Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

6 Prosthetics & Orthotics > L8 Amputee Rehab > Flashcards

L8 Amputee Rehab Flashcards

1
Q

Poor or incomplete donning may result in

A
  1. proximal soft tissue folding over socket
  2. gap of ≥1cm between distal limb and base of socket
  3. residual air expulsion w/movement
  4. pain
  5. prosthesis feeling too tall or unstable
  6. Unusual rotation of knee and foot
  7. risk to skin integrity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Sitting socket fit, TT

A

assess with knees flexed to 90° and foot flat

RL tends to move up a little when person sits. Knee may be extended if there is pressure on knee or RL. Also check for pressure on hamstrings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Sitting socket fit, TF

A

socket is securely fit on RL

length of shin/thigh correspond to shin/thigh length on intact limb

client can sit comfortably

can lean forward and reach shoes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Standing alignment, TT & TF

A

no pain with WB
knee stability
equal leg. length
WB should be equal between legs
shoes level on floor

pressure on pubic ramus or adductor roll

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Suspension Check

A

have pt lift weight off of prosthesis and check for excessive movement

there should be no movement with suction or shuttlelock suspension, movement causes skin breakdown

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Sleeve suspension

A

should have direct contact with skin for at least 2” above any socks or liners

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Total Contact

A

limb is seated well in the socket while also not bottoming out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Powder Test

A

place a small amount of baby powder or cornstarch on sides and bottom of socket

don the prosthesis, stand/walk short distance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Powder on bottom or sides of socket

A

indicates loss of total contact fit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Minimal powder at bottom of socket

A

total contact fit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Ball of Clay Test

A

identifies if the residual limb is seated within socket

place little ball of clay at end o socket. have client WB

clay should be compressed into flat disk, indicating proper pressure on distal end

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Clay ball is smashed or thin

A

indicates too much pressure on distal end of limb

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Clay ball is not deformed

A

indicates that limb is not descending far enough into the socket for proper support

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

K Levels

A

as a means to quantify need and potential benefit of prosthetic devices for patients after lower limb amputations

guide prosthetists on component reimbursement

based on functional ability, potential ability to function, needs of pt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

K-0 Level

A

pt does not have ability or potential to ambulate or transfer safely w/out assistance and a prosthesis does not enhance QOL or mobility

no eligible for prosthesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

K-1 Level

A

pt can do transfers, ambulate on level surfaces, fixed cadence, limited household ambulator

eligible for single axis, constant friction, SACH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

K-2 Level

A

for tranverse low level barriers, like curbs, limited community ambulator

eligible for polycentric, constant friction, flexible keel foot, multi axial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

K-3 Level

A

for variable cadence ambulator, unlimited community, traverse most environmental barriers, beyond simple locomotion

eligible for hydraulic pneumatic, microprocessor, variable friction, energy storing, dynamic response, multi-axial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

K-4 Level

A

exceeds basic ambulation, exhibits high impact, typical for child/athlete/active adult

eligible for any system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

10 meter walk test K-levels

A

K1 = .17m/s
K2 = .38m/s
K3 = .63m/s
K4 = 1.06 m/s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Amputee Mobility Predictor

A

used with LE amputees and assess functional mobility

can be performed with or without prosthesis

3.4 MDC

not recommended for pts with bilateral amputation at levels higher than transtarsal foot amputation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

AMnoPRO scores and K Levels

A

K0 = ≤ 8
K1 = 9-20
K2 = 21-28
K3 = 29-36
K4 = ≥ 37

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

AMPPRO scores and K levels

A

K0 = N/A
K1 = 15-26
K2 = 27-36
K3 = 37-42
K4 = ≥ 43

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Assistive Device Selection on AMP

A

0 = unable to leave bed
1 = w/c or parallel bars
2 = walker
3 = crutches
4 = cane
5 = none

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

L Test

A

Modified TUG Test
Can use AD, done at comfortable walking speed

has patient walk to first line, turn 90°, walk to second line, turn 180°, and return to chair

26
Q

CHAMP

A

4 item test that measures high level mobility in people with lower limb loss

involves SLS, edgren side step, agility test, T-test

designed to quantify functional capabilities, measure change in function and help determine readiness to return to high level activity

used mainly in military treatment facilities

27
Q

Illinois Agility Test

A

lying prone on floor behind starting line with arms at their side

patient will rise to their feet and move as quickly as possible and complete 10 meters forward and back. Weaving around 4 cones. Forward and back 10 m

28
Q

Prosthesis Eval Questionnaire

A

asks about the prosthesis, pain, social/emotional aspects, ability to move, satisfaction, ADLs

