Prosthetic Fit & Training Flashcards
what are four negative prognostic indicators of prosthetic use
- old age
- co-morbidities
- high level amputations
- cognitive impairment
what is the single best predictor of post amputation mobility
pre-amputation mobility/fitness (Kahle et al 2016)
what is K0
nonambulatory with or without prosthesis
what is K1
household ambulator
what is K2
limited community ambulator
what is K3
community ambulator and capable of various cadence
what is K4
exceeding basic ambulation - active adult or athlete
when is a patient fitted for their first socket (temp prosthesis)
6-12 wks post amputation
what are the four prerequisites for prosthesis fittting
- sutures removed
- incisions healed/healing
- edema controlled
- distal measurements < proximal
how long before a patient gets comfortable enough to wear their prosthesis throughout the day
2-4 months from fitting
when should you consider replacing the socket
> 15 ply sock fit
how long does shrinkage of the RL typically take
6-12 months post amputation
what qualifies a patient to recieve a definitive socket and when does it usually occur
stable ply fit over 2-3 month period (usually happens around 6-12 months)
what are typical sock ply thickness levels and how does this relate to donning socks
1, 3, 5 - we’d prefer a patient wear one 5-ply sock instead of five 1-ply socks
how long should a patient wear their prosthesis at the first session?
5-10 min at a time with frequent skin checks - a lot of practice donning/doffing in the early weeks
what is reactive vasodilation/hyperemia
redness that occurs after weightbearing and resolves within 10 min
what does it mean if reactive vasodilation redness persists after 10 min?
if it persists OR doesn’t blanch - tissue damage has occurred
how can you cue your patient to target their weightbearing in their prosthesis?
target their weight through the heels and toes to feel that experience in the socket
where should the patient direct their focus when moving in a prosthesis
cue the focus to the pelvis as amputees tend to retract the pelvis on the prosthetic side
