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Med Surg II Final Exam > Stairs, Curbs, Ramps, Running > Flashcards

Stairs, Curbs, Ramps, Running Flashcards

1
Q

Transtibial amputees use _____control to stabilize knee

A

volitional

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2
Q

Transfemoral amputees keep their knee from buckling with________

A

Voluntary effort

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3
Q

_______ is the safest pattern for amputees to use on stairs

A

Step-to

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4
Q

Amputees should ascend stairs with the _____ leg first

A

Sound

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5
Q

Amputees should descend stairs with the _______ leg first

A

prosthetic

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6
Q

T/F: amputees should ascend stairs with the prosthetic limb first

A

False

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7
Q

T/F: amputees should descend stairs with the prosthetic limb first

A

True

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8
Q

T/F: amputees should ascend stairs with the sound leg first

A

True

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9
Q

T/F: amputees should descend stairs with the sound leg first

A

False

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10
Q

On stairs, amputees should be cued to use_____

A

extension

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11
Q

Transtibial amputees can ascend stairs reciprocally if they have adequate______ and _____

A

strength; residual limb length

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12
Q

The lack of _______ must be considered when teaching a transtibial amputee to descend stairs reciprocally

A

plantarflexion

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13
Q

Transfemoral amputees can ascend stairs reciprocally with which type of knee?

A

Genium

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14
Q

For a transfemoral amputee to ascend stairs reciprocally, the prosthetic limb must be _____ with the knee in _______

A

abducted; extension

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15
Q

Transfemoral amputees keep their knee from buckling with________

A

Voluntary effort

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16
Q

_______ is the safest pattern for amputees to use on stairs

A

Step-to

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17
Q

Amputees should ascend stairs with the _____ leg first

A

Sound

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18
Q

Amputees should descend stairs with the _______ leg first

A

prosthetic

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19
Q

T/F: amputees should ascend stairs with the prosthetic limb first

A

False

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20
Q

T/F: amputees should descend stairs with the prosthetic limb first

A

True

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21
Q

T/F: amputees should ascend stairs with the sound leg first

A

True

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22
Q

T/F: amputees should descend stairs with the sound leg first

A

False

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23
Q

On stairs, amputees should be cued to use_____

A

extension

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24
Q

Transtibial amputees can ascend stairs reciprocally if they have adequate______ and _____

A

strength; residual limb length

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25
Q

The lack of _______ must be considered when teaching a transtibial amputee to descend stairs reciprocally

A

plantarflexion

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26
Q

For a transfemoral amputee to ascend stairs reciprocally, the prosthetic limb must be _____ with the knee in _______

A

abducted; extension

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27
Q

Transfemoral amputees keep their knee from buckling with________

A

Voluntary effort

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28
Q

_______ is the safest pattern for amputees to use on stairs

A

Step-to

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29
Q

Amputees should ascend stairs with the _____ leg first

A

Sound

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30
Q

Amputees should descend stairs with the _______ leg first

A

prosthetic

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31
Q

A stiffer foot with a TT has more______ on ascent, and may ________ on descent of a ramp

A

resistance; collapse

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32
Q

_____ _____ is the best method for dealing with ramps with an amputee

A

side stepping

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33
Q

T/F: the prosthetic limb should be downhill when using a ramp

A

True

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34
Q

T/F: the prosthetic limb should be uphill when using a ramp

A

False

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35
Q

T/F: the sound limb should be downhill when using a ramp for an amputee

A

False

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36
Q

T/F: the sound limb should be uphill when using a ramp for an amputee

A

True

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37
Q

C-leg: amputees should “ride” the ____ ____ ____ to allow for stepping time with stairs, ramps, or curbs

A

Stance flexion dampening

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38
Q

C-leg: ______ can be used to teach patient to trust the stance flexion dampening

A

Ramps

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39
Q

C-Leg: T/F: it is better to use real stairs instead of putting a step in parallel bars for stairs

