Return to Running & Sports Following Limb Loss Flashcards
1
Q
Pre-requisites to high level mobility
A
- Strength
- Balance
- Postural Stability
- Prosthetic Control
- Endurance
2
Q
Components of high-level mobility
A
- Dynamic Balance
- Power
- Agility
- Ability to move in multiple planes of motion
3
Q
Type of ambulator based on K level
A
K1 = limited ambulator
k2 = limited community ambulator
K3 = community ambulator
K4 = high level community ambulator
4
Q
Describe the CHAMP (comprehensive high-level activity mobility predictor)
A
- Assess coordination, power, speed, & agility in multiple planes, composed of: single limb stance, Edgren side step test, T-Test, & Illinois agility test (ability to accelerate/decelerate when performing a variety of maneuvers)
- High-impact activities (jumping, hopping, & long distance running) are not included due to possible harmful friction/shear forces at the stump/socket
5
Q
Verbal instructions for single limb stance
A
- On the command “Ready”, fold arms across your chest
- When you are ready, lift your foot above the 15 cm cone or box
- If your foot falls below the 15 cm cone or box, you will be asked to raise it
You will take a 30 second rest period after each trial
6
Q
Stop the time for a single limb stance test if
A
- Your foot touches the floor
- You do not maintain your foot above the 15 cm cone or box
- Arms come un-crossed
- The stationary foot loses contact with the floor (i.e., hopping)
- You achieve 30 seconds
7
Q
Verbal directions for the Edgren side step test
A
- The diagram illustrates the path you will complete for this test
- On the command “Ready” you will assume a standing position outside the far left cone
- On the command “Set”, prepare to sidestep
- On the command “Go”, you will sidestep to the right
- Sidestep to the right until your right foot has touched or crossed the right outside tape mark
- Then sidestep to the left until your left foot has touched or crossed the left outside tape mark
- Repeat this procedure as fast as possible in 10 seconds
- Points are awarded based on the number of cones you cross in 10 seconds
- If you fail to reach the outside cones, 1 point will not be awarded
8
Q
You will score a 0 & be asked to repeat the Edgren side step test if
A
- You fail to keep your trunk and feet pointing forward at all times
- You cross your legs
- You will take a 60 second rest period after each trial
9
Q
Verbal instruction for the T-Test
A
- The diagram illustrates the path you will complete for this test
- On the command “Ready” you will assume a standing position behind the starting line
- On the command “Set”, prepare to start
- On the command “Go”, you will run or move as quickly as possible forward to the center cone (cone #1)
- Facing forward sidestep right to the right cone without crossing your feet (cone #2)
- One foot must touch or cross the tape mark
- Facing forward sidestep left to the left cone without crossing your feet (cone#3)
- One foot must touch or cross the tape mark
- Facing forward sidestep right back to the center cone without crossing your feet (cone
#1) - One foot must touch or cross the tape mark
- Facing forward run or move as quickly as possible backwards to the finish line
- Your total time of completion of the T-Test will be recorded
- You will take a 60 second rest period after each trial
10
Q
You will score a 0 & be asked to repeat the T-Test if
A
- You fail to run the course as instructed
- You fail to reach the end lines
- You fail to complete the course
- You move any cones
- You fail to keep your trunk and feet pointing forward at all times or you cross your legs more than once
11
Q
Verbal instructions for the Illinois Agility Test
A
- The diagram illustrates the path you will complete for this test
- On the command “Ready” lie on your stomach behind the starting line with your arms at your side and your head turned to the side or facing forward.
- On the command “Set”, prepare to start, but you may NOT move your hands from your side
- On the command “Go”, get up and run or move as quickly as possible to the first tape mark
- One foot must touch or cross the tape mark
- Turn around and run or move as quickly as possible back to the first center cone
- Weave up and back through the 4 center cones
- Run or move as quickly as possible to the second tape mark on the far line
- One foot must touch or cross the tape mark
- Turn around and run or move as quickly as possible across the finish cone
- Your total time for completion will be recorded
- You will take a 60 second rest period after each trial
12
Q
You will score a 0 & be asked to repeat the Illinois Agility Test if
A
- You fail to run the course as instructed
- You fail to reach the end lines
- You fail to complete the course
- You move any cone
13
Q
What score on the CHAMP is equivalent to active duty service members without lower limb loss
A
- Score ≥33 points
- MDIC: CHAMP = 3.74; Single limb stance = 1.09; Edgren side step test = 1.53; T-Test = 0.91; Illinois agility test = 1.10
14
Q
Describe the relationship of a prosthetic foot and the CHAMP s/p TTA
A
- Service members who used a J-shaped Energy Storing and Releasing (ESAR) foot performed better on the CHAMP than those using other prosthetic feet
- ESAR design allows for a combination of increased dynamic DF and active hip/knee flexion leading to greater lower limb power production
- Also allows for max toe load & energy return from the foot which improves single limb stance time
15
Q
Considerations with Transfemoral amputees
A
- Those s/p are more susceptible to postural asymmetries at the pelvis & hip
- More susceptible to degenerative changes to the intact hip, knee, & ankle joints that may impair function & restrict activity over the long term
- Type of prosthetic knee & ankle/foot assembly did NOT explain differences in performance on CHAMP
