picutres

A

slide 36

140
Q

what is the skeletal deficiency

A

Anatomic and radiologic basis

141
Q

what is the acute care goals for UE amputations

A

promote healing of the wound, mobility and education

142
Q

what is the pin or lanyard suspension

A

use of a gel liner that includes a physical connection to the prosthesis. May include tab suspension systems.

143
Q

what are some expectations for a child and amputations

A
  • variation in rate of neromuscular deve.
  • lower energy output
  • accommodate growth
144
Q

Is a child with an amputation different than an adult?

A

Yes due to the fact that they are still growing

145
Q

what is the advantages of the rotationplasty

A 
Increased limb length
Improved prosthetic function
Improved weight bearing capacity
Elimination of terminal overgrowth and pain
Run, jump and play
146
Q

how to treat aitkens A

A

lengthening only

147
Q

what shoudl an evaluation of the UE amputation

A 
limb volume measurements,
 wound description, 
scar evaluation, 
sensitivity, 
pain (surgical/limb pain vs phantom pain), FIM
psychological support 
gross motor: posture 
desensitization 
compression garments
148
Q

what are some limb sparing procedures

A
  • an option for children with bony malignancies
  • resection of tumor
  • leg reconstruction
  • contraindication
149
Q

what is the expected outcomes of a cld and bike riding

A

25 children with unilateral and 5 with bilateral TTA rode tricycles and bicycles

13/14 children with TFA rode while wearing limb

150
Q

what are some common skin problems

A

abrasion

blistering

151
Q

what are the causes of limb loss

A

1 peripheral vascular disease (PVD)

2 trauma

152
Q

what is bell clapping mean

A

distal end shrinkage

153
Q

what are some accommodate growth for a child with amputations

A

New prosthesis
Socket liners
Compliment developmental alignment

154
Q

what are some system complications of integumentary

A

Wound care, edema, early post-op complications

Skin: Skin adherence to bone, skin grafts, burns,

155
Q

how do you select the amputation level

A

based on many factors

  • vascularization
  • neuropaty
  • infection
  • malignancy
  • function and rehabilitation potential
156
Q

what is surgical phases pre-op

A
  • selection of appropriate amputation level
  • optimize medical comorbidities
  • develop treatment plans
  • patient and caregiver education
157
Q

what are 8 steps of applying RRD

A

1) apply the wound dressing as needed,
2) wear proper layers of socks of various lengths,
3) apply the plaster cast; use a plastic sheath to reduce friction,
4) pull the suspension stockinette upward covering the plaster cast,
5) place the supracondylar cuff and fasten the Velcro closure,
6) pull the suspension stockinette tight,
7) fold suspension stockinette downward and anchor on the suspension cuff
8) knee flexion is possible and encouraged.

158
Q

what are some interventions for edema control

A

Postoperative Dressings

• Soft dressing
– Ace wrap
– Shrinker (After removal of sutures)
– Compression pump

• Rigid dressing
– a. Non-weight bearing rigid dressing (NWB)
– b. Immediate postoperative prosthesis (IPOP)
– c. Custom rigid removable dressing (RRD)
– d. Prefabricated rigid removable dressing (RRD)
– e. Prefabricated pneumatic immediate postoperative prosthesis (AirPOP)

159
Q

what are the socks for the RL

A

Clean daily

• No wrinkles

160
Q

what is donning

A

putting ON the prosthetic

- this will depend on the type of socket 
• Cuff
• Sleeve suspension
• Liner
– pelite foam 
– gel: cushion, pin, lanyard, seal-in
• Socks (Altered by limb volume)
• Pull-in
161
Q

what are some muscles for testing the shoudler disarticulation

A 
pec major or minor 
trap
teres minor 
lats
supraspinatus 
infraspinatus
162
Q

what are some everyday care fo the prothetic

A

limb and skin care
prosthesis
socks
liners

163
Q

what are the most common UE amputations

A

Transhumeral

Transradial

164
Q

what needs to be done mandatory everyday

A
  • skin checks
  • build up wear time and document
  • blanchable redness OK
  • education patients on how to check skin
165
Q

how do you fix distal edema

A

needs to see cpo asap

166
Q

what are some goals of preschool and shcool age kids for prosthesis

A
  • Independence in self-care skills, mobility including running
  • —–Use of feet or mouth is acceptable
  • Acquire school skills such as coloring, cutting and writing
  • Surgeries in PFFD
  • ——Limb length on prosthetic side is 5 cm shorter than other femur
167
Q

what is the rigid dressing

A

Immediate postop prosthesis (IPOP) “total contact cast”