A

True

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40
Q

C-leg: T/F: it is better to use a step in parallel bars instead of actual steps to train for stairs

A

False

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41
Q

3 factors for success with C-leg on stairs

A

1) correct foot placement
2) wt shit to prosthetic limb
3) Forward momentum

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42
Q

C-leg: too much foot on stairs may meet the _____ ______ and the knee will ______

A

Toe Load; buckle

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43
Q

C-leg: too little foot on the stair may cause the _____ to bend quickly and the ______ to slide off the step

A

knee; heel

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44
Q

C-leg: ______ to ____ of the foot should be off the step for stairs

A

1/3; 1/2

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45
Q

C-Leg: if weight is not loaded onto the prosthetic side, ________________

A

the foot will not stay on step, and the patient will skid off the step

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46
Q

C-Leg: if the patient does not have enough weight shift, they will ______ themselves ________

A

push; backwards onto sound leg

47
Q

C-leg: Once prosthetic foot is unweighted for stepping down, it will _______

A

swing forward

48
Q

If someone is new to the C-leg, ______ stance flexion dampening may be more comfortable at first

A

more

49
Q

T/F: curbs are more difficult than stairs

A

True

50
Q

T/F: stairs are more difficult than curbs

A

False

51
Q

How should you guard a patient that is descending stairs or ramps?

A

From the front

52
Q

T/F: TT amputees can usually run with their usual prosthetic

A

True

53
Q

_____ and _____ are needed for propulsion in running with TT amputation

A

weight shift to prosthetic side; hip/knee extension

54
Q

How many spotters should you have for TT or TF running

A

2

55
Q

A running leg may be used once ______ is achieved consistantly

A

Heel-toe running

56
Q

A stiffer foot with a TT has more______ on ascent, and may ________ on descent of a ramp

A

resistance; collapse

57
Q

_____ _____ is the best method for dealing with ramps with an amputee

A

side stepping

58
Q

T/F: the prosthetic limb should be downhill when using a ramp

A

True

59
Q

T/F: the prosthetic limb should be uphill when using a ramp

A

False

60
Q

T/F: the sound limb should be downhill when using a ramp for an amputee

A

False

61
Q

T/F: the sound limb should be uphill when using a ramp for an amputee

A

True

62
Q

C-leg: amputees should “ride” the ____ ____ ____ to allow for stepping time with stairs, ramps, or curbs

A

Stance flexion dampening

63
Q

C-leg: ______ can be used to teach patient to trust the stance flexion dampening

A

Ramps

64
Q

C-Leg: T/F: it is better to use real stairs instead of putting a step in parallel bars for stairs

A

True

65
Q

C-leg: T/F: it is better to use a step in parallel bars instead of actual steps to train for stairs

A

False

66
Q

3 factors for success with C-leg on stairs

A

1) correct foot placement
2) wt shit to prosthetic limb
3) Forward momentum

67
Q

C-leg: too much foot on stairs may meet the _____ ______ and the knee will ______

A

Toe Load; buckle

68
Q

C-leg: too little foot on the stair may cause the _____ to bend quickly and the ______ to slide off the step

A

knee; heel

69
Q

C-leg: ______ to ____ of the foot should be off the step for stairs

A

1/3; 1/2

70
Q

C-Leg: if weight is not loaded onto the prosthetic side, ________________

A

the foot will not stay on step, and the patient will skid off the step

71
Q

C-Leg: if the patient does not have enough weight shift, they will ______ themselves ________

A

push; backwards onto sound leg

72
Q

C-leg: Once prosthetic foot is unweighted for stepping down, it will _______

A

swing forward

73
Q

If someone is new to the C-leg, ______ stance flexion dampening may be more comfortable at first

A

more

74
Q

T/F: curbs are more difficult than stairs

A

True

75
Q

T/F: stairs are more difficult than curbs

A

False

76
Q

How should you guard a patient that is descending stairs or ramps?

