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Prosthetics > Final Exam: Prosthetic Rehab > Flashcards

Final Exam: Prosthetic Rehab Flashcards

1
Q

How many phases are in Dr. Robert Gailey’s phases of rehab

A

5

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2
Q

List the Gaileys phases of rehab in order

A
  1. Immediate postoperative stage
  2. Immobilization is removed
  3. Intermediate rehab stage
  4. Advanced rehab stage
  5. Return to work or pre amp life style
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3
Q

Which phase is usually in a hospital or acute care setting

A

phase 1 - immediate post op

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4
Q

What does treatment look like during the first phase of gailey’s rehab

A 
dressing education
edema control
transfers/bed mobility
wound care
phantom pain
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5
Q

What is the goal of the immediate postop stage of Gailey’s rehab

A

healing without complication

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6
Q

which phase of rehab is considered the key to good outcomes via a pre-prosthetic program

A

Phase II - immobilization removed

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7
Q

is a prosthetic involved in phase one

A

no

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8
Q

is a prosthetic involved in phase two

A

no

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9
Q

What does treatment look like in phase II of gailey’s rehab

A

I bed mobility/transfers
single limb gait
ROM/prevent contractures
Residual limb strengthening, balance, endurance

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10
Q

What are the goals of the pre-prosthetic program in phase II

A

healing without complication along with increasing strength, activity, balance, proprioception and beginning controlled ambulation

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11
Q

Which phase of rehab typically occurs in an outpatient setting

A

III - intermediate rehab

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12
Q

is a prosthetic involved in phase three

A

yes, but only a temporary one

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13
Q

Which phase will we see a rapid decrease in edema with some fluctuation

A

phase III - intermediate phase

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14
Q

In phase ___ of Gailey’s rehab, the patient should be I with stretching and strengthening at home. The residual limb should be at __-__% of the strength of the uninvolved side

A

III; 50-90

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15
Q

Which phase does pre-gait training and ambulation start in

A

III

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16
Q

What is the first exercise performed during pre gait training to encourage WB in prosthesis

A

weight shifts

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17
Q

Which phase of rehab is a good time for video analysis for gait deviation

A

IV - advanced rehab stage

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18
Q

What is the goal of phase 4 of Gailey’s rehab

A

independent ambulation with or without assistive device.

19
Q

What does treatment look like in phase 4 of Gailey’s rehab

A

higher level balance with cadence changes
inclines, curbs, thick grass
endurance training
agility and strength

20
Q

What is the goal of phase 5 of gailey’s rehab

A

to be discharged from PT and transition back to every day lifestyle

21
Q

What is the focus of post op day 1

4

A

bed mobility
positioning
PROM/AROM to uninvolved joints
Sound side exercises

22
Q

What is the focus of post op day 2

5

A 
Transfer skills
sitting to tolerance for 15-20 min
AROM to uninvolved joints
gluteal/quad sets
sound side exercises
23
Q

What is the main focus of post op day 3

A

ambulation with walker
dressing education
everything else in both day 1 and 2

24
Q

What is the main focus of post op day 4

A

ambulation with assistive device
AROM to all joints
patient contracture and precaution education

25
Q

What is the main focus of post op day 5

A

ambulation
HEP
patient education PRN
discharge home or to inpatient

26
Q

What is the main focus of post op days 10-14

4

A

assess ambulation skills
dynamic strengthening exercise
AROM to all joints
patient education

27
Q

When along the follow up treatment are staples removed post op

A

week 3

28
Q

When along the follow up treatment are shrinker and healing monitored

A

week 4

29
Q

When along the follow up treatment is a cast made for a diagnostic socket

A

week 6-8

30
Q

When along the follow up treatment does prosthetic gait training begin

A

week 10-11

31
Q

What does prosthetic checkout with a TT in sitting look like

A 
comfort
inspect posterior brim
does suspension loosen
are knees level
is the residual limb forced out of the socket
32
Q

What does prosthetic checkout with a TT in standing look like

A 
pain
is the knee stable
pelvis level
pylon vertical
any gapping
is the residual limb in contact with the bottom of the socket
33
Q

Is pressure in standing normal

A

yes, but not pain

34
Q

What does prosthetic checkout with a TF before donning look like

A

is the inside smooth
does the socket meet specification
do all joints move freely

35
Q

does prosthetic checkout with a TF in sitting look like

A

suspension
length of shin and thigh compared to other side
comfort
can they lean forward and reach shoes

36
Q

What does prosthetic checkout with a TF in standing look like

A

is the knee stable
pelvis level
adductor roll

37
Q

What is the most important part of prosthetic checkout for TF in standing

A

if the knee is straight and stable

38
Q

What is progression time of initial ambulation in the parallel bars

A

5-15 min in bars
30 min in bars
15-20 min with AD
45 min with AD

39
Q

When a patient has a home wearing schedule, they should wear the prosthetic in __ min increments but not wear the prosthetic more than __ min a day in the first week

A

30; 90

40
Q

Can a TT or TF amputee tolerate longer wear times

A

TF

41
Q

Describe the important parts of donning socks

A

pull sock on firmly but not too stretched or too loose. NO wrinkles
The seam should be parallel to the suture line
clean dry socks

42
Q

True or False:

When adjusting socks, the patient should add as many ply as they need to decrease discomfort.

A

false, add one ply at a time

43
Q

During weight shifting front to back, how wide should the base of support be

A

2-4 inches

Prosthetics (12 decks)

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