Amputations and Prosthetics 2

Question 1

covering types of post op dressing

Answer 1

same same

Question 2

advantage of rigid plaster dressing

Answer 2

allows early amb with pylon

promotes circulation and healing

stimulates proproception

provides protection

provides soft tisssue support

limits edema

ability to utilize an IPOP ( immediate post op prothesis)

Question 3

what are the disadvantages of rigid plaster dressing - amp

Answer 3

immediate wound inspection is not possible

does not allow for daily dressing changes

requires professional application

Question 4

advantages of non-weight bearing rigid removable limb protectors

Answer 4

removeable

accommodates edema flucs

easily applied

prevents contractures

provide protection

Question 5

disadvantages of non-weight bearing rigid removable limb protectors

Answer 5

not fot amb purpose

Question 6

advantages of semi rigid (unna paste, air splint)

Answer 6

reduces post-op edmea

provides soft tissue support

provides protection

easily changeable

Question 7

disadvantages of semi rigid (unna paste, air splint)

Answer 7

does not protect as well as other rigid dressings

requires more changing then rigid dressing

may loosen and allow for development of edema

Question 8

advantages of soft dressing (ace wrap, shrinker)

Answer 8

reduces post op edema

provides some protection

inexpensive

easily removable for wound inspection

allows for active joint ROM

Question 9

disadvantages of soft dressing (ace wrap, shrinker) - tissue healing

Answer 9

tissue healing is intterupted with freq dress changes

Question 10

disadvantages of soft dressing (ace wrap, shrinker) - joint ROM

Answer 10

may delay wound healing

Question 11

disadvantages of soft dressing (ace wrap, shrinker) - residual pain

Answer 11

less control of residual limb pain

Question 12

disadvantages of soft dressing (ace wrap, shrinker) - tension

Answer 12

cannot control the amount of tension in the bandage

Question 13

disadvantages of soft dressing (ace wrap, shrinker) - shrinker

Answer 13

shrinker cannot be applied until suture/ staples are removed

Question 14

over

Answer 14

over

Question 15

how do we wrap the residual limb

Answer 15

no in circles

diagonal and angular patterns should be used

Question 16

where do we anchor wrap for tranfemoral amp

Answer 16

anchor wrap at the pelvis

Question 17

how long should the wrap be for UE

Answer 17

2-4 inches

Question 18

how long should the wrap be for LE

Answer 18

3-4 inches

Question 19

how long does the preprothetic phase last for

Answer 19

6 weeks

Question 20

what is the therapy focus during the pre-pro phase

Answer 20

protect the limb

preventing contractures

single limb mobility skills

and preparing the pt for the pro phase of rehab

Question 21

what is a IPOP

Answer 21

and immediate post-op pro

allows for immediate WB on temp pro

Question 22

when is a pt fit for their pro

Answer 22

once the suture and staple are removed

limb is healed

4-6 weeks

Question 23

when can a pt start to wear a shrinker

Answer 23

once the staples are removed

Question 24

is the first pro the pt received their permanent pro

Answer 24

no they have with be comfortable in it and their limb volumes to stabilize

Question 25

K0

Answer 25

prothesis with no enhance quality of life or mobility wheel chair bound

Question 26

K1

Answer 26

house hold amb transfers, amb on level surfaces, fixed cadance

Question 27

K2

Answer 27

transfer low level barriers: curbs, stairs, uneven surfaces limited community amb

Question 28

K3

Answer 28

community amb varible cadence, transfer most eviro barriers, pro use below simple amb

Question 29

K4

Answer 29

exceeds basic amb skill sports normally a child, athlete, or an active adults

Question 30

complications following amp

Answer 30

same same

Question 31

contractures 2/2

Answer 31

failure to start ROM early poor postioning of the residual limb

Question 32

what area are contracture most likely

Answer 32

joint just proximal to the amp

Question 33

transmetarsal and syme's - contracture

Answer 33

equinas

Question 34

transtibial contracture

Answer 34

knee flexion

Question 35

transfemoral contracture

Answer 35

hip flexion and abd

Question 36

what is deep vein thrombosis -

Answer 36

a blood clot that form in a vien with potential to dislodge as a embolism and travel until it blocks an art

Question 37

what medication is often used in the case of DVT

Answer 37

heprin

Question 38

what is the impact of hypersensitivity

Answer 38

sig impefe or even prevent the approciate fit of a pro

Question 39

what are some method to mitigate hypersen

Answer 39

weright bearing massage tapping residual limb wrapping

Question 40

what is neroma

Answer 40

a bundle of nerve fendings that group together and can produce pain due to scar tissue, pressure from pro or tension over the limb

Question 41

what is phantom limb

Answer 41

painless senstation where the pt feels that the limb is still present

Question 42

how do we combat phantom limb

Answer 42

pro use and densensitation

Question 43

what is phantom pain

Answer 43

pt perception of some form of painful stim as it relates to the residual limb pain of any type

Question 44

treatment for phantom pain

Answer 44

TENS ultrasound icing mirror therapy relaxation techniques desentization