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Prosthetics > Prosthetic Rehab > Flashcards

Prosthetic Rehab Flashcards

1
Q

What are the 5 phases of rehab?

A

Phase I- Immediate Postoperative Stage
Phase II- Immobilization is Removed
Phase III- Intermediate Rehabilitation Stage
Phase IV- Advanced Rehabilitation Stage
Phase V- Return to work or Pre-amputation life style

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2
Q

At what stage can they transition back to their normal lifestyle?

A

phase V

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3
Q

When can pre gait training start

a. phase II
b. phase III
c. phase IV
d. phase V

A

phase III

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4
Q

At what stage should you have them practice obstacles, functional skills, balance, agility, endurance training?

a. phase II
b. phase III
c. phase IV
d. phase V

A

phase IV

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5
Q

Treatment during phase I includes

A 
dressing education, shrinker wear
edema control
hypersensitivity
bed mobility
transfers
self care
mild osmetric strengthening/cardiovascular
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6
Q

What is the primary goal in phase I?

a. edema control
b. function
c. healing without complication
d. all of the above

A

healing without complication

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7
Q

Phase I is usually in the

a. acute care setting
b. outpatient setting
c. in the home

A

acute care setting

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8
Q

What stage is pre-prosthetic program training started?

a. phase I
b. phase II
c. phase III
d. phase IV

A

phase II

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9
Q

What is key to good outcomes in phase II?

A

pre-prosthetic program

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10
Q

There is a prosthesis at phase II - immobilization is removed (True/false)

A

false

no prosthesis

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11
Q

At what phase can single limb gait start?

a. phase I
b. phase II
c. phase III
d. phase IV

A

phase II

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12
Q

bed mobility and transfers should be _ in phase II

A

independent

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13
Q 
Goals with pre-prosthetic program 
healing without _
increase _ 
increase _ 
improve _ 
stimulate _ 
begin controlled _
A 
strength
activity
balance 
proprioception 
ambulation
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14
Q

Phase III is usually in what setting?

a. acute care setting
b. hospital setting
c. home
d. outpatient setting

A

outpatient

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15
Q

in phase III the patient should be _ in stretching and strengthening at home

A

independent

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16
Q

edema is consistent and does not fluctuate in phase III (true/false)

A

false

fluctuates, rapid decrease

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17
Q

start with what ply of sock

a. ply 1
b. ply 2
c. ply 3
d. ply 4

A

ply 1

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18
Q

in phase III pre-gait training can begin with _ _ and ambulation with _ and _

A

weight shifts

feedback and gradual correction

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19
Q

What phase includes a lot of functional and advanced activities?

a. phase I
b. phase II
c. phase III
d. phase IV

A

phase IV

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20
Q

the goal with phase IV is

A

independent ambulation with or without assistive device

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21
Q

Post op day 1 includes

A

bed mobility
positioning
PROM/AROM to uninvolved joints
sound side exercise

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22
Q

What day post op can transfer skills begin?

a. post op day 1
b. post op day 2
c. post op day 3
d. post op day 4

A

post op day 2

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23
Q

AROM to only the uninvoled joints should be completed in post op day _ and _

A

day 1 and 2

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24
Q

Sitting tolerance can start on what day post op?

a. post op day 1
b. post op day 2
c. post op day 3
d. post op day 4

A

post op day 2

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25
Q

What day post op can patients start to ambulate with a walker?

a. post op day 1
b. post op day 2
c. post op day 3
d. post op day 4

A

post op day 3

26
Q

What day post op can patients complete PROM or AROM to involved joint?

a. post op day 1
b. post op day 2
c. post op day 3
d. post op day 4

A

post op day 3

27
Q

What day post op should AROM to all joints be worked on?

a. post op day 2
b. post op day 3
c. post op day 4
d. post op day 5

A

post op day 4

28
Q

What day post op is their HEP given?

a. post op day 2
b. post op day 3
c. post op day 4
d. post op day 5

A

post op day 5

29
Q

What day post op can dynamic strengthening exercises start?

