Management of Upper Limb Amputation

Question 1

what is a disarticulation?

Answer 1

when amputation goes through jt

Question 2

what occurs during pre-prosthetic program?

Answer 2

pre surgery
shaped residual limb
desensitization
muscle training (new muscle diff fx)
education of prosthesis components

Question 3

what occurs during UE training program?

Answer 3

with prosthesis
learn how to power device
use (another muscle to move device)

Question 4

what is important to assess for prosthesis?

Answer 4

AROM in remaining jts
adequate muscle strength to lift prosthesis
should be active prior

Question 5

why is early UE prosthesis program important?

Answer 5

high rate of rejection leads to secondary impairments due to overuse

Question 6

what is a priority for pre prosthetic program?

Answer 6

wrapping of residual limb

Question 7

what occurs during post-surgery wound care?

Answer 7

elastomer to flatten + give pressure

PROM: scap mobilization, edema reduction

Question 8

what is the purpose of post surgery wrapping?

Answer 8

prevent edema
shape by reducing adipose tissue
shrinking by 50% in 4-6 weeks

Question 9

what are characteristics of body powered prosthesis?

Answer 9

durable

high sensory feedback

Question 10

what are characteristics of external/electric powered prosthesis?

Answer 10

more proximal fx
better grip
heavy

Question 11

what is needed for myoelectric prosthesis?

Answer 11

n. that works the muscle to activate terminal device

Question 12

what is a partial hand?

Answer 12

cosmetic hand

Question 13

what is a terminal device?

Answer 13

takes place of hand (hook)

Question 14

what is a wrist unit prosthesis?

Answer 14

provides pronation and supination

not volitional

Question 15

what is a socket?

Answer 15

suspends prosthesis

Question 16

what is a cable system?

Answer 16

activates terminal device/ fxnl unit

Question 17

how do active hooks work?

Answer 17

either voluntary opening (most) or closing

cable attached to thumb

Question 18

what do wrist units provide?

Answer 18

orientation of terminal device in space

Question 19

who are wrist flexion units given to?

Answer 19

bilateral amputees with at least 1 wrist for self care activities

Question 20

when is socket used?

Answer 20

when amputee has very short humerus left

Question 21

duration of training time for diff amputees

Answer 21

below elbow: 5 hours
above elbow: 10 hours
bilateral below elbow: 12 hours
bilateral above elbow: 20 hours