S2L2: Amputation - PT Evaluation and Plan of Care

Question 1

Defined as the added effort that a patient must perform in
their activities d/t loss of limb

Answer 1

Energy Expenditures

Question 2

Energy Expenditures

Unilateral Transtibial

Answer 2

20-25%

Question 3

Energy Expenditures

Bilateral Transtibial

Answer 3

41%

Question 4

Energy Expenditures

Transfemoral

Answer 4

60-70%

Question 5

Energy Expenditures

AKA+BKA

Answer 5

118%

Question 6

Energy Expenditures

Bilateral AKA

Answer 6

> 200%

Question 7

Energy Expenditures

Wheelchair

Answer 7

8-9%

Question 8

Energy Expenditures

Crutches

Answer 8

60%

Question 9

Outcome Measure tool

Used to assess ability to ambulate; for
post-rehabilitation function

A. Amputee Mobility Predictor
B. Barthel ADL Index
C. Timed-up and Go test
D. 6 min walk test

Answer 9

A. Amputee Mobility Predictor

Question 10

Outcome Measure Tool

Assesses performance of ADLs

A. Amputee Mobility Predictor
B. Barthel ADL Index
C. Timed-up and Go test
D. 6 min walk test

Answer 10

B. Barthel ADL Index

Question 11

Outcome Measure Tool

Test for ambulation and dynamic balance

A. Amputee Mobility Predictor
B. Barthel ADL Index
C. Timed-up and Go test
D. 6 min walk test

Answer 11

C. Timed-up and Go test

Question 12

Outcome Measure Tool

Test for CV endurance and speed

A. Amputee Mobility Predictor
B. Barthel ADL Index
C. Timed-up and Go test
D. 6 min walk test

Answer 12

D. 6 min walk test

Question 13

This special test can be used to assess hip flexor tightness for acute AKA

Answer 13

Thomas’ Test

Question 14

This special test is similar to Thomas’ test but performed in prone. It may cause friction with & apply pressure to the stump in acute AKA

Answer 14

Ely’s Test

Question 15

This is an ideal stump shape for transfemoral amputation

Answer 15

Conical

Question 16

True or False

The longer the residual limb, the better the prognosis

Answer 16

True

Question 17

Modified T/F:

A. If (-) prosthesis, you have to take note of/document the whole gait cycle/phases
B. If (+) prosthesis, only note the gait pattern

Answer 17

FF

● (-) prosthesis -No need to take note of specific details of gait, note Gait Pattern
● (+) prosthesis - Take note of whole gait process, We will be able to note if the prosthesis is fitted properly

Question 18

Modified T/F:

A. Gait training begins with weight shifting and balance activities while still in the parallel bars.
B. Once weight shifting and balance activities have been mastered, a program of progressive ambulation begins in the parallel bars and progresses to the most independent level of ambulation possible with or without gait aids.

Answer 18

TT

Question 19

Stump length and circumference are under what heading in documentation?

Answer 19

Anthropometric measurement

Question 20

Stump integrity is under what heading in documentation?

Answer 20

Ocular inspection

color, shape, incision, dressing, covering

Question 21

Modified T/F:

A. You cannot check for the segmental pulse rate of the amputated extremity
B. Covering of stump can be shrink, stockinette or bandage

Answer 21

FT

can check for segmental pulse (the pulse closest to the amputated extremity) to check the vascularization

Question 22

Which muscle groups typically experience tightness in AKA?

Answer 22

hip flexors & hip abductors

Question 23

Type of contracture that is most commonly seen in BKA patients

Answer 23

hip & knee flexion contracture

Question 24

True or False

Individuals with sedentary lifestyle will still be able to use prosthesis well

Answer 24

False

They will encounter more difficulty with prosthetic use compared to individuals with active lifestyle