A

post op day 10-14

30
Q

When should their ambulation skills around their home be assessed?

A

post op day 10-14

31
Q

Week _: staples removed

a. 3
b. 4
c. 6-8
d. 10-11

A

3

32
Q

week _: shrinker and healing monitoring

a. 3
b. 4
c. 6-8
d. 10-11

A

4

33
Q

week -: cast for diagnostic socket

a. 3
b. 4
c. 6-8
d. 10-11

A

6-8

34
Q

week -: prosthetic gait training

a. 3
b. 4
c. 6-8
d. 10-11

A

10-11

35
Q

For transtibial prosthetic checkout what should be looked at in sitting

A 
comfortable with sole of shoe falt on floor
inspect posterior brim 
residual limb in socket
suspension loosen with sitting?
knees level
36
Q

For transtibial prosthetic checkout what should be looked at in standing

A 
pain 
knee stable 
pelvis level
pylon vertical 
sole maintain contact
gapping at the brim of the socket 
residual limb in contact with bottom of socket
37
Q

For transfemoral prosthetic checkout before donning

A

inside smoothly finished
socket meet specification
joints move freely

38
Q

For transfemoral prosthetic checkout what should be looked at in sitting

A

suspension
length correspond?
sit comfortably
able to lean forward

39
Q

For transfemoral prosthetic checkout what should be looked at in standing
socket _
knee _
pelvis _

A 
socket fit properly 
knee stable 
pelvis level 
weight bearing 
socket maintain good contact 
adductor roll
40
Q

Initial ambulation in parallel bars will begin with - minutes and assess skin, progress to _ minutes as appropriate

A

5-15

30

41
Q

progress to _ after parellel bars

A

AD

42
Q

How often should skin be inspected week 1?

a. every 15 mins
b. every 30 mins
c. every hour
d. every 5 hours

A

every 30 minutes

43
Q

During week 2-3 they can switch

A

30 min on: 30 min off
45 min on: 30 min off
60 min on: 30 min off

44
Q

Safegaurds to be aware of

A 
changes in weight bearing
changes in type of AD used
changes in limb volume 
changes in body weight
changes in amputee walking velocity
45
Q

It is important to keep socks dry all day (true/false)

A

true

46
Q

What education do amputees need when starting gait training?

A 
residual limb inspection
sound limb inspection
donning/doffing 
wear time 
sock ply 
weight bearing, center of mass, base of support
47
Q

Patients should expect to be in pain (True/false)

A

false

pressure not pain

48
Q

When practicing standing balance for single UE support on the prosthetic side have them

A

shift COM over the sound limb

49
Q

The cane should be plased on the (prosthetic side/sound side)

A

prosthetic side

50
Q

In general for gait training progress from

A

double UE support
single UE support
no UE support

51
Q

Their BOS should be how far apart?

A

2-4 inches

52
Q

weight shifting should be done in what directions?

A

side to side
front to back
diagonal
step pattern

53
Q

Weight shift diagnoal with practicted knee _ for TF need to work on _ _

A

flexion

pelvic rotation

54
Q

for swinging through for a single step with a mechanical knee

A

push the knee straight to pull themselves forward

55
Q

for swinging through for a single step with a microprocessor knee

A

it can load and get normal gait

56
Q

forward ambulation can be _ for better pelvic control

A

resisted

57
Q

What are some advanced gait training activities that are good for ambulation?

A 
side stepping 
retro gait
tandem gait 
karaoke/grapevine
practice turning with foot placement 
toe and heel pivot
58
Q

For ramps, amputees should do what type of gait pattern

A

up with the good and down with the band

59
Q

for ramps, amputees should keep their weight on _ going down and on their _ going up

A

heels

toes

60
Q

Transfemoral amputees with mechanical knee should do what type of gait pattern

A

step to pattern ascend/descend

61
Q

Transfemoral amputees with microprocessor should do what type of gait pattern

A

ride down

step to ascending

Prosthetics (12 decks)

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