A

From the front

77
Q

T/F: TT amputees can usually run with their usual prosthetic

A

True

78
Q

_____ and _____ are needed for propulsion in running with TT amputation

A

weight shift to prosthetic side; hip/knee extension

79
Q

C-Leg: T/F: it is better to use real stairs instead of putting a step in parallel bars for stairs

A

True

80
Q

C-leg: T/F: it is better to use a step in parallel bars instead of actual steps to train for stairs

A

False

81
Q

A running leg may be used once ______ is achieved consistantly

A

Heel-toe running

82
Q

A stiffer foot with a TT has more______ on ascent, and may ________ on descent of a ramp

A

resistance; collapse

83
Q

_____ _____ is the best method for dealing with ramps with an amputee

A

side stepping

84
Q

T/F: the prosthetic limb should be downhill when using a ramp

A

True

85
Q

T/F: the prosthetic limb should be uphill when using a ramp

A

False

86
Q

T/F: the sound limb should be downhill when using a ramp for an amputee

A

False

87
Q

T/F: the sound limb should be uphill when using a ramp for an amputee

A

True

88
Q

C-leg: amputees should “ride” the ____ ____ ____ to allow for stepping time with stairs, ramps, or curbs

A

Stance flexion dampening

89
Q

C-leg: T/F: it is better to use a step in parallel bars instead of actual steps to train for stairs

A

False

90
Q

3 factors for success with C-leg on stairs

A

1) correct foot placement
2) wt shit to prosthetic limb
3) Forward momentum

91
Q

C-leg: too little foot on the stair may cause the _____ to bend quickly and the ______ to slide off the step

A

knee; heel

92
Q

C-leg: ______ to ____ of the foot should be off the step for stairs

A

1/3; 1/2

93
Q

C-Leg: if weight is not loaded onto the prosthetic side, ________________

A

the foot will not stay on step, and the patient will skid off the step

94
Q

C-Leg: if the patient does not have enough weight shift, they will ______ themselves ________

A

push; backwards onto sound leg

95
Q

C-leg: Once prosthetic foot is unweighted for stepping down, it will _______

A

swing forward

96
Q

If someone is new to the C-leg, ______ stance flexion dampening may be more comfortable at first

A

more

97
Q

T/F: curbs are more difficult than stairs

A

True

98
Q

T/F: stairs are more difficult than curbs

A

False

99
Q

How should you guard a patient that is descending stairs or ramps?

A

From the front

100
Q

T/F: TT amputees can usually run with their usual prosthetic

A

True

101
Q

_____ and _____ are needed for propulsion in running with TT amputation

A

weight shift to prosthetic side; hip/knee extension

102
Q

How many spotters should you have for TT or TF running

A

2, one in front, one to side

103
Q

A running leg may be used once ______ is achieved consistantly

A

Heel-toe running

104
Q

T/F: the prosthetic side should be forward when initiating running training

A

False

105
Q

The prosthetic side should be ______ with the weight on the ______ to initiate running

A

behind; ball of the foot

106
Q

____ ____ should be used to initiate swing phase

A

Front wall

107
Q

On contact, ____ _____ should fire when landing on prosthetic side

A

Back wall

108
Q

Side stepping works on: ____, ____, ___

A

proprioception, spatial awareness, divided attention

109
Q

Grapevie works on: ___, ___, ___

A

Dynamic balance, control through hip extension, proprioception

110
Q

T/F: Treadmill walking may be easier for therapist to cue extension than in regular walking

A

True

111
Q

If practicing single leg stance with prosthetic limb in extension, what will happen if weight is shifted forward?

A

Toe load criteria may be met and the knee may buckle

112
Q

Benefits of PWS-TT

A

Assist to wean from AD
Decrease weight bearing if painfull
Builds confidence

113
Q

Modified treadmill walking

A

one leg on treadmill, one leg off

114
Q

T/F: only the prosthetic side can be on the treadmill for modified treadmill walking

A

False (both can be used)

Med Surg II Final Exam (9 decks)

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