Lab Flashcards
Phantom Sensation vs phantom pain:
Phantom sensation: They feel their leg is still there
Phantom pain: they have pain sensation coming from their absent leg
What percent of people have phantom sensation
70%
What is more common, phantom sensation or phantom pain?
Phantom sensation
Note: post-Surgical pain is different than phantom pain
How to treat hypersensitivity at residual limb
Find stimulus that you can apply to the limb that is tolerable or feels good and DO IT
Rubbing, tapping, massage, etc etc
What are the signs of a neuroma
If you push on a certain spot of their leg and it specifically really really hurts right there
Might need surgery to remove
Trans tibial amputation length measurement
Measure from tibial tuberosity to where you palpate the end of the bone AND to the end of the soft tissue
Trans femoral length measurement
From greater trochanter to where you palpate the end of the bone AND to the end of the soft tissue
When measuring overall limb circumference/swelling, you measure every _____
2 inches
What’s the ideal shape of a residual limb
Cone shape
Compression for Before incision is healed vs after
Before: Ace wraps
After: Shrinker
Pt should use shrinker when not using their prosthetic limb for _____
Up to 6 months to 1 year post amputation
Most common contracture of trans tibial
Knee flexion
Most common trans metatarsal contracture
Plantarflexion
Most common contracture for trans femoral
Flexion, abd, ER
When MMTing an amputee how should we do it
Put hand on same place for involved and uninvolved side
T or F: Open chain exercises are good for pts with amputations
F, they barely have a limb so there’s no weight, they need to do modified closed chain exercises pushing into towel on mat
Weight bearing w/o prosthesis: Trans-tibial vs trans-femoral
Trans tibial can practice gait on their knees
Trans-femoral CANNOT weight bear on their femurs w/o prosthesis
Never have any pt weightbearing directly on the ground w their stump
Transfemoral amputations rely on their _______ muscles for prosthetic knee stability
Hip extensors
T or F: Difficult and high level core exercises are important for prosthetic patients
T
Trans tibial pre-prosthetic training:
Preserve knee ext
Strengthen knee ext/flex and hips
Practice weight shifts w/ knee on chair
Walking on knees
How do we cue a patient to increase stability of their prosthetic knee?
EXTEND HIP
How do we cue patient to break at the knee of their prosthetic
Hip rotation
What is the basic progression of gait training for prosthetic users?
Stance -> stride -> stepping
Where should you guard prosthetic patients when gait training initially
At thighs, dont put hand on prosthetic knee or it will pinch you
