Set 1 Intro

Question 2

What are 5 causes of amputations?

Answer 2

CITTPCongenital, Infection, Tumor, Trauma, PVD

Question 3

What does a prosthesis consist of?

Answer 3

Rigid Dressing, Pylon, foot-ankle assembly

Question 4

How early should a prosthesis be issued?

Answer 4

after suture removal 10-14 days post op

Question 5

What info should be gather during a pt eval.?

Answer 5

date, cause of amp, hx, meds, complications, age, ht, wt, lifesystle, Ed, occupations, discharge plan

Question 6

What should a phy. assessment include?

Answer 6

skin, shape sensation, phantom pain, respiratory (coloring, breathing, pattern, chest mobility, RR, cough, distress) LENGTH of residual limb, ROM, MMT strength, pt balance, bed mobility, transfers, wheelchair mobility, gait, pt’s affect, goals,

Question 7

why is the positioning of the pt important?

Answer 7

very important, you want to reduce contractures, BK and AK need to lie prone frequently to prevent hip flexion with head turned away from amp. side. also for bk, need to prevent knee flexions, keep lim in neutral rot., abd, add

Question 8

what are the goals of limb shrinkage?

Answer 8

to decrease edema and shape the limb for prosthetic (cylindically) for preparatory prosthesis ( keep up for 3-6 months post op). also helps in healing

Question 9

Pro and cons of Ace wrap?

Answer 9

Cons - poor tech. can lead to skin problems, poorly shaped residual limb, not good for pt with visual and sensory deficit, or lack of use of other UE, varies pressuresPros - cheapBK - 4 inch bandagesAK- 6 inches bandages

Question 10

Pro and Cons of Stump Shrinker?

Answer 10

sock-like garments made of rubber reinforced cotton. usually suspended by garters or waist beltCons- expensive, careful of any rolling or slipping, need to replace when limb shrinksPros - uniform compression, easier to apply than ace wrap, need to replace after 14 days. use shrinker over ace wrap if residual limb is painful

Question 11

Pro and cons of Removable rigid dressing?

Answer 11

plaster case suspended by a stockinette and held in place by a supracondylar cuff in the BK. 1 time use. prosthetic or tube socks are used to increase compressionPros - eliminates rewrapping and provides uniform compressionCons - re casting needed as limbs shrinks

Question 12

Body weight needs to be stable. What is the max. limit before a new prosthetic is needed?

Answer 12

greater than 12 lbs

Question 13

How soon is exercise after amp and what are its goals?

Answer 13

Usually after surgery. helps to strengthen, inc. ROM, dec. compensatory movements in gait

Question 14

Exercise Post Op Day 1-3 for AK and BK

Answer 14

AK - isometric exercises of the gluts, IR, and hip adductors muscles. BK - isometric exercises of Glut sets and quad sets, SLRFor both, gentle active assistive exercises to residual limb (ROM) and progressive resistive exercises to UE and uninvolved lower extremity, teach breathing exercises

Question 15

Exercise Post Op Days 3-10 for AK and BK

Answer 15

AK - active exercise of stump, exercise for trunk and uninvolved jointsBK - begin active exercise of stump, gentle resisted exercise for hip on amputated side, stress hip extension and abductions

Question 16

Exercise Post Op Day 10-14 for AK and BK

Answer 16

AK - begin gentle resisted exercise for stump ASAP external healing has occurred. Stress ext., abd, and add. increase resistance as tolerated after healingBK - begin gentle resisted exercise for stump as soon as healing occurs. stress knee extension. increase resist. as tolerated after healing

Question 17

What are the importance of skin care?

Answer 17

important to edu. pt on skin integrity. dry limb after bath, to desensitize, massage limb, or friction massage to decrease or prevent adhesions, be extra careful if patient has sensation problems. If skin problem is found, decrease wear time/activity time until source of problem is found.

Question 18

For prosthetic training program: what are the overall goals for BK amputee

Answer 18

1)increased weight-bearing capacity of residual limb 2)medial lateral stabilization in stance phase and, 3) anterior-posterior knee control

Question 19

Overall goals for AK amputee

Answer 19

1) achieving medial-lateral stability and 2) keeping the knee stable throughout the stance phase

Question 20

Before working on endurance, pre-gait activities should be worked on to attain:

Answer 20

1) balance control 2) knee control 3)Adequate weight shift over the prosthesis 4)forward progressionside: prevent gait deviation, and decreases energy expenditure

Question 21

Pre-gait activities on parallel bars helps with the following:

Answer 21

1)lateral weight shift 2) anterior-posterior weight shift 3)stepping forward and laterally for stance 4) swinging the prosthesis forward for swing 5) stepping forward with the sound legNatural progressive is 2 hands, 1 hands, and no hands

Question 22

When should running be consider?

Answer 22

1 year after surgery

Question 23

Common Contractures AK and BK

Answer 23

AK: hip flexion, hip abduction, hip ERBK: hip flexion, hip abduction, hip ER, knee flexion

Question 24

Positions to be avoided in AK and BK

Answer 24

AK: pillows under stump; prolonged sitting; lying with stump in flex, abd, and ERBK: pillows under stump, prolonged sitting, lying with hip flexion, abd, and ER and knee flexion