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Prosthetics > Pre-Prosthetics Training > Flashcards

Pre-Prosthetics Training Flashcards

1
Q

When doing your exam, what are some things to consider specifically for amputees?

A
  • can they don/doff prosthetics and shrinker
  • positioning of limb
  • fit of prosthetics
  • equipment
  • fit of protector
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2
Q

T or F: amputees should always have something on the residual limb

A

T

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3
Q

what are some equipment amputees may need?

A
  • slide board
  • at least 2 shrinkers
  • donner
  • possibly knee immobilizer
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4
Q

household ambulators should be able to ambulate ______ feet while community ambulators should be able to ambulate _______ feet

A

50
150

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5
Q

Do pts with traumatic or vascular amputations have a better prognosis

A

traumatic

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6
Q

usually traumatic amputations discharge to _________

A

home

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7
Q

Phase 1 of rehab

A

pre-operative
*not always possible to have

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8
Q

T or F: you should go ahead and start ordering equipment in the pre-operative phase

A

T: if you know it is going to be an amputation

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9
Q

phase 2 of rehab

A

surgery day

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10
Q

when is PT usually starter for amputees

A

post-op day 1

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11
Q

phase 3 of rehab

A

acute post-operative
2-5 days without complications

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12
Q

what is one of the most important things in the acute postoperative phase and why?

A

POSITIONING
*you want to prevent contractures because the prosthetic can only account for so much loss of ROM

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13
Q

what motions do you want to focus on to prevent joint contractures?

A

1 - hip ext
2 - hip adduction
3 - knee ext

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14
Q

how much knee and hip flexion can a prosthetic compensate for

A

5 knee flexion
15 hip flexion

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15
Q

stump protector/knee immobilizers are worn _____ in the acute postop phase

A

23/7
*take off to shower

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16
Q

what kind of transfer usually works well for a LE amputation in the acute post-op phase

A

slide board

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17
Q

3 positioning DOs for amputees

A
  • lay prone several times a day
  • use a limb protector
  • minimize prolonged hip/knee flexion
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18
Q

3 positioning DONTs for amputees

A
  • place pillow under knee or thigh
  • place pillow between legs
  • sit with knee flexed or without support
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19
Q

what are some benefits of postop dressings

A
  • control swelling
  • shape limbs
  • protect incision
  • desensitize
  • assist with drainage
20
Q

you want the residual limb to be ______ shaped

A

cylindrical

21
Q

how should you wrap an ACE wrap

A
  • figure 8
  • distal compression more than proximal
  • no clips or tape to skin, no wrinkles
22
Q

what population are non-removable rigid dressings good for

A

cognitively impaired

23
Q

IPOPs

A

immediate post-op prosthesis
*these are great, by typically only used with young/traumatic (insurance coverage)

24
Q

if you walk into a pts room 3 days postop and there is no dressing what should you do

A

ask questions! there should be a dressing
*risk of limb developing abnormal shape

25
Q

3 stages of incisional healing

A

1 - inflammatory (0-5 days)
2 - fibroblastic (5-21 days)
3 - remodeling (>21 days)

26
Q

phase 4 of rehab

A

pre-prosthetic phase (weeks 2-3)

27
Q

what are some exercises you can do in the pre-prosthetic phase for transfemoral amputation

A
  • bridge over bolster
  • SAQ (unaffected leg)
  • SLR (unaffected leg)
  • side-lying hip add with bolster
  • prone hip ext
  • prone add squeeze
  • prone knee flex (unaffected leg)
  • quadriped leg lift
  • bosu ball
28
Q

what are some exercises you can do in the pre-prosthetic phase for transtibial amputation

A

-quad set
-SAQ
-SLR
-bridging w/ bolster
-prone knee flex
-push ups
-tall kneeling rotation
*and all of the transfemoral ones!

29
Q

phase 5 of rehab

A

prosthetic prescription

30
Q

staples are usually removed about _______ month(s) postop and then you can get prescribed a prosthetic

A

1

31
Q

what are some criteria that affect prosthetic prescription

A
  • skin integrity
  • shape of limb
  • strength/ROM/mobility
  • financial
  • pt desire
32
Q

phase 6 of rehab

A

prosthetic training

33
Q

L-test

A

basically a TUG for amputees… involves 90 degree turns though

34
Q

T or F: post amputation pain is typically normal

A

T

35
Q

phantom sensations

A

feelings other than pain in missing body part

36
Q

are phantom sensations usually more distal or proximal

A

distal

37
Q

are phantom sensations painful

A

no

38
Q

T or F: phantom sensations usually decrease with time

A

T

39
Q

phantom pain

A

pain associated with the amputated segment

40
Q

T or F: prosthetic limb use has been correlated to decrease phantom pain

A

T

41
Q

T or F: phantom pain is more common in patients who had pain prior to surgery

A

T

42
Q

T or F: there is a single mechanism for phantom pain

A

F: not really sure what causes it

43
Q

what are some possible PT treatments for phantom pain

A
  • nerve stimulation
  • KT tape
  • mirror therapy
  • desensitizing program
  • virtual reality
44
Q

phase 7 of rehab

A

community integration

45
Q

phase 8 of rehab

A

follow up
*every few months for the first 18 months

Prosthetics (12 decks)

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