Pre-Prosthetic Management Flashcards
how should you test ROM in the pre-prosthetic population
gross UE and trunk, definitive in B LE of remaining joints
what LE ranges are really important to maintain
extension
what are the three major ROM considerations for pre-prosthetic practice
- early and aggressive ROM 2. avoid elevation of limb on pillows 3. prone is the best position
what would be your recommendation for wheelchair hip/knee flexion contracture prevention
extension boards/splints
what muscle groups track with gait speed and 6mw performance
hip extensors
what muscle groups track with cadence and weight bearing in static stance
hip abductors
what muscle groups track with stride length
knee extensors
what is conservative mgmt of hypersensitivity
habituation and down regulation of the NS
what is conservative mgmt of hyposensitivity
education
T/F: the majority of amputees experience pain
true - approx 95% of amputees experience some type of pain
what types of pain, from most to least common, are likely to be experienced by pre-prosthetic individuals
phantom pain, residual limb pain, then back pain
what are prescription treatments for phantom limb pain
mirror treatment, graded motor imagery, meds, TNS, acupunture, biofeedback, pressure/compression
what is a strong predictor of prosthetic success
SLS on sound limb
what is the most appropriate balance scale for amputees
ABC scale - subjective questions of confidence in certain tasks
how can you test CV status in the amputee population (4)
UE ergo, unilateral LE ergo, w/c propulsion, ambulation with AD