FINAL AMPUTATIONS

Question 1

What is the most common postsurgical problem?

Answer 1

Skin
Delayed healing, extensive grafting, wounds, infection, allergic reaction
Can occur during any stage of rehab process

Question 2

Treatment for skin include?

Answer 2

Daily massage
Compression wrapping
Skin checks
Gradual wearing schedule

Question 3

Sensation affected after limp amputee?

Answer 3

Hyperesthesia - desensitization of residual limb includes texture stimulation, tapping, and massage

Question 4

What is Neuroma?

Answer 4

Small ball of nerve tissue caused by axons attempting to re-grow toward the distal limb.
Can cause pain with pressure.
Most occur 1-2 in from end of the residual limb

Question 5

What are treatement for nueroma?

Answer 5

Sugery 
Adjustemnt of socket
Injection
US
massage
stretching

Question 6

Phantom Limb

Answer 6

Sensation of the limb that has been amputated
Normal sensation mayh reduce over time or may remain
TX: education and counseling and use of residual limb

Question 7

Phantom Sensation

Answer 7

Cramping, pain, squeezing, numb/tingling, stuck, cold, moving, hot, achy
COnstant to intermittent

Question 8

What are some treatments for Phantom Sensation?

Answer 8

Isometric exercises, AROM, mirror therapy, biofeedback, Tens, US, relaxation exercises, controlled breathing, tapping, massage, pressure.

Question 9

What Bone sours are when it comes to amputee?

Answer 9

Excess bone usually at the end of the residual limb
DX by X-ray
Pain, continued drainage
TX surgery (may grown back)

Question 10

What factors affect wound healing ?

Answer 10

Smoking, DM, renal disease, Cardiac disease and infection.

Question 11

What are considerations for prosthesis?

Answer 11

Age
health status
Amputation level
Skin condition 
Cognitive status
Pt's preference

Question 12

Preprosthetic training preparing residual limb

Answer 12

Desensitization -tapping massage, vibration, pressure textures
Scare management/skin grafts massage
Shaping the limb - wrapping, figure of 8 method
Circumference measurements
ROM
Endurance
Education - hygiene wrapping, sensitization program, insensate skin, SKIN INSPECTION.

Question 13

Prosthetic Program

Answer 13

Prosthetic is used as ‘helper’ will not mimic lost limb
If patient was R handed and had RUE amp, they are now L handed.
Wearing schedule (15-30 Min, 3x per day, increasing 30 min daily (Skin inspection).

Question 14

Prosthetic sock ?

Answer 14

Absorbes perspiration and protects skin from irrotation. Used for volume change in socket

Question 15

Socket ?

Answer 15

Cast molding or residual limb is used to make socket. All other components are attached.

Question 16

Harness and Controle System

Answer 16

FIgure of 8 harness commonly used

Action of the UB creates tension when operates the prosthesis

Question 17

Terminal Device?

Answer 17

To grasp and maintain an object 
Hook function
Voluntary opening (VO) - opens when wearer exerts tension on cable 
Voluntary closing (VC) - closes when wearer exerts tension on cable.
Hand (Cosmetic) - min function

Question 18

Electronic powered prosthesis

Answer 18

Uses muscle surface electricity to controle the prosthetic hand function
Frustrating process
Improve muscle control and strength
Financial considerations

Question 19

Prosthetic program for myoelectic limb

Answer 19

Orientation of prosthesis

Education - donn/doff skin checks,charging procedure, residual limb care.

Question 20

Wearing Schedule of electronic prower prosthesis?

Answer 20

15-30 min to start with increase 30 min increments 2-3 perday.
Check for redness
If redness if present for more then 20 minutes after removal. prosthesis should be returned to prosthetist for adjustments.

Question 21

Taining of electronic power prosthesis consist of?

Answer 21

Contole training - opening/closing 1/2 way in warious positions.
Use training - repetitive grasp and release objects, pressure training, steps visualize motion, preparation hand.
FUnction training - purposeful B/L activities, used to stabilizer and assist
No water !!!!