FINAL EXAM: Amputee/prosthesis Flashcards
Phase I of amputee rehab PT management
wound care, edema, positioning (contractures), skin hypersensitivity, weakness, pain mngment, bed mobility, transfer, ambulation/WC, pt education
pt education for phase I of amputee rehab
skin checks / self care ADLs
residual limb wrapping
phantom pain / sensation
phase process
Examples of exercises for phase I amputee rehab
(do them bilaterally)
TrA holding, glute sets, quad sets, hamstring isometrics, ankle pumps
SAQ, SLR, LAQ, bilat bridging,
Edge of bed balance, static sitting, reaching, marching, rhythmic stabilization of core
criteria to begin fitting for prosthesis
wound closure
tolerant to force couple pressures
circumfrence reduction
sound side weight bearing ability
general strength assessment
which K level?
this pt doesnt have the ability or potential to ambulate or transfer safely with or without assistance and a prosthesis does not enhance their QOL
K0
which K level?
this pt has the ability or potential to use a prosthesis for TRANSFERS or ambulation on level surfaces at fixed cadence (limited or unlimited household ambulator)
K1
which K level?
this pt has the ability or potential for ambulation w/ ability to transverse low level environmental barriers such as curbs, stairs, uneven surfaces (limited community ambulator)
K2
which K level?
this pt has the ability/potential for ambulation w variable cadence (typical COMMUNITY AMBULATOR) w ability to traverse most environmental barriers
K3
which k level?
this pt has the ability/potential for prosthetic ambulation that exceeds basic ambulation skills exhibiting HIGH IMPACT, stress or energy levels (child/active adult/athlete)
K4
prosthesis are replaced every…
they can be replaced sooner with documented…
3-5 yrs
- irreparable change
- change in limb size and shape
- ill fitting socket causing limb problems
- change in medical hx
- change in functional ability
annual prosthetic supplies
locking liners, socks, sleeves
used post op for volume management, reduce post surgical edema, and control volume when not wearing prosthesis
shrinkers
used post op for limb protection and contracture mngmnt
rigid protectors
which K level is flexible keel?
K2
whick K level is dynamic response foot for?
K3
Which K level are the following for:
(knee function)
1. Constant friction
2. Fluid control
K2
K3 (can change cadence–faster walking=stiffer)
what is polycentric knee,
and the difference between weight activated stance control and geometric lock?
polycentric has multiple axes of rotation– the center of rotation is posterior to weight line for increased stability
weight activated: braking mechanism which adds resistance to the knee on weight
bearing preventing knee flexion. (K2, cannnot be BILAT)
geometric lock– locks in full extension and unlocks w/ hyperext moment (terminal stance)
Pros of a microprocessor control knee
yielding stance, stumble recovery
stair decent, avoiding obstacles, walk backwards
decreased mental effort to walk
standing flexion lock
what are some issues that can occur with donning the prosthesis?
- liner is donned with pin not positioned directly distal
- pt is swollen
- pt wearing too many socks
what may happen if you have too many or not enough socks?
may appear too long
socket would be uncomfortable
