MT: Intro to NURIC Flashcards
1
Q
Desired Features vs NURIC
A
- proper contours for functioning muscles - RF and Gluteal Channel
- stabilizing - ischial containment/shelf
- distribute pressures - support gluteal muscles
- precise contouring - not forcing limb into quad shape
- total contact - prevent distal end edema
2
Q
Biomechanical Objectives: Coronal Plane
A
- provide ML stability of the pelvis during midstance on prosthetic side
- conserve energy by minimizing lateral displacement of CoG
3
Q
Early Ischial Containment
*
A
- recognized need for narrow ML
- to allow coronal plane stability
- align head of femur and distal aspect of the femur
4
Q
TF Specific considerations
A
- evaluate & accommodate ROM in hip extension and permit normal stride on contralateral side
- flexor and extensor muscles accommodated inside socket
- adductor shape can vary with design
5
Q
Critical Design Features
A
- axial support
- compartments of NURIC socket
- amount/degree of containment
- alignment
- objective measurements
6
Q
Axial Support
A
- ischial support (direct skeletal support)
- gluteal support
- hydrostatic support
7
Q
Ischial Support
A
- critical for patients with minimal muscle tone
- inadequate support may result in ramus pressure and reduced comfort
8
Q
Gluteal Support
A
- achieved by appropriate socket contours (proper shelf height)
- critical for short residual limbs
- aids in general loading and comfort
9
Q
Hydrostatic Support
A
- achieved by volume reduction (tension values)
- volume reduction to compress tissues
10
Q
Compartments of NURIC Socket
A
- anterior
- medial
- lateral
11
Q
Anterior Compartment
A
- adductor longus relief
- femoral (scarpa) traingle compression
- rectus femoris relief
- tensor fascia lata/ASIS relief
- opposing ischial support
12
Q
What are the boundaries of scarpa’s triangle
A
- inguinal ligament
- sartorius
- adductor longus
13
Q
What does the contour of the rectus area provide?
A
counter force to stabilize ischium in proper location
14
Q
Rectus Channel Goals
A
- provides equal distribution of pressure between firm and soft tissues
- control rotation
- allow room for functioning muscles
15
Q
Medial Compartment
A
- medial wall internal rotation relative to LOP
- Sub-ischial triangle
- medial brim flaring
- ramus relief