Stairs, Curbs, Ramps, Running Flashcards
1
Q
Transtibial amputees use _____control to stabilize knee
A
volitional
2
Q
Transfemoral amputees keep their knee from buckling with________
A
Voluntary effort
3
Q
_______ is the safest pattern for amputees to use on stairs
A
Step-to
4
Q
Amputees should ascend stairs with the _____ leg first
A
Sound
5
Q
Amputees should descend stairs with the _______ leg first
A
prosthetic
6
Q
T/F: amputees should ascend stairs with the prosthetic limb first
A
False
7
Q
T/F: amputees should descend stairs with the prosthetic limb first
A
True
8
Q
T/F: amputees should ascend stairs with the sound leg first
A
True
9
Q
T/F: amputees should descend stairs with the sound leg first
A
False
10
Q
On stairs, amputees should be cued to use_____
A
extension
11
Q
Transtibial amputees can ascend stairs reciprocally if they have adequate______ and _____
A
strength; residual limb length
12
Q
The lack of _______ must be considered when teaching a transtibial amputee to descend stairs reciprocally
A
plantarflexion
13
Q
Transfemoral amputees can ascend stairs reciprocally with which type of knee?
A
Genium
14
Q
For a transfemoral amputee to ascend stairs reciprocally, the prosthetic limb must be _____ with the knee in _______
A
abducted; extension
15
Q
Transfemoral amputees keep their knee from buckling with________
A
Voluntary effort
16
Q
_______ is the safest pattern for amputees to use on stairs
A
Step-to
17
Q
Amputees should ascend stairs with the _____ leg first
A
Sound
18
Q
Amputees should descend stairs with the _______ leg first
A
prosthetic
19
Q
T/F: amputees should ascend stairs with the prosthetic limb first
A
False
20
Q
T/F: amputees should descend stairs with the prosthetic limb first
A
True
21
Q
T/F: amputees should ascend stairs with the sound leg first
A
True
22
Q
T/F: amputees should descend stairs with the sound leg first
A
False
23
Q
On stairs, amputees should be cued to use_____
A
extension
24
Q
Transtibial amputees can ascend stairs reciprocally if they have adequate______ and _____
A
strength; residual limb length
25
The lack of _______ must be considered when teaching a transtibial amputee to descend stairs reciprocally
plantarflexion
26
For a transfemoral amputee to ascend stairs reciprocally, the prosthetic limb must be _____ with the knee in _______
abducted; extension
27
Transfemoral amputees keep their knee from buckling with________
Voluntary effort
28
_______ is the safest pattern for amputees to use on stairs
Step-to
29
Amputees should ascend stairs with the _____ leg first
Sound
30
Amputees should descend stairs with the _______ leg first
prosthetic
31
A stiffer foot with a TT has more______ on ascent, and may ________ on descent of a ramp
resistance; collapse
32
_____ _____ is the best method for dealing with ramps with an amputee
side stepping
33
T/F: the prosthetic limb should be downhill when using a ramp
True
34
T/F: the prosthetic limb should be uphill when using a ramp
False
35
T/F: the sound limb should be downhill when using a ramp for an amputee
False
36
T/F: the sound limb should be uphill when using a ramp for an amputee
True
37
C-leg: amputees should "ride" the ____ ____ ____ to allow for stepping time with stairs, ramps, or curbs
Stance flexion dampening
38
C-leg: ______ can be used to teach patient to trust the stance flexion dampening
Ramps
39
C-Leg: T/F: it is better to use real stairs instead of putting a step in parallel bars for stairs
True
40
C-leg: T/F: it is better to use a step in parallel bars instead of actual steps to train for stairs
False
41
3 factors for success with C-leg on stairs
1) correct foot placement
2) wt shit to prosthetic limb
3) Forward momentum
42
C-leg: too much foot on stairs may meet the _____ ______ and the knee will ______
Toe Load; buckle
43
C-leg: too little foot on the stair may cause the _____ to bend quickly and the ______ to slide off the step
knee; heel
44
C-leg: ______ to ____ of the foot should be off the step for stairs
1/3; 1/2
45
C-Leg: if weight is not loaded onto the prosthetic side, ________________
the foot will not stay on step, and the patient will skid off the step
46
C-Leg: if the patient does not have enough weight shift, they will ______ themselves ________
push; backwards onto sound leg
47
C-leg: Once prosthetic foot is unweighted for stepping down, it will _______
swing forward
48
If someone is new to the C-leg, ______ stance flexion dampening may be more comfortable at first
more
49
T/F: curbs are more difficult than stairs
True
50
T/F: stairs are more difficult than curbs
False
51
How should you guard a patient that is descending stairs or ramps?
