LE condtitions Flashcards
what is the goal for limb shrinkage?
cone shaped distal end so that prosthetic will fit
when/why are early post-op prosthesis recommended?
bilateral amputations
to reduce dependency +
increase acceptance of prosthesis
what is the goal of desensitizing?
accustom limb to touch/pressure for prosthesis wearing
what are techniques used to desensitize?
weight bearing
massage
taping + rubbing
wrapping
what is core strengthening and why is it used?
increase balance, postural control, endurance
high level amputations cause shift in COG
when is phantom limb sensation most prevalent?
traumatic amputations
strongest feelings in UE amputations
why does phantom limb SENSATION occur?
normal part of healing
due to neural connections that exist even after removal of limb
where is phantom limb PAIN most prevalent?
hand and foot (distal limb) and traumatic amputation
what can cause increased pain in phantom limb PAIN>
stress
what modalities are used to tx phantom limb pain?
ultrasound, TENS
unproven
what are the 3 phases of LE amputation care?
- prosthetic training
- limb care
- vocational exploration
how should OT train amputee to perform ADL’s?
with AND without prosthesis
how should OT tx bilateral amputees?
provide UE universal cuff
early fitting of prosthesis
encourage use of other limbs for ADL’s
what are the energy requirements for ambulation with prosthesis?
unilateral BK: 10-20%
bilateral BK: 20-40%
unilateral AK: 60-70%
bilateral AK: >200%
who has highest incidence for fractures?
young males
older females
