Final Review Flashcards
when should we start using residual limb wrapping?
in preparation for prosthetic 2-3 months b4 surgery
how long should a patient use a shrinker, and when should they use it
6 months to 1 year
wear any time they’re not in prosthesis
in what pattern should we apply an ace wrap?
Distal to proximal in diagonal pattern, no circular turns which can restrict blood flow
advantages and disadvantages of ACE wrap
-cheap, can put over sutures, no potential for shearing
-have to apply every 4-6 hours, comes loose with movement
what % of pts have phantom limb pain
70%
Note: this is different than phantom limb sensation
how to desensitize residual limb
use various textures that FEEL GOOD, add pressure
what is the weightbearing surface for transfemoral patients
ischial tuberosities
what contractures are common for transfemoral pts
Hip Abd/Er/flexion
what contractures are common in transtibial patients
hip flexion, abd, ER
and knee flexion
no pillow under their knee!
what is the main cause of amputations
74% disease
what knees are for K2
safety knee (Weight activated)
4 bar knee polycentric
what knees are for K1
Single Axis Knee - No mechanical stability, can have manual locking option
what knee is for K3/K4?
Hydraulic knee
Microprocessor knee
What foot is for K1
Single axis or SACH
What foot is for K2
Multiaxial
what kind of foot is for K3/K4?
Dynamic response
you want a _______ heel cushion for transtibial and a ________ for transfemoral
Firmer
softer
Transradial prosthesis user will only require a __________ harness system
single control
How are harness systems activated
through body movements
can be double or single action
what is the primary weightbearing structure for BKA
patellar tendon