Removable Rigid Dressing (RRD): adjustable, AirLimb

168
Q

what are some contraindications fo children and limb sparing

A

Extensive invasion of surrounding soft tissue, neurovascular supply or intramedullary cavity

169
Q

what is a the limb loss time line

A
  • surgical phase
  • post surgical phase
  • prosthetic phase
170
Q

How many people live with limb loss

A

2 million

171
Q

what should be some patient education for UE amputation

A
  • RL tolerance/ care
  • frequent inspection of limb
  • wearing schedule
  • daily washing of limb
172
Q

what is the prosthetic liner (gel)

A

A skin prosthesis interface typically made of silicon or mineral oil gel to provide cushion to the residual limb. This is often a component of the suspension system.

173
Q

what are the early goals for wearing prosthesis

A
  • comfortably
  • begin to use for bimanual play
  • pushing up to sitting or quadruped, protective reactions and propping in sitting
  • shake or remove toys placed in terminal device by an adult
174
Q

what is Polycentric:

A

raises the knee center for knee stability, better cosmetic for longer limbs

175
Q

what are some system complications of psychological

A

Adaptation, PTSD

176
Q

what do new amputees go through

A

the 5 classic stages of grief

177
Q

what is cushion liner with air expulsion valve

A

there was nothing

178
Q

what is the primary goals for shank of a prosthesis of TT

A

Substitute for the human leg

Above the foot ankle/ Below the socket

179
Q

how common are the diseasee- related amputations

A

they are rare

180
Q

what is soft dressing

A

Elastic Wraps – indicated with infections

Elastic Shrinkers – socklike garments, only used after incisions are healed

181
Q

what is multi axial foot prosthetic

A

Accommodates uneven terrain and reduces stress on skin

182
Q

what is myoplasty

A

muscle to muscle

183
Q

what is a K level

A

Rating system used by Medicare to indicate a persons rehab potential & indicates a person’s potential to use a prosthetic device

184
Q

what are some primary goals for TT prosthesis

A

restore the general contour of the foot

  • adsorb shock at heel strike
  • restore as much as foot function
185
Q

is rehabilitation for the UE or LE harder for rehabilitation

A

UE

186
Q

Prosthetics PP slide

A

28

187
Q

what will happen in 2-3 years for someone with diabetes of the 1st amputations

A

55% will reuire amputation of the second leg

188
Q

what are some body powered motions for UE amputations

A
  • scapular abduction
  • humeral flexion
  • shoulder depression , extension , abduction
189
Q

what are the factors that influence prescription

A

– Residual limb level, shape and condition
– Boby Function (MMT, ROM, Sensaation)
– Presences of Co-morbidities
– Activity/Mobility level and activity potential (pre and post)
– Environment factors
– Personal factors

190
Q

what is post surgical phase

A

Monitor Complications
Select and Apply dressings
Examination
Initiate Treatment

191
Q

what is aitken classification A

A

Bony connection between components of femur

192
Q

what is dynamic of prosthetic alignement

A

changes are made to the alignment based on the individual’s gait pattern.

193
Q

what are some of the ISO classification

A
  • skeletal definciencies
  • transverse
  • longitudinal
194
Q

what is K0

A

The patient 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. This level does not warrant a prescription for a prosthesis.

195
Q

what are some age appropraite ambulation activites for toddlers

A
  • encourage use of prosthesis
  • provide toys and equipment
  • inspect the skin for undue irritation
196
Q

what needs to be done for limb and skin care of a RL

A

Watch for skin irritation

197
Q

what are some system complications of cardiovascular

A

arrhythmia, congestive heart failure (CHF),myocardial infarction (MI).

198
Q

what is the prosthetic liner (foam)

A

A prosthesis interface used for cushion of the residual limb. Commonly used with anatomical suspension.

199
Q

what are the transverse deficiency

A

Limb develops normally

Named for where the limb terminates

200
Q

where are abrasion most common

A
  • Fibular head
  • Tibial tubercle
  • Tibial condyles
  • Anterior distal tibia
  • Hamstring tendons
201
Q

what is the endoskeleton of the shank

A 
Central aluminum or rigid plastic pylon 
Adjusts to angulation 
Absorbs vertical shock 
Reduces stress on joints 
Most commonly prescribed

4 acute care (4 decks)

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