29
Q

Houghton Scale

A

4 item instrument that assesses prosthetic use in people with LE amputations. Self report of perception of use and functional outcomes

asks if they wear prosthesis, use of walking, going outside, feelings of instability

30
Q

Scoring of houghton scale

A

Score ≥ 9 independent community
Score 6-8 household and limited community
Score ≤ 5 limited household

31
Q

Locomotor Capabilities Index

A

self report instrument for assessing locomotor abilities essential for basic and advanced ADLs of people with LE amputations

max score of 56 from 14 Qs

32
Q

Trinity Amputation and Prosthesis Experience Scales

A

designed to examine the pyschosocial process involved in adjusting to using a prosthesis

four sections of activity restriction, psychosocial adjustment, satisfaction w/prosthesis, factors influencing health

33
Q

Goal setting for amputees is based on

A

current/expected functional level
outcome measures
patient goals
goals related to prosthetic management

34
Q

Gel Liners

A

fits directly over skin of RL
avoid pulling on top, roll it up from distal

no space distally between end of limb and end of liner

35
Q

Residual Limb Socks

A

used to modify fit between socket and shrinking residual limb

proper use of socks enhances RL WB in pressure tolerant areas, decreases skin breakdown, increases comfort

as RL shrinks, more socks are added

36
Q

Sock ply

A

sock thickness

37
Q

Once an individual needs ______, the socket needs to be replaced

A

10-15 plys
sock ply can vary daily

38
Q

Too few socks

A

residual limb descends too far into socket
pistoning

39
Q

Pistoning

A

prosthesis slips downward when unweighted during swing phase and pushed upward during stance

40
Q

Too many socks

A

may be difficult to put on
fits too tightly
feels slightly longer

41
Q

checking Shuttlelock/pin for adequate suspension

A

pin should further depress into ring mechanism 3 to 6 clicks

more than 10 clicks means more socks are needed

fewer clicks than 3 suggest need for less socks

42
Q

Groin discomfort may indicate

A

need to apply more prosthetic socks

43
Q

Wearing Schedule

A

break is prescribed for first few weeks of wear

1 hour a day, 1/2 of that time should be walking

skin should be inspected every 30 min or after walking

Add 1 hour a day if no skin breakdown, and can increase time to check skin to 45 min-60 min

44
Q

What forces are primary causes of skin breakdown?

A

pressure
friction
shear

45
Q

Normal reactive hyperemia

A

blanchable redness over WB areas that returns to normal skin color within 10 min

46
Q

Abnormal hyperemia

A

persistent redness or redness that does not blanch on firm palpation

47
Q

Pressure tolerant areas showing signs of excessive pressure

A

suggest that the duration or amount of WB may need to be decreased

48
Q

Pressure sensitive areas showing signs of too much pressure

A

suggests that socket fit or alignment needs to be adjusted

49
Q

Most common causes of new discomfort

A

residual limb volume changes
shoes with different heel heights
changes in activity level

50
Q

Systematic troubleshooting process

A

location and pattern of pain
prosthetic fit that may cause S/S
pt related factors that may cause S/S

51
Q

Limb descends too far into socket, TT

A

indicators:
inferior patella pain
fibular head pressure/redness
pressure of ant distal tibia or distal RL
inability to fully flex knee
+ ball of clay
feeling of looseness
pistoning

52
Q

How can you fix limb descends too far into socket, TT

A

add additional sock ply

53
Q

Limb not fitting far enough into socket, TT

A

indicators:
proximal ant tibial shaft pain
distal discoloration
distal end pain
pain at fibular head
significant pistoning
difficulty controlling prosthesis
increased ML movement in socket
+ ball of clay

54
Q

How can you fix limb not fitting far enough into socket, TT

A

remove sock ply

55
Q

Prosthesis Rotates on Residual Limb, TT

A

indicators:
foot points into toe out/toe in
fibular head pain
general discomfort

56
Q

How to solve prosthesis rotates on residual limb, TT

A

re-don prosthesis w/patella centered
add or subtract sock ply

57
Q

Pistoning indcators

A

pain at distal patella
loose feeling in prosthesis
inability to fully flex knee
pain on ant distal tibia
lack of control of prosthesis

58
Q

Solutions for Pistoning

A

replacing suspension system
adding or removing sock ply

59
Q

TF Too many socks

A

lose total contact with distal end
prosthesis feels too long
difficulty clearing toe

60
Q

TF Too few socks

A

increases distal end pressure
discomfort in perineum

61
Q

Shoe with lower heel height

A

excessive knee stability in stance

62
Q

Shoe with higher heel

A

compromises alignment stability of knee and places greater demand on pt for muscular control of knee position during stance

6 Prosthetics & Orthotics (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions