FINAL EXAM REVIEW: no patho gait or LE AFOs on this deck Flashcards
(89 cards)
how long and when should you wear a shrinker?
for** 6 months-1 year** (all the time except when using prosthesis)
What materials can you use for residual limb wrapping?
elastic compression
ace wrap
shrinkers
Purpose/complications of shrinkers/pressure garments
- to decrease edema, shape limb
- fit for residual limb length/circumference (collab with prosthetist for measurements!)
- use once suture line is healed
CONS
* hard to use if hand strength is bad
* can cause skin shearing
* need to be laundered
elastic compression:
how long should they be cut?
cut 2x long as needed for residual limb
Pull up half the length then twist once at distal end, and pull up the remainder to form a double layer of compression (or sew at the end)
advantages and disadvantages for elastic compression
advantages: cheap, good for bulbous residual limbs
disadvantages: potential for shearing, not as durable
T or F: As residual limb circumference decreases, limb becomes more pressure tolerant, can use progressively lower diameters for limb shrinkage
True
How to apply ace wraps
distal to proximal in a diagonal/figure 8 pattern
Make sure to cover all areas of the limb evenly to avoid uneven shrinkage/bulbous area
avoid circular turns –> BF issue
avoid metal clips to fasten
When are ace wraps used for residual limb wrapping?
most frequently used technique used immediately after post op (wound drainage may be present)
How often should you re-apply an ace wrap?
every 4-6 hours
mvmt during activities may loosen bandage
*hard to do independently but possible!
Reasons to wrap your residual limb
EDEMA CONTROL
1. pain control
2. enhance wound healing
3. protect incision during activity
4. shaping/desensitizing for prosthetic
what is phantom limb sensation vs pain?
pain: “my foot (that isnt there) is hurting”
sensation: I still feel my foot
pain: sometimes more in trauma pop due to nerve cuts
sensation: can be dangerous bc they get up in the night to pee and fall
techniques to manage phantom limb pain
- meds (gabapentin, lyrica)
- desensitization techniques (beans, pressure, mvmt, tapping)
- mirror therapy
- modalities like ice, heat, TENS
common transfemoral contractures
hip flexion
hip ER
hip ABD
common transtibial contractures
knee flexion
also can get hip flexion, ABD, ER
What muscles are super important to strengthen for transfemoral prosthetic training?
hip extensors and abductors!
also strengthen hip flexors, back extensors, adductors, abs (sit ups)
What muscles are super important to strengthen for transtibial prosthetic training?
knee extensors
knee flexors
hip extensors
hip abductors
perform knee extension and flexion exercises in addition to hip abduction, adduction, hip flexion and extension, bridges, abs (sit ups), back extension
reasons for amputation
disease (PVD, disease, cancer)
trauma
congenital
SACH foot is what K level
what does it do
K 1
*absorbs impact of IC (stable foot)
single axis foot is what K level what does it do?
K 2 , K3
ensures rapid foot-flat to promote knee extension and assist in knee stability at loading
multi axial foot is what K level what does it do?
K2 -4
* good for uneven terrain
* triplanar motion, ensures rapid foot flat during loading (assists knee stability)
also K2: Flexible keel foot
dynamic response foot is what K level
what does it do?
K 3 , K4
* energy storing foot
* good for highly active people!
In general you want a _ heel cushion for transtibial prosthesis because it promotes knee flexion;
you want a _ heel cushion for transfemoral because it’ll delay forward progression of the pilon (promoting knee extension)
transtibial: firmer heel
transfemoral: soft heel
sprinting foot is for what K level?
K 4
Review K levels: 0
no potential/ability to walk or transfer safely with/without assistance
prosthetic does not enhance QOL or mobility
