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Prosthetics & Amputation > Post Amputation Treatment > Flashcards

Post Amputation Treatment Flashcards

1
Q

Advantages and disadvantages of compressive soft dressing

A

Advantages

  • easy to apply
  • inexpensive
  • easy access to incision

Disadvantages

  • little edema control
  • frequent rewrapping
  • inconsistent technique
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2
Q

Advantages and disadvantages of shrinker

A

Advantages

  • provides compression to help with shaping
  • easy to apply
  • inexpensive

Disadvantages

  • sutures removed
  • requires changing
  • tourniquet effect
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3
Q

Advantages and disadvantages of semi-rigid dressing

A

Advantages

  • better edema control - does not allow for swelling
  • inexpensive

Disadvantages

  • frequent changing
  • no patient application
  • no access to incision
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4
Q

Advantages and disadvantages of IPOP (immediate post op prosthetic)

A

Advantages

  • great edema control
  • excellent protection
  • controls pain
  • allows patient to be ambulatory from day 1 (can only put 10% weight on it)

Disadvantages

  • No access to incision
  • more expensive
  • requires training
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5
Q

What needs to be determined during the pain assessment after an amputation?

A
  • location
  • type
  • nature
  • intensity
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6
Q

Phantom limb sensation vs phantom limb pain

A

sensation - painless awareness of the amputated limb, possibly accompanied by tingling

pain - brain continues to receive painful sensory messages from the nerves that originally carried messages from amputated limb

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7
Q

How to measure residual limb length for transtibial and transfemoral?

A

TT - medial joint line to end of limb

TF - ischial tuberosity or greater tubercle to end of limb

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8
Q

What is the ideal shape for transtibial and transfemoral residual limb?

A

TT - tapered cylindrical shape

TF - more conical shape

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9
Q

What should be assessed with the contralateral/intact limb?

A
  • diabetic foot screen (if appropriate)
  • sensory testing
  • strength/ROM testing
  • DVT screen
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10
Q

What are common DVT symptoms?

A
  • swelling (calf/entire leg)
  • local tenderness along deep venous system
  • increased redness/warmth
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11
Q

While laying ________ (to prevent hip flexure contracture), which side should the patient face to create an _______ moment on the involved side.

A
  • prone
  • have the patient face their intact side
  • creates an extensor moment on the involved side to help prevent hip flexure contracture
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12
Q

What are the 2 main goals for strengthening in early post-op therex?

A
  • address identified muscle performance impairments

- maximize overall strength to prep for prosthetic gait

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13
Q

What should be worked on for strengthening immediately post-op?

A
  • isometric and AROM of joint proximal to the amputation
  • core strength
  • contralateral limb
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14
Q

What are the key muscles for stretching/AROM for Transtibial? Transfemoral?

A

TT

  • hamstrings
  • hip flexors
  • contralateral gastroc-soleus (gets tight b/c it is being used more)

TF

  • hip flexors
  • hip abductors
  • hip ER
  • lumbar extensors
  • contralateral LE
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15
Q

What are the key muscles for strengthening for Transtibial? Transfemoral?

A

TT

  • quads
  • hamstrings
  • glut max
  • glut med
  • abdominals
  • UE

TF

  • glut max
  • glut med
  • hip adductors
  • abdominals
  • lumbar spine
  • pelvic floor
  • UE
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16
Q

What motions need to be emphasized and stretched for transfemoral patients?

A
  • emphasize hip extension, abduction, and pelvic movement

- frequent prone laying or alternative iliospoas stretching

17
Q

K0 level

A

No ability or potential to ambulate or transfer safely with or without assistance; prosthesis does not enhance QoL
- not a prosthetic user

18
Q

K1 level

A

Able to or potential to use prosthesis for transfers or ambulation on level surfaces at fixed cadence. Limited and unlimited household ambulatory
- limited and unlimited household ambulators

19
Q

K2 levels

A

Ability or potential for ambulation with the ability to traverse low level environmental barriers such as curbs, stairs, or uneven surfaces. Limited community ambulatory
- limited community ambulatory

20
Q

K3 level

A

Ability for ambulation with variable cadence. Community ambulator who has the ability to traverse most barriers and may engage in vocations, therapeutic, or exercise that demands a prosthesis beyond simple locomotion
- unlimited community ambulator

21
Q

K4 levels

A

Ability for prosthetic ambulation that exceeds basic skills, exhibiting high impact, stress, or energy levels. Typical of the child, active adult, or athlete.
- ability for prosthetic ambulation that exceeds basic skills, exhibiting high impact, stress, or energy levels

22
Q

Do you want a higher or lower score for the AMPPro?

A

higher score is better

Prosthetics & Amputation (7 decks)

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