Prosthetic Phase (1) Flashcards

1
Q

how do we determine K level

A

objective measures and outcome measures

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

scores of K level

A

range of scores across K-levels overlap

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

overlaping scores –> K level

A

mean scores do not overlap

range overlap makes determination difficult

allows for more flexibility

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

K1

A

slow walker

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

K2

A

intermediate walker

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

K3

A

fast walker

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

K4

A

fast walker and athletic activity

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

K1 and K2

A

stance control (single axis) and polycenturic knees

Foot: SACH or low level dynamic feet

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

K3 and K4

A

hydraulic and micropressor knees

higher energy storing dynamic feet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are independent of K level

A

socket suspension and interface

bilateral

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

prosthetic check out

A

static

dynamic

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

static –> prosthetic check out

A

prosthesis

donning

check w/ pt sitting

check w/ pt standing

check doffing/inspection

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

prosthesis –> static

A

check prosthetic prescription

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

donning –> static

A

does the prosthesis fit

check insert/socks/interface

check ability to don

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

check insert/socks/interface –> donning –> static

A

measured in ply (cotton 2 ply/wool 3-5 ply)

insert 15 ply

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

check w/ pt sitting –> static

A

pressures

TT –> posterior, liner, knee flexion, RL

TF –> easy flexion, amount of flexion

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

check w/ pt standing –> static

A

pain/sensations

tissue rolls

foot position (shoe contact)

knee stability (TT/TF)

pistoning

leg length

suspension

total contact

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

checking doffing/inspection –> static

A

ability to doff

skin inspection = redness in appropriate areas

19
Q

dynamic check out

A

gait eval

stair climbing

training v. problem

20
Q

training v. problem –> dynamic

A

do they need more training

is this a problem

21
Q

prosthetic rehab

A

prosthetic adjustment

RL

sound side

endurance

ADL

22
Q

begin with –> prosthetic adjustment –> prosthetic rehab

A

1/2 hour to 1 hour per day

23
Q

prosthetic adjustment –> prosthetic rehab

A

AM/PM

check RL skin before and after

gradual increase WBing

increase to 2-3 hours a day

progress until weaking prosthesis all day

24
Q

RL–> prosthetic rehab

A

advanced rehab

exercises w/ prosthesis on and off

25
Q

ADL –> prosthetic rehab

A

rising from floor, transfers, ramps

26
Q

characteristics of gait for individuals w/ limb loss

A

asymmetrical

decreased self-selected walking speed (SSW)

increased energy consumption

27
Q

what happens to SSW w/ limb loss

A

choice is slower

still most efficient but higher energy

28
Q

able bodied SSW

A

120-140 cm/s

29
Q

TT SSW

A

70-120 cm/s

30
Q

TF SSW

A

60-80 cm/s

31
Q

what step length is longer

A

prosthetic step length is longer than sound limb

32
Q

prosthetic side –> step length

A

less time in stance = more in swing

less weight on prosthetic limb

33
Q

sound side –> step length

A

more time in stance = less in swing

more weight on sound limb

34
Q

divisions of gait

A

gait initiation –> quiet walking –> gait termination

35
Q

initiation of gait

A

the phase when we go from static standing to starting to walk

36
Q

what is the most problematic phase of gait

A

initiation

regardless of which foot is used (sound or prosthetic)

37
Q

how long does initiation take

A

longer than able bodied

part of the cause is decreased walking speed

38
Q

other issues with gait –> TT & TF

A

decreased shock absorption at HS

decreased propulsion at PO

39
Q

other issues w/ gait –> TF

A

decreased knee control (flexion) @ HS

decreased propulsion at PO

decreased knee control during swing

increased muscle activity around the hip

40
Q

TT compensations –> gait

A

increased hip and knee movement and force (muscle activity)

41
Q

TF compensations –> gait

A

increased hip movements and force (muscle activity)

42
Q

effects on sound limb

A

increase stress

trauma and degenerative changes

43
Q

general considerations for prosthetic gait

A

more available movement in prosthetic joint –> more control needed

must consider mobility v. stability (always compromise)

safety first = most important consideration