Special Populations - bilateral amps Flashcards
major cause of bilateral limb loss
dysvascular disease
what is an indicator for successful bilateral prosthetic success
successful unilateral prosthetic use
as compared to unilateral, bilateral prosthetics..
- preservation of the knee joint is critical
- progression is significantly slower
- increased energy expenditure
- increased fear of falling
why is their an increased fear of falling with bilateral prosthetics
- BoS dramatically reduced, decreased proprioception
- lack of anterior support –> losing forefoot rocker
what is there an emphasis on with bilateral prosthetics
- emphasis on transfers and trunk control
- teach how to fall and recover
bilateral transtibial components
- tend to have the same foot/ankle on each limb
- absorb shock
- protect the limb
- suspension
bilateral transtibial rehab considerations
- gait
- balance
- falling
- W/C and AD use, associated transfers
- UE strength
- progress as normal
what is a key element for bilateral transfemorals
knee control
components for bilateral transfemorals
- reliable stance and swing phase control from the knee unit
- stability from ankle/foot
- ischial containment socket
- suction suspension
bilateral transfemorals rehab considerations
- balance
- transfers
- WC skills
- falling and recovery
- UE strength
- gait
what are stubbies
- short pylons without a foot
- ur not far from the ground so more stable and takes away the fear of falling component
bilateral amputees: 1 transtibial and 1 transfemoral
- better prognosis that B transfemoral
- emphasis on transtibial side to remain strong
- optimize transfemoral side when possible
gait with bilateral amputees
- wide based with decreased speed
- typically use an AD
- very taxing
- community barriers
bilateral LE gait does what to energy expenditure
increases
what do all bilateral LE amputees need to be proficient in
WC skills
is progression the same with bilateral amputees as compared to unilateral
yes, usually slower
are gait deviations likely with bilateral LE amputees as compared to unilateral
increased likelihood