From the front
52
T/F: TT amputees can usually run with their usual prosthetic
True
53
_____ and _____ are needed for propulsion in running with TT amputation
weight shift to prosthetic side; hip/knee extension
54
How many spotters should you have for TT or TF running
2
55
A running leg may be used once ______ is achieved consistantly
Heel-toe running
56
A stiffer foot with a TT has more______ on ascent, and may ________ on descent of a ramp
resistance; collapse
57
_____ _____ is the best method for dealing with ramps with an amputee
side stepping
58
T/F: the prosthetic limb should be downhill when using a ramp
True
59
T/F: the prosthetic limb should be uphill when using a ramp
False
60
T/F: the sound limb should be downhill when using a ramp for an amputee
False
61
T/F: the sound limb should be uphill when using a ramp for an amputee
True
62
C-leg: amputees should "ride" the ____ ____ ____ to allow for stepping time with stairs, ramps, or curbs
Stance flexion dampening
63
C-leg: ______ can be used to teach patient to trust the stance flexion dampening
Ramps
64
C-Leg: T/F: it is better to use real stairs instead of putting a step in parallel bars for stairs
True
65
C-leg: T/F: it is better to use a step in parallel bars instead of actual steps to train for stairs
False
66
3 factors for success with C-leg on stairs
1) correct foot placement
2) wt shit to prosthetic limb
3) Forward momentum
67
C-leg: too much foot on stairs may meet the _____ ______ and the knee will ______
Toe Load; buckle
68
C-leg: too little foot on the stair may cause the _____ to bend quickly and the ______ to slide off the step
knee; heel
69
C-leg: ______ to ____ of the foot should be off the step for stairs
1/3; 1/2
70
C-Leg: if weight is not loaded onto the prosthetic side, ________________
the foot will not stay on step, and the patient will skid off the step
71
C-Leg: if the patient does not have enough weight shift, they will ______ themselves ________
push; backwards onto sound leg
72
C-leg: Once prosthetic foot is unweighted for stepping down, it will _______
swing forward
73
If someone is new to the C-leg, ______ stance flexion dampening may be more comfortable at first
more
74
T/F: curbs are more difficult than stairs
True
75
T/F: stairs are more difficult than curbs
False
76
How should you guard a patient that is descending stairs or ramps?
From the front
77
T/F: TT amputees can usually run with their usual prosthetic
True
78
_____ and _____ are needed for propulsion in running with TT amputation
weight shift to prosthetic side; hip/knee extension
79
C-Leg: T/F: it is better to use real stairs instead of putting a step in parallel bars for stairs
True
80
C-leg: T/F: it is better to use a step in parallel bars instead of actual steps to train for stairs
False
81
A running leg may be used once ______ is achieved consistantly
Heel-toe running
82
A stiffer foot with a TT has more______ on ascent, and may ________ on descent of a ramp
resistance; collapse
83
_____ _____ is the best method for dealing with ramps with an amputee
side stepping
84
T/F: the prosthetic limb should be downhill when using a ramp
True
85
T/F: the prosthetic limb should be uphill when using a ramp
False
86
T/F: the sound limb should be downhill when using a ramp for an amputee
False
87
T/F: the sound limb should be uphill when using a ramp for an amputee
True
88
C-leg: amputees should "ride" the ____ ____ ____ to allow for stepping time with stairs, ramps, or curbs
Stance flexion dampening
89
C-leg: T/F: it is better to use a step in parallel bars instead of actual steps to train for stairs
False
90
3 factors for success with C-leg on stairs
1) correct foot placement
2) wt shit to prosthetic limb
3) Forward momentum
91
C-leg: too little foot on the stair may cause the _____ to bend quickly and the ______ to slide off the step
knee; heel
92
C-leg: ______ to ____ of the foot should be off the step for stairs
1/3; 1/2
93
C-Leg: if weight is not loaded onto the prosthetic side, ________________
the foot will not stay on step, and the patient will skid off the step
94
C-Leg: if the patient does not have enough weight shift, they will ______ themselves ________
push; backwards onto sound leg
95
C-leg: Once prosthetic foot is unweighted for stepping down, it will _______
swing forward
96
If someone is new to the C-leg, ______ stance flexion dampening may be more comfortable at first
more
97
T/F: curbs are more difficult than stairs
True
98
T/F: stairs are more difficult than curbs
False
99
How should you guard a patient that is descending stairs or ramps?
From the front
100
T/F: TT amputees can usually run with their usual prosthetic
True
101
_____ and _____ are needed for propulsion in running with TT amputation
weight shift to prosthetic side; hip/knee extension
102
How many spotters should you have for TT or TF running
2, one in front, one to side
103
A running leg may be used once ______ is achieved consistantly
Heel-toe running
104
T/F: the prosthetic side should be forward when initiating running training
False
105
The prosthetic side should be ______ with the weight on the ______ to initiate running
behind; ball of the foot
106
____ ____ should be used to initiate swing phase
Front wall
107
On contact, ____ _____ should fire when landing on prosthetic side
Back wall
108
Side stepping works on: ____, ____, ___
proprioception, spatial awareness, divided attention
109
Grapevie works on: ___, ___, ___
Dynamic balance, control through hip extension, proprioception
110
T/F: Treadmill walking may be easier for therapist to cue extension than in regular walking
True
111
If practicing single leg stance with prosthetic limb in extension, what will happen if weight is shifted forward?
Toe load criteria may be met and the knee may buckle
112
Benefits of PWS-TT
Assist to wean from AD
Decrease weight bearing if painfull
Builds confidence
113
Modified treadmill walking
one leg on treadmill, one leg off
114
T/F: only the prosthetic side can be on the treadmill for modified treadmill walking
False (both can be used)
