Amputations

Question 1

limb shaping

Answer 1

during the initial would healing phase, the OT performs wound care and dressing changes. After surgery, limb wrapping and shaping is initiated to decrease edema and promote optimal limb shaping for the prosthesis (called figure 8 wrapping) figure 8 wrapping can NOT be done in a circular manner in bc it will work as a tourniquet and restrict circulation

Question 2

desensitization

Answer 2

limb might be hypersensitive after surgery- overstimulating a hypersensitive peripheral area with nonharmful stimuli teaches the CNS to accept thee stimuli as nonharmful and to minimize aversive responses to them

Question 3

phantom limb pain

Answer 3

feels like stabbing, cramping, burning or throbbing, thought to be caused by changes in the CNS and peripheral nerve damage . psychological factors like stress, are triggers for PLP. Treatment methods include analgesics, mirror therapy, acupuncture, and Estim

Question 4

phantom limb sensation

Answer 4

sensations of the amputated limb. Sensation of the limb that is no longer there. Distal part of the limb is felt

Question 5

neuroma

Answer 5

small ball of nerve tissue that develops when growing axons attempt to reach the distal end of the residual limb

Question 6

types of prosthetics

Answer 6

body powered, electrically powered, hybrid, passive (cosmetic but functional) activity specific prosthetics

Question 7

Body powered prosthetic

Answer 7

cable driven and controlled by gross body movements, uses body motions proximal to amputation to pull tension on a cable operating the terminal device, client must have sufficient musculature and ROM in the upper quadrant to operate this type. Must be able to perform GH flexion, scapular AB or ADD, shoulder depression or elevation, chest expansion or elbow flexion

Question 8

body powered components

Answer 8

prosthetic sock (work between skin and prosthesis, worn to prevent irritation), socket(component to which the remaining limb is attached), harness and control system ( the higher the level of the amputation, the more complex the harness), terminal device (most distal component of prosthesis, can be voluntary open mechanism or voluntary close mechanism, the VO TD is held closed in a relaxed position and opens when the wearer exert tension on the control cable that connects to the “thumb” of the TD (there is waaaay more info in book but i dont think we have to know that all)

Question 9

prosthetic training

Answer 9

beings after the final fitting of the prosthesis : evaluation of prosthesis, donning/doffing prosthesis, wearing schedule, residual limb hygiene, operational prosthetic knowledge, care of prosthesis, (next is intermediate training for body powered or electrically powered) which is controls training, use training (next is advanced) which is functional training and adaptive sports and rec

Question 10

Lower Limb vs Upper Limb causes

Answer 10

LL causes= Peripheral vascular disease, diabetes mellitus, trauma, malignancy to prevent spreading
UE causes=trauma from work related accidents, gun shot wounds, and burns
Ratio or UE to LL = 1:3