Special Populations - high level amputee rehab Flashcards

1
Q

goal

A
  • allow for participation in exercise or/and sport

- maintain or ehance physical conditioning gained during functional rehab

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2
Q

team responsibility

A

injury prevention
motivation
education

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3
Q

considerations for high level rehab

A
  • acceptable gait
  • stable volume
  • skin condition
  • baseline health
  • reason for amp
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4
Q

ideal team

A
patient
coach
prosthetist
strength and conditioning coach
PT
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5
Q

prosthetists role

A
  • design based on athlete
  • modifies componentry to maximize fxn and reduce injury risk
  • communication
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6
Q

coach’s role

A
  • must understand muscle fxn, imbalance and injury risk concepts
  • tailored individualized program
  • careful monitoring
  • communication
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7
Q

strength and conditioning specialists role

A
  • develops optimal conditioning for the specific sport or activity
  • individualized plan for all aspects
  • communication
  • monitoring
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8
Q

PT assessmnet

A
  • determines readiness
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9
Q

readiness assessment by PT

A
  • gait, CV fitness, core strength, balance, proprioception, muscle imbalance
  • hx of previous participation
  • hx of previous injury
  • communication
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10
Q

PT intervention: basic strength and conditioning

A
  • UE/LE
  • injury prevention
  • coordination with CSCS
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11
Q

PT intervention: core stability

A
  • improve power output
  • provide for stable base
  • sport specific
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12
Q

PT intervention: gait training

A
  • idnetify deviations
  • to correct or not correct
  • running assessment
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13
Q

muscle strength and imbalances: what is the difference of strength between the limbs

A
  • intact limb stronger than amputated leg

- less difference in amputee athletes

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14
Q

muscle strength and imbalances: what happens to hip musculature

A
  • can be overactive
  • increased energy absorption and generation at the hip of the amputated leg
  • compensates for lack of PF
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15
Q

muscle strength and imbalances: what is unique about eccentric power in LE

A
  • eccentric HS power is increased in sound limb

- eccentric quad power is greater in amputated limb

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16
Q

CV impact

A
  • lower VO2 max
  • lower anaerobic thresholds
  • comorbidities with dysvascular
17
Q

mechanical overload

A
  • since you already have non-optimal biomechanics, overload can happen quicker
  • compensatory mechanisms
  • over-reliance on sound limb
18
Q

what is important for these pt’s

A

recovery time

19
Q

compensatory mechanisms

A
  • asymmetrical overload of sound limb during gait
  • knee total work less on amputated side vs. intact
  • increased hip energy generation on amp side
  • all increased if residual limb is painful
20
Q

physiological overload

A

higher energy demand + less muscle to generate force = increased recovery `

21
Q

what is overload dependent on

A

the pt

the amputation level

22
Q

strengthening interventions

A
  • address compensatory movements first
  • should be sport specific
  • same as able bodied individuals
  • increase load appropriately
23
Q

endurance training interventions

A
  • variety of forms
  • sport specific
  • same principles as able bodied
  • be careful with sweating
  • amputated limb may fatigue faster than sound limb or CV system