Prosthetics and Orthotics

Question 1

reason for adding or removing sock plys

Answer 1

to manage volume within socket-add when decreased weight/edema; remove when increased edema/weight

Question 2

who developed K levels

Answer 2

Medicare

Question 3

why were K levels developed

Answer 3

to determine eligibility of patient to receive prosthetic components

Question 4

positioning to prevent contractures in transfemoral

Answer 4

prone with hip adducted, neutral rotation

Question 5

benefits of rigid post-surgical dressing

Answer 5

decreases post-op pain and swelling, protection, improved healing, decreases knee flexion contracture, improved balance/safety with transfers, early mobilization/ambulation

Question 6

contraindications for prostheses

Answer 6

patients with severe dementia or depression, advanced cardiopulmonary disease

Question 7

primary cause of amputations

Answer 7

peripheral vascular disease (usually secondary to DM)

Question 8

parts of a prosthesis

Answer 8

socket, suspension, –knee–?, shank (pylon), foot-ankle assembly

Question 9

K level 0

Answer 9

Does not have the ability or potential to ambulate or transfer safely with or without assistance and a
prosthesis does not enhance their quality of life or mobility.

Question 10

K level 1

Answer 10

Has the ability or potential to use a prosthesis for transfers or ambulation on level surfaces at fixed
cadence. Typical of the limited and unlimited household ambulator.

Question 11

K level 2

Answer 11

Has the ability or potential for ambulation with the ability to traverse low level environmental barriers such
as curbs, stairs or uneven surfaces. Typical of the limited community ambulator.

Question 12

K level 3

Answer 12

Has the ability or potential for ambulation with variable cadence. Typical of the community ambulator who
has the ability to traverse most environmental barriers and may have vocational, therapeutic, or exercise
activity that demands prosthetic utilization beyond simple locomotion.

Question 13

K level 4

Answer 13

Has the ability or potential for prosthetic ambulation that exceeds basic ambulation skills, exhibiting high
impact, stress, or energy levels. Typical of the prosthetic demands of the child, active adult, or athlete.

Question 14

viable option for patients unable to wrap residual limb with ACE bandage

Answer 14

shrinker (incision must be healed and sutures removed)

Question 15

phantom limb sensation

Answer 15

perception that the part of the limb that has been amputated is still present

Question 16

phantom pain

Answer 16

occurs when phantom sensations are noxious (burning, aching, or cramping)

Question 17

interventions for phantom limb pain

Answer 17

pharmacologic-analgesics-NSAIDS
non-pharmacologic-Beep brain stim/DRG stim, TENS, acupuncture, hypnosis, mirror therapy, augmented VR (virtual reality)

Question 18

scoliosis orthoses

Answer 18

Milwaukee brace, Boston orthosis, Night bracing as alternative: Charleston bending brace, Providence brace

Question 19

Most common use of Craig-Scott KAFOS

Answer 19

adults with paraplegia

Question 20

standing frame manufactured in child sizes; allows child to sit; child can move it by rotating upper torso to shift weight or can use AD

Answer 20

parapodium