Special Populations - high level amputee rehab Flashcards
goal
- allow for participation in exercise or/and sport
- maintain or ehance physical conditioning gained during functional rehab
team responsibility
injury prevention
motivation
education
considerations for high level rehab
- acceptable gait
- stable volume
- skin condition
- baseline health
- reason for amp
ideal team
patient coach prosthetist strength and conditioning coach PT
prosthetists role
- design based on athlete
- modifies componentry to maximize fxn and reduce injury risk
- communication
coach’s role
- must understand muscle fxn, imbalance and injury risk concepts
- tailored individualized program
- careful monitoring
- communication
strength and conditioning specialists role
- develops optimal conditioning for the specific sport or activity
- individualized plan for all aspects
- communication
- monitoring
PT assessmnet
- determines readiness
readiness assessment by PT
- gait, CV fitness, core strength, balance, proprioception, muscle imbalance
- hx of previous participation
- hx of previous injury
- communication
PT intervention: basic strength and conditioning
- UE/LE
- injury prevention
- coordination with CSCS
PT intervention: core stability
- improve power output
- provide for stable base
- sport specific
PT intervention: gait training
- idnetify deviations
- to correct or not correct
- running assessment
muscle strength and imbalances: what is the difference of strength between the limbs
- intact limb stronger than amputated leg
- less difference in amputee athletes
muscle strength and imbalances: what happens to hip musculature
- can be overactive
- increased energy absorption and generation at the hip of the amputated leg
- compensates for lack of PF
muscle strength and imbalances: what is unique about eccentric power in LE
- eccentric HS power is increased in sound limb
- eccentric quad power is greater in amputated limb