VPO Prosthetics Lecture Flashcards
what is an amputation?
the surgical removal of all or part of a limb or extremity
what is an amputee?
a person who’s had a limb amputated
what is a prosthesis?
an artificial body part, such as a leg, heart, or joint implant
is a prosthesis fxnal or nonfxnal?
can be either, but insurance will likely only cover a fxnal prosthesis
who is a prosthetist?
a person skilled in making or fitting prosthetic devices; specialist in prosthetics
who are the members of the rehab team in amputations?
Patient, physician (physiatrist), nursing, therapists (PT/OT), prosthetist, social worker/case manager, vocational rehab
t/f: the rehab team has to work closely together to achieve the best outcomes
true
what are the steps involved in the amputee/prosthetic process?
ensure proper limb healing
minimize loss of ROM, strength, mobility, and endurance
address psychosocial issues
pre-prosthetic training rehab
eval and prescription
fabrication of prosthesis
deliver/fit prosthesis
rehab/training with prosthesis
monitor fit/fxn of prosthesis
follow-up/adjustments
maintenance/replacements
can we use figure 8 wrapping with the staples/stitches still in?
yup!
which side do we need to be strong with an amputation?
both sides eventually, but the intact limb at first to being using the prosthetic and start WBing
how can we address the psychosocial needs following amputation?
by providing support group resources
what is “pre-prosthetics training” rehab?
rehab before getting a prosthetic that involves avoiding contractures and optimizing strength
t/f: the pt has to have a desire to walk in order for insurance to cover the prosthesis
true
t/f: it is easier to break bad habits early on in rehab then to try to correct them later
true
does recovery speed up or slow down with age and illness?
slows down
what is a common cause of slowed recovery in amputations?
DM
what is the most common type of amputation?
a finger amputation
do finger amputations usually require a prosthesis?
nope
what age group has the highest incidence of amputations?
those over 60 yo > 41-60> younger than 40
what is the most common cause for amputations in those younger than 40 yo?
trauma
why may amputation rates get higher as we age?
bc older people tend to have more comorbidities that put them at a greater infection risks and risk for complications from these infections may result in amputations
a majority of new amputees are male or female?
male (72%)
what is the most common cause for UE/LE amputation?
poor circulation
what are some causes of poor circulation that lead to amputations?
PVD
arteriorsclerosis
DM