LECTURE 10: PROSTHETICS Flashcards
(46 cards)
Educational requirements for prosthetics and orthotics
8ish years
undergrad, masters, at least 1 year residency (Baylor college of med is 18 mo) 2-4 years of post-grad
take a test, license
The most important part of any prosthesis is the
patient (motor)
*PT is the key to the motor
The ankle produces 240% energy. What about the typical prosthesis?
loses a few %
what is number one cause of amputation?
disease (PVD, diabetes, cancer) 75%
chronic conditions cause deconditioning, so different than trauma
3 main causes of amputation
-74% Disease
(PVD, diabetes, Cancer)
-23% trauma
-3% Congenital
_% of amputees will become bilateral
30-50%
save max limb length except in mid tarsal, long BK, long AK, metcarp, long AE.
Why?
areas where poor blood flow
What is the symes LLA?
symes: distal tibia, they can still bear weight on the bottom of tibia** (ankle)
___◦ Ideal 50%
tibial length for transtibial BKA
◦ Ideal 50%
tibial length
◦ 8cm below knee
transfemoral AKA:
ideal -__% femur length ___ cm above distal femur
75% femur length
10 cm above distal femur
1.7 Amputees / ____ ppl
___% are TransTibial
___% are U.E.
___% are Males
1.7 Amputees / 1000 people
65% are TransTibial
10% are U.E.
70% are Males
bilateral trans tibial are more likely to be functional prosthetic user than unilateral trans femoral; T or F
want to preserve knee!
___% of amputees over 60 yrs old discard their prosthesis in first 6 months. Why
50%
lack of transportation to attend all the visits, PT visits, etc.
energy expenditure
Trans Tibial %
Trans Femoral %
Bil Trans Tibial %
Bil. Trans Femoral %
need efficiency in gait
Trans Tibial 15-30%
Trans Femoral 40-65%
Bil Trans Tibial 125%
Bil. Trans Femoral 240% & up
who is involved in medical team for prosthetics?
Patient/Family
Physician
Nursing
Physical therapist
-____
-_____
-_____
Occupational
therapist
Prosthetist
Social worker
can you use R leg prosthesis to use pedal and brakes
you can but need to get tested
prosthesis will cost between
$5000-200,000
*get social worker involved
post op treatment
(1-14 days)
- pre-hab
- crutch train, exercise, healing
- stump wrapping, shrinkers
- pain management
What are the common transfemoral AK contractures?
hip flexion
hip external rot
hip abduction
transtibial BK common contractures
hip flexion
ER
hip abd
knee flexion
in order to use prosthesis, you need a strong cocontraction of ___ and -___
quads AND hams (which get ignored often –> knee flexion exercises for transtibial
transfemoral strengthening: emphasize ___
hip extension
Geriatrics- emphasize ____
Geriatrics- emphasize balance
What do you use early on before prosthetic while legs are healing for standing?
PPAM brackets
