Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Prosthetics > Prosthetic Management and Training > Flashcards

Prosthetic Management and Training Flashcards

1
Q

T or F: we have the most evidence for the prosthetic training phase

A

T: but evidence prior to the use of a prosthetic is limited

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

are LE or UE amputations more common?

A

LE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

T or F: all patients with amputation receive a prosthetic

A

F: those who do will need training

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Are transfemoral or transtibial amputees more likely to be successful ambulators

A

TTA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

why are UE amputations more common in NC than in some other states

A

high rates of farming and industrial work

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

are below knee or above knee amputations more common

A

below knee

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

most common age range for amputation

A

45-84

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

are amputations more common in males or females

A

males

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what factors that have strong support for predicting walking ability after a lower limb amputation (4)

A
  • amputation level
  • age
  • physical fitness
  • comorbidities
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are two things you can use as early indicators for walking ability following LE amputation

A

1 - baseline barthel index (ADLs)
2 - ability to stand on intact limb or in tandem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

3 clinical assessments associated with walking ability in amputees

A

1 - 2 minute walk test
2 - one leg balance on unaffected limb and tandem
3 - functional reach

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

temporary prosthesis can be used once…

A

surgical incision is healed (10-14 days to 8 weeks post-op)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the good thing about temporary prosthesis?

A

the socket can be changed easier which is good because at this point the residual limb size is not stable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

definitive prosthesis is not used until…

A

the residual limb is stable for 8-12 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are 2 amputee specific tools to measure pain

A

1 - prosthesis evaluation questionnaire or the SF 36 health survey
2 - trinity amputation and experience scales

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is the major pressure tolerant area for below knee amputation

A

patellar tendon and soft tissues around it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

how do you check pressure intolerant areas

A

is it blanchable?
does skin color return to normal in 10 minutes?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is the most common skin condition with amputations?

A

contact dermatitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

itchy, raised, circular area on the distal end of a residual limb caused by suction being applied to the end of the limb

A

verrucous hyperplasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

how is folliculitis usually treated?

A

topical or systemic antibiotics

*common here because it’s hot

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

xerosis

A

dry skin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

if your patient has an abscess what should you do

A

refer to PCP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

lack of hip _______ can cause LBP. Why?

A

extension
b/c you anterior/posterior tilt your pelvis to compensate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

prosthetics can accommodate for less than ___ to ____ degrees of hip extension

A

15-25
but impacts weight shift

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

what are 4 important variables you should look for in regards to activity limitations

A

1 - hip ext ROM and strength
2 - symmetrical step length
3 - age
4 - single leg balance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

what is a functional closed kinetic chain hip extensor exercise you can do for amputees

A

single leg bridge on a bolster
*can do similar exercise for abductors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

T or F: leg length is important in amputees

A

T: leg length asymmetry can lead to increased anterior tilt and less hip extension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

doing sit to stand or stand to sit amputees often shift to…

A

their intact side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

TTA and TKA have _______ muscle activation in the spinal and abdominal muscles

A

increased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

T or F: falling and fear of falling are pervasive among amputees

A

T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

what are additional assessments you should complete with amputees? (3)

A

1 - donning and doffing prosthetic (standing and sitting)
2 - check prosthetic fit and footwear
3 - gait

32
Q

what test is the amputee version of a TUG test

A

the L test

33
Q

prosthetic training goals for pts post amputation

A

1 - build tolerance for prosthetic wear
2 - safety in gait and functional activities
3 - progress to higher level activities
4 - progress the vocational, leisure and sporting activities

34
Q

variables that play a role in prosthetic prescription (5)

A

1 - medical history
2 - PLOF and CLOF
3 - body build and type
4 - ROM
5 - availability of support at home

35
Q

who can order a prosthesis in order to be reimbursed

A

medical doctor
*at least the doctor has to sign off on what prosthesis wants

36
Q

if your pt is on hemodialysis what may they need in their prosthesis

A

socket with removable insert to allow for changes in residual limb size

37
Q

if your pt has hemiplegia what may they need in their prosthesis

A

high socket trim lines or thigh corset suspension for increased knee stability

38
Q

if your pt is very active what kind of prosthetic foot may they need

A

energy storing

39
Q

if your pt is obese what may they need in their prosthesis

A

supracondylar cuff with auxillary fork strap

40
Q

if your pt works outdoors what may they need in their prosthesis

A

exoskeleton prosthesis

41
Q

how many K levels are there? what do they do?

