Prosthetics - Presentation Take Home Points Flashcards
what are immediate post op prosthetics (IPOP) good at increasing?
early ambulation after amputation
what are the goals of IPOPs?
reduce swelling
protect residual limb
what should a clinician be conscious of with IPOPs?
complications
patient pain tolerance
Hand molded IPOPs are ________ but ________
prefabricated IPOPs are ________
more accessible ; non removable
more expensive
Subischial socket:
proximal trimlines are below the ______, allowing for ______ and ________
ischial tuberosity
flexibility and muscle movement
ischial socket:
supports the _____ and _______ for stability, but with limited _______ and increased prosthetist complexity
ischium and femur
hip extension
what are benefits of subischial sockets?
enhanced comfort
increased hip ROM
improved proprioception
reduced pressure points
better tissue health
what are drawbacks of subischial sockets?
reduced pelvic control requiring more muscular strength and stability
subischial socket:
northwestern design:
provides ________
reduces ______
improves ________
associated with ________
– vacuum suspension
– pistoning
– proprioception
– improved hip ROM due to lower trimlines
subischial socket:
Hybrid design:
combines ______
benefits:
challenges:
– vacuum suspension with other mechanisms like locking pins
– customization, functional versatility, reduced irritation
– contraindications for individuals with poor tissue quality or silicone allergies
true or false. powered ankle foot prosthesis for TTA should be the first intervention used
false - should not
true or false. alternative interventions for powered ankle foot prosthesis for TTA WILL provide the same functionality
false - will not
what is unique about powered ankle foot prosthesis for TTA?
it is the first and only ankle foot system that actively powered plantarflexors (replaces gastroc and soleus muscle)
when considering powered ankle foot prosthesis for TTA it is important to recognize:
what the patients current physical and functional status is - not jsut what they want to return to
what is tthe DEKA arm?
powered upper extremity prosthetic device that comes in shoulder, humeral, and radial configurations to accommodate various levels of UE amputations
what do the DEKA arm features enable users to do?
have fully functioning artificial limbs with fine motor control and allows for virtually all natural motions at every joint
when compared to conventional prosthetics, patients with DEKA arm reported having:
less perceived disability and difficulty performing ADLs
what is a positive thing about the DEKA arm that makes it more accessible to amputees?
constantly evolving technology
ongoing research and development aimed at further enhancing its capabilities
although many types of finger/digit prosthesis exist, what is unique about them?
no two work the same
what is the earliest invented and the most common prosthetic?
finger/digit prosthetic
true or false. those who could benefit from a finger/digit prosthetic often choose NOT to wear one due to it being more cost effective
true
what type of material are running prosthetics made of?
carbon fiber
what are things running prosthetics can be personalized to?
the athletes’ foot orientation for their sport
weight
residual limb length
what parts of the gait pattern will be modified with a running prosthesis?
no heel strike
increased hip flexion and circumduction
ipsilateral trunk lean
what factors influence the runner’s biomechanics?
mass, height, stiffness, shape, alignment
in order to run, do all amputees require a running prosthesis?
no - alternative interventions exist to help athletes still achieve functional participation
