Musculoskeletal Impairments Flashcards
What are possible complications during the postoperative or preprosthetic stages of an amputation?
- pain
- Skin complications (delayed healing, necrosis, skin adherance to bone)
- Edema of residual limb
- Bone spurs
- Neuroma
- phantom limb and phantom sensation
What are complications during the prosthetic phase after an amputation
- skin ulcers d/t ill-fitting prosthesis or wrinkles in prosthetic sock
- Sebaceous cysts d/t torque of prosthetic socket
- Edema d/t ill fitting sock
- Sensory changes
What are the goals of preprosthetic training?
- Assist client with psychological coping
- Optimize wound healing
- Residual limb shrinkage and hsaping with tapered distal end
- Desensitive residual limb
- ROM and MMT
- Indepedence in ADLs
- Explore prosthetic options
What are the goals of Prosthetic training?
- Independence in don/doff prosthesis
- Care of prosthesis
- Increase wearing time to full day
- Independent use of prosthesis
What is the initial wearing time for a prosthesis wear schedule?
15-30 minutes
How do you increase wear time for a prosthetic?
If no reddening occurs after 20 minutes, increase by 15-30 minutes until it is worn for a full day
What is prosthesis control training?
- Operation of each component of the upper limb prosthesis
What is prosthesis use training?
Integration of prosthesis components of efficient assist during functional use
What is prepositioning training with a prosthesis?
Identification of the optimal positioning of each positioning unit to perform an activity or grasp an object
What happens during prehension training with the prosthesis?
Terminal Device control during grasp activities
What happens during functional training with the prosthesis
Control and use of prosthesis during functional activities
What are treatment interventions for Fibromyalgia?
- Education to avoid pain triggers
- Gentle aerobic exercise
- Daily stretching and strengthening activities
- Cognitive-Behavioral therapy
- Sleep hygiene
- Myofascial release, massage, relaxation
- Memory aids
- Fatigue management(pacing, work simplification, energy conservation)
- Modification of activity or environment
What are the precautions after chemotherapy?
- Use of face mask
- Restricted diet d/t yeast infections in mouth
- Screen for anxiety, dep, fatigue
- Monitor for excessive bleeding
What are the precautions for radiation?
- Assist to maintain joint ROM
2. Use of water based ointments to avoid pulling the burned skin
What are the signs and symptoms of OA?
1.Joint pain
2. stiffness
3/ limited ROM
4. Local inflammation
5. Crepitus
6. Pain and stiffness occur with activity and are relieved by rest
