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Conditions II > Amputations and Prosthetics > Flashcards

Amputations and Prosthetics Flashcards

1
Q

T or F: Amputations only occur in older individuals.

A

False; Amputation may occur at any age

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2
Q

Amputations may be a result of what three things?

A

–Systemic disease ( vascular disease, tumors, or infection)
–Trauma/ injury (accidents, machinery injury and MVA)
–Malformation (congenital: limb missing or partial developed)

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3
Q

T or F: Occupational therapy aims to assist the individual in attaining their optimal level of function and independence following amputations.

A

True

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4
Q

T or F: Amputations are caused only because they are acquired.

A

False; they are acquired and congenital

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5
Q

T or F: Limb deformities occurring before birth are common.

A

False; it’s rare

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6
Q

T or F: Acquired causation are malformations of limbs at the fetal stage of development

A

False; congenital causation

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7
Q

T or F: Acquired caustation are secondary to chronic medical conditions or severe trauma
• Environmental injury, Land mines

A

True

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8
Q

What is the incidence and prevalence of amputations?

A
  • Greater than 150,000 persons in the US
  • Incidence or Upper extremity amputation is quite low compared to the lower extremity
  • Ratio of 1 to 3, arm to leg amputations
  • 57% are of UE amputations are transradial
  • Disease process is the primary cause for LE
  • PVD
  • DM
  • Trauma causes 20% of LE amputations
  • 5 percent of these due to tumors
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9
Q

What causes 20% of LE amputations?

A

Trauma

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10
Q

What is a systemic condition which accounts for majority of limb amputations?

A

Peripheral vascular disease (PVD)

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11
Q

Which arterial disease impairs circulation?

A

Peripheral vascular disease (PVD)

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12
Q

What does PVD have co-morbidities with?

A

HTN and DM

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13
Q

T or F: PVD has a good prognosis.

A

False; Prognosis is poor as circulation to the other limb is usually impaired

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14
Q

An amputation will only be preformed as a life saving measure with what disease?

A

Malignancy and incurable bone disease (bone cancer and osteomyelitis)

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15
Q

T or F: Adverse side effects of chemotherapy or radiation can affect rehabilitation

A

True

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16
Q

T or F: Adverse side effects of chemotherapy or radiation can affect rehabilitation

A

True

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17
Q

T or F: High level amputations radically reduces body mass and affects the center of gravity as well as balance

A

True

18
Q

T or F: Autonomic system also needs to adjust to reductions of skin area

A

True

19
Q

What is the second most common cause of amputation?

A

Acquired (Trauma)

20
Q

What are some causes of an acquired (trauma) amputation?

A

industrial injuries, severe burns, MVA, gun shot, and inadequate healing

21
Q

T or F: Impaired healing does not delay prosthetic fitting

A

False; it may

22
Q

T or F: Crush injuries affect all soft tissues as well as causing fracture.

A

True; damages peripheral nerves, blood vessels, muscle and ligaments

23
Q

T or F: Crush injuries may tear ligaments and damage proximal joints damaging tissue at site of amputation.

A

False; traction injuries

24
Q

T or F: Proximal joint damage or instability in a tranction injury may limit the choice of prosthesis

A

True

25
Q

What type of amputation is a type of severance of a limb in which the proximal joints and muscles are intact?

A

Guillotine (acquired)

26
Q

Which type of amputation may provide the best potential for rehabilitation providing the wound is not contaminated

A

Guillotine (acquired)

27
Q

T or F: Delayed healing may affect reconstructive surgery which is important for upper limb amputees

A

True

28
Q

T or F: ROM can be quickly lost with prolonged periods of immobility

A

True

29
Q

T or F: Amputations as a result of burns have serious tissue damage.

A

True

30
Q

T or F: Thermal burns may require skin grafting and scar tissue formation may limit joint mobility and reduce the extensibility of affected muscle tissue.

A

True

31
Q

T or F: High voltage electrical burns dont cause deep tissue damage

A

False; they do cause this type of damage

32
Q

What is common and occurs in virtually all cases of amputation?

A

Phantom limb sensation

33
Q

What does phantom limb sensation mean?

A

Amputee has the sensation that the missing limb is still present

34
Q

How may the limb be feeling with phantom limb sensation?

A

The limb may feel hot, cold sweaty

35
Q

When does phantom limb sensation happen?

A

Can occur almost immediately after surgery and last for years

36
Q

T or F: Phantom limb sensation causes increased anxiety and if able should be explained to patient prior to surgery

A

True

37
Q

T or F: Phantom limb pain should be included in the OT assessment

A

True

38
Q

T or F: PLP is more serious of a problem than PLS

A

True

39
Q

T or F: PLP affects only a small number of amputees but has major functional implications

A

True

40
Q

T or F: Patients may suffer pain ( stabbing, burning, squeezing and crushing) which can vary in frequency, intensity and duration

A

True

41
Q

When does PLP start?

A

Onset may not occur for weeks or years

42
Q

T or F: PLP may be linked to psychosocial and physiological symptoms

A

True

Conditions II (7 decks)

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