LE amputation care

Question 1

what are non-traumic causes of amputation

Answer 1

Vascular disease

DM

Cancer

infection

Question 2

if you have had one amp do you often get second one

Answer 2

yes

up to 55% will require a 2nd amp within 2-3 years

Question 3

how long is the acute post op phase

Answer 3

4-20 days

Question 4

how long is the pre-pro stage

Answer 4

30+ or until the limb is healed

Question 5

where do you go for the pre-pro phase

Answer 5

IPR, SNF, Home

Question 6

where do you go for the pro phase

Answer 6

IPR, SNF, HH, OP

Question 7

how long is the average IPR stay during the pro stage

Answer 7

2 weeks in IPR

Question 8

how long is the average out pt stay during the pro stage

Answer 8

3 months or more

Question 9

what are the goals of pt in the pre pro stage

Answer 9

incision healing

shape of the residual limb

max ROM , strength, prevent contracture

home HEP

manage pain

progression functional mobility

Question 10

what is the goal of pt in the pro stage

Answer 10

incision healing

shape of the residual limb

max ROM , strength, prevent contracture

home HEP

manage pain

progress functional mobility

Question 11

how do we accomplish limb shaping

Answer 11

compression ace wrap - early

rigid or semi rigid dressings

shrinkers

Question 12

do you use a shrinker if the incision is still healing

Answer 12

no

Question 13

what are the goals for limb shaping

Answer 13

decrease the edema to prevent dehisence

prepare for socket

Question 14

will phantom pain go away with time

Answer 14

yes

Question 15

positioning in bed - what positions to avoid

Answer 15

help flex/abd position in bed

knee flex

Question 16

what to do if you want to elevate the leg

Answer 16

use pillows under the entire leg/ distal leg

do not use the folding feature on bed

Question 17

what to do in wheel care with new amp

Answer 17

amp leg limb support

leg rest for the pro

Question 18

how much hip ext do you need for a normal gait

Answer 18

20-deg

Question 19

how much knee flex and ext do you need for gait

Answer 19

0-60

Question 20

how much knee flex and ext do you need for stairs

Answer 20

0-100

Question 21

prone lying reccomendations

Answer 21

30 min

BID

Question 22

Open chain HEP

Answer 22

SLR, side lying hip abd, prone hip ext, prone knee flex, sidelying hip add

Question 23

closed chain HEP

Answer 23

planks on bolster

side plank on bolster

bridges on bolster or physioball

prone terminal knee ext

Question 24

what HEP should we give to the contralateral limb

Answer 24

PF

knee ext

hip flexors

hip abd

Question 25

amp who fall less have strong BLANK on the contralateral limb

Answer 25

PF and hip extensors

Question 26

trans tib amp experience more force where on the amp leg

Answer 26

knee ext
Hip ER, abd, add

Question 27

what factors play into when someone is ready for the pro

Answer 27

wound healing

limb shape

ROM and strength

cleared by the surgeon

Question 28

what in general are good outcome for pro users

Answer 28

younger

more distal

unilateral

Question 29

KO simple

Answer 29

no pro potential

Question 30

K1 simple

Answer 30

household amb

Question 31

K2 simple

Answer 31

limited community

Question 32

K3 simple

Answer 32

community

Question 33

K4 simple

Answer 33

child, athlete, active adult