Q2: TT Patient Assessment and Foot Selection Flashcards
Functional Level Determination
- consider a “day in the life” of your patient
- consider anticipated improvement or decline in functional level
- utilize objective measures in combination with your evaluation
K0
The patient 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
K1
This patient has the ability or potential to use a prosthesis for transfers or ambulation on level surfaces at fixed cadence - a typical limited or unlimited household ambilator
K2
This patient has the ability or potential for ambulation with the ability to traverse low-level environmental barriers such as curbs, stairs, or uneven surfaces - limited community ambulator
K3
The patient has the ability or potential for ambulation with variable cadence - a typical community ambulator with the ability to traverse most environmental barriers and may have vocational, herapeutic, or exercise activity that demands prosthetic use beyond simple locomotion
K4
The patient has the ability or potential for prosthetic ambulation that exceeds basic ambulation skills, exhibiting high impact, stress, r energy levels - typical of the prosthetic demands of the child, active adult, or athlete
Patient Factors affecting foot selection
- activity level
- length of RL
- Strength
- Gait
- unilateral/bilateral involvement
- weight
- age/etiology
RL length and strength
*
- Length: leverage affects the patient’s ability to use strength, component build height
- Strength: consider weight of foot; quadriceps strength
Walking Speed
- higher and variable walking speeds benefit most from ESAR feet
Step length
- keel stiffness
- keel length and materials
Bilateral involvement
- consider dual loss of rotational adapation
- may benefit from transverse plane adaptors
Unilateral involvement with sound side co-morbidities
- consider foot impact on loading response of “sound side”
Weight
- must factor in commonly carried/lifted loads (i.e. kids)
- weight is a factor for weight rating of foot and stiffness if carbon fiber
Age
individualized with regard to foot selection; not a primary consideration
Etiology
limb health, overall health, contralateral limb; not a primary consideration
