intro to prosthetic training Flashcards
what do you include in your initial assessment of pro wearer - direct
functional mobility without pro
skin assement/sensory
strength (BLE and core)
ROM
donning and doffing
transfer with pro
what do you include in your initial assessment of pro wearer - direct more
pro fit
postural assessment
amb with pro
high level mobility with pro
pain
social/psych
for transtibial where is the extra force absorbed
knee ext
hip abd/add, ER
on the amp side
transtibial - non fallers where able to compenstate where
contralateral ankle PF an hip ext
how to intially progress wear time
increase by 15 mins
then build by 30 min daily
what is the goal with wear time
8 hours at a time in 16 days
30/day in 2 weeks
what do we want to look at in sitting
the height of the knee center when compared to the hips in sitting
what are you looking for when inspecting the socket design - boney landmarks
TT - patella should fit in the patellar groove
TF - ischium
what position should you look for gapping
in WB
where do we place our hand when working on tsanding and gait kinematics
ASIS and iliac crest
managment of the knee and the trunk
intervention progression
static
dynamic
assisted
active
resistive
UE support alterations
what can be causes of decreased weight acceptance in stance
decrease coordination
decrease balance
pain
weakness
fear/lack of confidence
initial prosthetic gait training
static WB progression
standing reaching activities
simple dynamic weight shifting
repeated stepping
stepping with univolved limb onto step
gait training
STS
what is stepping backward and forwards a progression of
transverse pelvic rot
pro swing initiation
limb at terminal stance
forward pelvic rot
hip flex
knee flex (tt)
neutral hip IR/ER
ends with heel strike
