FINALS: Upper Extremity Prosthetics Flashcards

1
Q

Q: What are the main types of upper extremity prostheses?

A

A: Passive, Body-powered (cable-controlled), Externally powered (electrically controlled), Hybrid

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2
Q

Q: What is the primary disadvantage of cosmetic prostheses?

A

A: Least functional, low durability, and not suitable for fine motor tasks.

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3
Q

Q: Which prosthesis type provides the highest sensory feedback?

A

A: Body-powered prosthesis

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3
Q

Q: What is a voluntary opening terminal device?

A

A: The device stays closed and opens when the user pulls on a harness cable.

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4
Q

Q: What is a voluntary closing terminal device?

A

A: The device closes when the user pulls on a harness cable; requires sustained effort to hold.

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5
Q

Q: Which grip types fall under precision grip?

A

A: Three-jaw chuck, lateral/key grip

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6
Q

Q: What is the purpose of a Muenster socket?

A

A: Used for short transradial residual limbs; self-suspending with minimal harnessing

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7
Q

Q: What is the major drawback of a voluntary closing prosthetic hand?

A

A: Requires continuous force to maintain grip

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7
Q

Q: What is the main control mechanism in a myoelectric prosthesis?

A

A: Muscle-generated electrical signals

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7
Q

Q: Name three types of prosthetic wrists.

A

A: Friction-controlled, quick-disconnect, spring-assisted

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7
Q

Q: What is the role of a prosthetic socket?

A

A: Provides comfort, energy transfer, suspension, and cosmetic form

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7
Q

Q: What type of suspension system is used in suction sockets?

A

A: Negative pressure and skin adhesion via a silicone sleeve

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7
Q

Q: What is the difference between digital and proportional control in externally powered prostheses?

A

A: Digital: on/off; Proportional: strength of signal = speed/force of action

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7
Q

Q: What is a hybrid prosthesis?

A

A: Combines cable control for one joint and electric control for another (e.g., cable elbow + electric hand)

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8
Q

Q: What is osseointegration in prosthetics?

A

A: Direct skeletal attachment of the prosthesis via implanted metal rod

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9
Q

Q: What is the major issue with silicone suspension sleeves?

A

A: Excessive sweating, skin irritation, and potential dermatitis

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10
Q

Q: What is the most common skin issue with prosthetic use?

A

A: Hyperhidrosis

10
Q

Q: What is a neuroma?

A

A: Painful scar tissue at the nerve end of an amputation site

11
Q

Q: At what age should myoelectric prosthetic training start for children?

A

A: 3 to 9 months; terminal device control by 18–24 months

11
Q

Q: What type of prosthetic elbow is ideal for independent use in bilateral amputees?

A

A: Externally powered elbow with spring assist for midline access

11
Q

Q: What movements are used to control a body-powered prosthesis?

A

A: Scapular abduction, chest expansion, shoulder depression, humeral flexion

11
Q

Q: What is the lifting capacity of a transhumeral amputee?

A

A: 10 to 15 lbs

11
Q

Q: What is the lifting capacity of a transradial amputee?

A

A: 20 to 30 lbs

12
Q

Q: What is the purpose of activity-specific terminal devices?

A

A: Designed for sports, hobbies, or specific work-related tasks (e.g., golf, fishing)

12
Q: What are the main types of upper limb suspension systems?
A: Harness, self-suspending socket, suction, pin-lock, magnetic, and liner systems
12
Q: What are pros and cons of suction suspension?
A: Pros: better cosmesis, no harness; Cons: sweating, difficult donning, risk of skin breakdown
12
Q: How does a harness suspension system work?
A: Uses straps and cables anchored on the torso to hold the prosthesis and assist in control
12
Q: When is a passive prosthesis usually introduced in children?
A: As early as 6 months to promote symmetry and visual-motor development
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13
Q: What is the purpose of a gel liner in suspension?
A: Provides cushioning and improves suction grip with the limb
13
Q: What body movements control a body-powered prosthesis?
A: Scapular abduction, shoulder flexion, shoulder depression, chest expansion
13
Q: What is dual-site myoelectric control?
A: Two electrodes control two opposite functions (e.g., open vs. close hand)
14
Q: When is a functional prosthesis (e.g., myoelectric) introduced in children?
A: 18–24 months if the child shows readiness
15
Q: Why are early prosthetic fittings important in children?
A: Encourages bilateral use, motor development, and acceptance
16
Q: What is the biggest challenge in pediatric prosthetic use?
A: Rejection due to discomfort, poor training, or lack of perceived need
17
Q: How often should pediatric prostheses be adjusted or refit?
A: Every 12–18 months or during growth spurts
18
Q: What are key outcome measures for upper limb prosthetics?
A: OPUS, SHAP (Southampton Hand Assessment Procedure), ACMC (Assessment of Capacity for Myoelectric Control), DASH
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