Introduction Flashcards
residual limb
remaining portion of limb after amputation
O&P
orthotics and prosthetics
post-op prosthesis
device applied before wound closure that protects the suture site and allows for limited WB and gait training
preparatory prothesis
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
prosthetic socket
part of the prosthesis into which the residual limb fits
prosthesis
addition to the human body of some artificial part to replace one that is missing
T or F: most prosthesis are custom made devices
T
what do prosthetic socks and liners do?
protect the residual limb and help maintain the appropriate fit and comfort of the socket
what are prosthetic socks made of
wool, cotton, synthetic fabrics, or combinations of cloth and gel
what are prosthetic liners made of
soft foam, flexible plastic, gels, urethane or soft thermoplastic materials
cosmesis
aesthetic characteristics of a prosthesis
what is the most common cause of amputations in non-industrialized nations
trauma
T or F: amputations are unusual
F
Are LE or UE amputations more common
LE (3x more common)
what is the primary cause of amputations in the US
vascular disease
process leading to amputation due to vascular disease
DM > PVD > ischemia > infection > amputation
risk of amputation ________ with age
increases
is rate of increased risk of amputation with age higher in males or females
females
are amputations more common in african americans or white americans
african
what are some social determinants of health
- lower income
- substandard education
- access to healthy food and safe neighborhoods
- less access to healthcare
what are some co-morbidities associated with amputation
1 - poor glycemic control/DM
2 - peripheral neuropathy
3 - smoking
4 - renal disease
5 - retinal disease
T or F: survival rates are lower in those who underwent above the knee amputation than those with below the knee amp
T
T or F: the life expectancy of vascular amp is high
F: 70% at 1 year, 35% at 5 years
are most vascular amputees fitted for a prosthesis after a major LE amputation? do most of them use it?
yes
no
what are some positive predictors of walking ability in amputees
1 - cognition
2 - fitness
3 - ability to stand on one leg
4 - independence in ADLs
5 - pre-operative mobility
what are negative predictors of walking abilities in amputees
1 - longer time from surgery to rehab
2 - residual problems
physical activity generally _____ after amputation
decreases
likelihood of participating in physical activity after amputating is ______ if they participated in it before amputation
increased
T or F: most amputees return to less demanding work after rehab
T
what affects QOL more in amputation… level of amputation, co-morbidities, body image, or age
body image
does residual limb length make a difference in pts perceptions of amputation result
no
what are some factors that influence pts perception of the amputation result
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
what are some secondary complications of amputation
1 - pain
2 - psychological consequences
3 - secondary conditions (OA, deconditioning, etc.)
4 - prosthetic fit issues
what is a common area pts complain of pain after amputation (other than the affected extremity)
back pain
pain in contralateral limb
