Presentations Flashcards
What is the most common place for a sore to develop on the transtibial amputee?
anterior distal tibia
What is the most common place for a sore to develop on the transfemoral amputee?
lateral distal femur
How is knee extension maintained throughout stance phase?
alignment
type of components (knee, foot)
patient
Alignment phases
bench
static dynamic
Bench alignment:
foot selection knee selection sagittal plane coronal plane transverse plane
Foot selection:
length of foot
heel durometer
heel height
Knee selection
functional level of amputee
sound side strength
strength of UE
Sagittal plane
TKA alignment (promotes knee stability) flexion in socket (allows even stride length of sound side)
Coronal plane
height
M-L placement of the knee and foot
adduction angle
Transverse plane
toe out
knee rotation
Four factors of gait:
patient
prosthetic alignment
socket fit
rehab teamwork
Purpose of sock:
position limb in the socket
System challenged for sitting upright:
Trunk stability
Sitting balance
Sitting endurance
Treatment option for sitting upright:
Trunk Rhythmic rotation
Resisted trunk flexion & extension
Sitting endurance progression
Balance pad/sit disc/bosu sitting
Rhythmical stabilization: pushing into the sound leg (knee or hip to force the patient to use the prosthetic leg.
Rest ball (against wall) behind patients head while in sitting have the patient maintain the position
Treatment for sitting reach:
PNF Cone reaching Cane trunk twist Plyoball tosses with trunk reaching Wand reaches