A

4
dictate what kind of device you will get

42
Q

K-0 level

A

wheel chair user

43
Q

K-1 level

A
  • household ambulator
  • has ability to use prosthesis for transfers or ambulation on level surfaces in the home
44
Q

K-2 level

A
  • community ambulators
  • can traverse low level environmental barriers (curbs, stairs, uneven surfaces)
  • one cadence
45
Q

K-3 level

A
  • can modify cadence based on environment and can traverse most environmental barriers
  • may be active in low level athletic activities
46
Q

k-4 level

A
  • child, active adult, athlete
  • abilities exceed basic ambulation skills
47
Q

how do you determine K level

A
  • based on amp pro score
  • higher score = higher k-level
48
Q

socket

A

contains residual limb

49
Q

rotator

A

allows you to rotate device without rotating hip (crossing legs)

50
Q

pylon

A

replaces the lower leg

51
Q

K1 foot (2)

A

1 - solid ankle cushioned heel
2 - single axis

52
Q

K2 foot (2)

A

1 - solid ankle flexible endoskeletal
2 - multiaxial ankle mechanisms

53
Q

K3 foot (2)

A

1 - multiaxial ankle mechanisms
2 - dynamic response (energy storing)
*usually carbon fiber

54
Q

what kind of foot allows you to accommodate for ramps and different shoe types (heels)?

A

microprocessor

55
Q

T or F: you can wear different shoe types with prosthesis

A

F:unless it is a microprocessor foot you have to wear a same or very similar shoe

56
Q

3 fit and alignment principles for prosthesis

A

1 - increase residual limb weight bearing capacity (total contact!)
2 - maintain mediolateral stability in midstance
3 - encourage knee flexion in stance

57
Q

suspension

A

how the limb is kept on the prosthesis

58
Q

3 options for TTA suspension

A

1 - neoprene sleeve
2 - straps
3 - roll on “gel” liners

59
Q

Pin and shuttle locks make it easy to get the prosthesis on but what is the problem

A

they are hard to align

60
Q

In a TTA prothesis, plumb line from midsocket should fall 1/2 inch _______ to mid heel

A

lateral

61
Q

Two main types of TFA sockets

A

1 - quadrilateral
2 - ischial containment

*also new HiFi socket

62
Q

where do you weight bear with a quadrilateral socket

A

ischial-gluteal

63
Q

with a TFA, socket the femur needs to be in slight ___________

A

adduction

64
Q

what TFA socket is harder to fit?

A

ischial containment, but once you get it to dit it is easier to control

65
Q

TFA suspension options (5)

A

1 - silicone sleeve
2 - silesian belt (common here)
3 - hip joint and pelvic band
4 - suspenders
5 - roll on “gel” liner

66
Q

axis options for prosthetic knees

A

single
polycentric

67
Q

stability options for prosthetic knees

A

manual
weight activated

68
Q

friction options for prosthetic knees

A

constant variable

69
Q

fluid control options for prosthetic knees

A

pneumamtic
hydraulic

70
Q

_________ axis and ______ locking knees are good for people who are less active

A

single
manual

71
Q

____ axis and ______ locking knees are good for people who are active

A

polycentric
weight-activated

72
Q

stability at the knee is determined by these two things

A

1 - individual’s ability to control the knee using muscular power
2 - TKA line

73
Q

TKA line

A

trochanter to knee to ankle

74
Q

are you more stable if TKA line is anterior or posterior to the knee

A

anterior

75
Q

the _________ the heel the more stable the knee

A

softer

76
Q

keel

A

forefoot

77
Q

the ______ the keel the more stable the knee

A

stiffer

Prosthetics (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions