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
