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Movement Science 2 > Week 10 PT exam intervention LE LL > Flashcards

Week 10 PT exam intervention LE LL Flashcards

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Biology 101 flashcards
1
Q

What is gangreen

A

death to body tissue due to lack of blood flow or a serious bacterial infection

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2
Q

week 1-3 acute care goals

A

wound care

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3
Q

Pre prosthetic week 3-12

A

limb shaping

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4
Q

Prosthetic 6-8 to 16 weeks

A

gait training
equiptment modification
patient education
CV health
transfers

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5
Q

long term 3-6 months follow up

A

need for additional legs for activity or function

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6
Q

What are the 4 types of pain an individual with LL experiences

A

1.phantom limb sensation - can feel the limb that is gone
2.phantom limb pain- can feel pain in the limb that is gone
3.residual limb pain- neuromas or bone spurs
4.back pain

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7
Q

What should you do if you notice a patient has a bone spur

A

want to unload/ofload the area so that it doesnt cause more pain to the nerve

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8
Q

What are some psychosocial aspects that need to be considered

A

decreased QoL
depression
anxiety
self consciousness
grief

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9
Q

What is included in residual limb assessement

A

level
shape
skin condition
swelling/edema
incision/scar
proprioception/joint position
sound lim

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10
Q

What is one simple exercise that should be prescribe to prevent hip flexion contratures

A

prone lying

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11
Q

If the quads are gone what muscle does the body rely on for stability

A

glutes

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12
Q

Gait and functional assessments valid in amputee population

A

AMPpro/NoPRO
PSFS
Tapes-R
Socket comfort score

Gait assessment: 10m and 2 min walk test, TUG
Balance: ABC, AMPpro, TUG
CV: 2min 6min walk test

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13
Q

what is the prognosis for return to previous activities

A

4-6 months

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14
Q

What are the main short term goals

A

wound healing
edema management
independent in mat program
taking care of sound limb
assistive device management

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15
Q

What can be used for compression for shrinking and shaping the limb

A

ACE wrapping
rigid removal dressing
shirker sock

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16
Q

what is incorporated in an incision/wound management

A

skin checks, changes, signs of infection and proper healing
dressing

17
Q

What can be used for phantom limb sensation/pain

A

mirror therapy
desensitization techniques
visual imagery

18
Q

5 Clinical indications for gait training

A
  1. sufficient strength and independence for functional mobility
  2. sufficient range of motion
  3. K3 or K4 predicted by amputee mobility predictor
  4. physician clearance for progressive weight bearing
  5. well fitting socket with correct alignment
19
Q

What can be used to promote weight acceptance phase

A

lateral weight shifts
anterior/posterior weight shift
circumduction
avoid postural deviation

20
Q

What is dynamic weight acceptance

A

stepping in place
step ups
proprioception
pregait

21
Q

Pre-gait activities for balance

A

static balance: reaching, trunk twists, single leg stance

dynamic balance: lateral stepping, reactive stepping, altered base of support, altered surface compliance

22
Q

common gait deviation: trendelenburg, pelvic instability

A

hip weakness
decreased confidence in prosthesis

23
Q

decreased prosthetic stance time and associated contralateral step length

A

poor weight shift and weight acceptance onto prosthetic side
impaired hip ROM

24
Q

poor initiation of gait with pelvis

A

decreased trust on initial contact and through stance

25
Q

poor weight shift

A

pain
poor confidence in weight acceptance

26
Q

Best outcome measures

A

AmpPro
10 meter walk test
6 min walk test
TUG
Dynamic Gait index

27
Q

What criteria needs to be met to disengage knee microprocessor

A

knee in full extension
70% of BW toe load (DF moment)

28
Q

walking with a mechanical knee requires

A
  1. strong extension of glutes/hams to control knee
29
Q

What is the mainbenefit of a microprocessor knee

A

ability to place weight on the knee as it is bending

30
Q

What are other benefits of a microprocessor knee

A

stumble recovery- prevents falls
ability to ride the knee down stairs, ramps
stability on uneven surfaces
controlled sitting and kneeling movements are possible
less user concentration on the prosthesis
energy efficient gait with greater symmetry

31
Q

Use _____ to practice learning to trust the knee

A

parallel bars

32
Q

how many visits are necessary depending on progress to take the leg home

A

2-8 visits

33
Q

what is the criteria for taking the leg home

A
  1. dons/doffs prosthesis independently and correctly without cueing
  2. sit to stand performed independently with use of AD
  3. able to stand x2 min independently with out use of AD
  4. able to ambulate for 100 feet with least restrictive AD on surface compliant with home flooring
  5. negotiates a single step with the least restrictive AD independently
  6. able to negotiate stairs independently if present in the home

Movement Science 2 (10 decks)

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