Introduction

Question 1

residual limb

Answer 1

remaining portion of limb after amputation

Question 2

O&P

Answer 2

orthotics and prosthetics

Question 3

post-op prosthesis

Answer 3

device applied before wound closure that protects the suture site and allows for limited WB and gait training

Question 4

preparatory prothesis

Answer 4

an unfinished, functional replacement for an amputated limb, fitted and aligned to accelerate rehab, control edema, and prepare the residual limb for the external forces associated with wearing a prosthesis daily

Question 5

prosthetic socket

Answer 5

part of the prosthesis into which the residual limb fits

Question 6

prosthesis

Answer 6

addition to the human body of some artificial part to replace one that is missing

Question 7

T or F: most prosthesis are custom made devices

Answer 7

T

Question 8

what do prosthetic socks and liners do?

Answer 8

protect the residual limb and help maintain the appropriate fit and comfort of the socket

Question 9

what are prosthetic socks made of

Answer 9

wool, cotton, synthetic fabrics, or combinations of cloth and gel

Question 10

what are prosthetic liners made of

Answer 10

soft foam, flexible plastic, gels, urethane or soft thermoplastic materials

Question 11

cosmesis

Answer 11

aesthetic characteristics of a prosthesis

Question 12

what is the most common cause of amputations in non-industrialized nations

Answer 12

trauma

Question 13

T or F: amputations are unusual

Answer 13

F

Question 14

Are LE or UE amputations more common

Answer 14

LE (3x more common)

Question 15

what is the primary cause of amputations in the US

Answer 15

vascular disease

Question 16

process leading to amputation due to vascular disease

Answer 16

DM > PVD > ischemia > infection > amputation

Question 17

risk of amputation ________ with age

Answer 17

increases

Question 18

is rate of increased risk of amputation with age higher in males or females

Answer 18

females

Question 19

are amputations more common in african americans or white americans

Answer 19

african

Question 20

what are some social determinants of health

Answer 20

• lower income
• substandard education
• access to healthy food and safe neighborhoods
• less access to healthcare

Question 21

what are some co-morbidities associated with amputation

Answer 21

1 - poor glycemic control/DM
2 - peripheral neuropathy
3 - smoking
4 - renal disease
5 - retinal disease

Question 22

T or F: survival rates are lower in those who underwent above the knee amputation than those with below the knee amp

Answer 22

T

Question 23

T or F: the life expectancy of vascular amp is high

Answer 23

F: 70% at 1 year, 35% at 5 years

Question 24

are most vascular amputees fitted for a prosthesis after a major LE amputation? do most of them use it?

Answer 24

yes
no

Question 25

what are some positive predictors of walking ability in amputees

Answer 25

1 - cognition
2 - fitness
3 - ability to stand on one leg
4 - independence in ADLs
5 - pre-operative mobility

Question 26

what are negative predictors of walking abilities in amputees

Answer 26

1 - longer time from surgery to rehab
2 - residual problems

Question 27

physical activity generally _____ after amputation

Answer 27

decreases

Question 28

likelihood of participating in physical activity after amputating is ______ if they participated in it before amputation

Answer 28

increased

Question 29

T or F: most amputees return to less demanding work after rehab

Answer 29

T

Question 30

what affects QOL more in amputation… level of amputation, co-morbidities, body image, or age

Answer 30

body image

Question 31

does residual limb length make a difference in pts perceptions of amputation result

Answer 31

no

Question 32

what are some factors that influence pts perception of the amputation result

Answer 32

1 - condition of contralateral limb
2 - comfort of residual limb
3 - comfort, function, appearance of prosthesis
4 - social factors
5 - ability to participate in recreational activities

Question 33

what are some secondary complications of amputation

Answer 33

1 - pain
2 - psychological consequences
3 - secondary conditions (OA, deconditioning, etc.)
4 - prosthetic fit issues

Question 34

what is a common area pts complain of pain after amputation (other than the affected extremity)

Answer 34

back pain
pain in contralateral limb