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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
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
post op day 3
26
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
post op day 3
27
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
post op day 4
28
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
post op day 5
29
What day post op can dynamic strengthening exercises start?
post op day 10-14
30
When should their ambulation skills around their home be assessed?
post op day 10-14
31
Week _: staples removed a. 3 b. 4 c. 6-8 d. 10-11
3
32
week _: shrinker and healing monitoring a. 3 b. 4 c. 6-8 d. 10-11
4
33
week _-_: cast for diagnostic socket a. 3 b. 4 c. 6-8 d. 10-11
6-8
34
week _-_: prosthetic gait training a. 3 b. 4 c. 6-8 d. 10-11
10-11
35
For transtibial prosthetic checkout what should be looked at in sitting
``` comfortable with sole of shoe falt on floor inspect posterior brim residual limb in socket suspension loosen with sitting? knees level ```
36
For transtibial prosthetic checkout what should be looked at in standing
``` 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
For transfemoral prosthetic checkout before donning
inside smoothly finished socket meet specification joints move freely
38
For transfemoral prosthetic checkout what should be looked at in sitting
suspension length correspond? sit comfortably able to lean forward
39
For transfemoral prosthetic checkout what should be looked at in standing socket _ knee _ pelvis _
``` socket fit properly knee stable pelvis level weight bearing socket maintain good contact adductor roll ```
40
Initial ambulation in parallel bars will begin with _-_ minutes and assess skin, progress to _ minutes as appropriate
5-15 | 30
41
progress to _ after parellel bars
AD
42
How often should skin be inspected week 1? a. every 15 mins b. every 30 mins c. every hour d. every 5 hours
every 30 minutes
43
During week 2-3 they can switch
30 min on: 30 min off 45 min on: 30 min off 60 min on: 30 min off
44
Safegaurds to be aware of
``` changes in weight bearing changes in type of AD used changes in limb volume changes in body weight changes in amputee walking velocity ```
45
It is important to keep socks dry all day (true/false)
true
46
What education do amputees need when starting gait training?
``` residual limb inspection sound limb inspection donning/doffing wear time sock ply weight bearing, center of mass, base of support ```
47
Patients should expect to be in pain (True/false)
false | pressure not pain
48
When practicing standing balance for single UE support on the prosthetic side have them
shift COM over the sound limb
49
The cane should be plased on the (prosthetic side/sound side)
prosthetic side
50
In general for gait training progress from
double UE support single UE support no UE support
51
Their BOS should be how far apart?
2-4 inches
52
weight shifting should be done in what directions?
side to side front to back diagonal step pattern
53
Weight shift diagnoal with practicted knee _ for TF need to work on _ _
flexion | pelvic rotation
54
for swinging through for a single step with a mechanical knee
push the knee straight to pull themselves forward
55
for swinging through for a single step with a microprocessor knee
it can load and get normal gait
56
forward ambulation can be _ for better pelvic control
resisted
57
What are some advanced gait training activities that are good for ambulation?
``` side stepping retro gait tandem gait karaoke/grapevine practice turning with foot placement toe and heel pivot ```
58
For ramps, amputees should do what type of gait pattern
up with the good and down with the band
59
for ramps, amputees should keep their weight on _ going down and on their _ going up
heels | toes
60
Transfemoral amputees with mechanical knee should do what type of gait pattern
step to pattern ascend/descend
61
Transfemoral amputees with microprocessor should do what type of gait pattern
ride down | step to ascending

Prosthetics (12 decks)

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