TT & TF Eval Questions

Question 1

(TF) In stance phase, what socket and anatomical conditions would cause Trendelenburg gait?

Answer 1

Px:
-insufficient socket adduction
-loose socket m/l
-no skeletal lock
Amputee:
-short limb
-weak hip abductors
-hip pathology
-distal lateral stump pain

Question 2

(TF) What are some alignment considerations for bilateral TF’s

Answer 2

• outset feet
• make knees as stable as possible
• shorten height of Px

Question 3

(TF) 55 y/o pt, unilateral TF amp, has a definitive Px. Has excessive knee flexion at heel strike. what are the possible causes?

Answer 3

Px:
-insufficient  flexion
-unstable alignment
-stiff PF bumper or firm sach heel cushion
Amputee:
-weak hip extensors, needs PT
-High heel shoe
-short residual limb

Question 4

What would cause a TF to break suction when they sit?

Answer 4

• anterior brim too high
• loose socket tension
• a/p too large

Question 5

55 y/o banker with hear condition who is bilateral TF is referred to you. What Px treatment would you recommend and why?

Answer 5

Functional bilateral TF Px not recommended due to energy req and heart condition. Recommend electric wheelchair and cosmetic Px

Question 6

Patient has terminal impact from leg, what would you prescribe for patient to avoid terminal impact?

Answer 6

• reduce knee extension assist

- add firmer knee extension bumper

Question 7

(TF) How would you correct lateral whip?

Answer 7

• externally rotate knee bolt
• correct a post medial wall angle that is too great
• ask patient to re-don Px