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Prosthetic Final > Prep for Prosthesis (1) > Flashcards

Prep for Prosthesis (1) Flashcards

(46 cards)

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1
Q

goals of prep for prosthesis (1)

A

prepare RL for prosthesis

increase mm strength

maintain or normalize ROM

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2
Q

goals of prep for prosthesis (2)

A

demonstrate full WBing as tolerated

independence in balance and gait w/ or w/o AD

independence in ADLs w/ and w/o prosthesis

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3
Q

K0

A

prosthesis doesnt enhance QOL

no prosthesis

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4
Q

K1

A

level surfaces

fixed cadence

household walker

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5
Q

K2

A

low level environmental barriers

limited community ambulatory

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6
Q

K3

A

fxnal level that depends prosthetic components beyond simple locomotion

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7
Q

K4

A

exhibiting high impact, stress or energy level

child, active adult, athlete

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8
Q

what is K level determined by

A

outcome measures

choose valid, reliable and responsive fxnal outcome measures

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9
Q

outcome measures

A

TUG

Berg

6MWT

AMP-PRO

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10
Q

how long is the pre prosthetic phase

A

2-8 wks

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11
Q

perioperative phase length

A

12-14 days

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12
Q

what is the perioperative phase (summary)

A

pre op phase

amputation/reconstruction

acute post-op

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13
Q

pre-prosthetic phase summary

A

prosthetic prep

prosthetic prescription/fabrication

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14
Q

evaluation/general re-eval

A

RL

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15
Q

what do we evaluate of the RL

A

integument

ROM

MMT

girth and length measurement

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16
Q

MMT –> evaluating RL

A

can add resistance

resistance more proximal than normal

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17
Q

girth and length measurements –> evaluating RL

A

re-assess and compare for shrinkage

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18
Q

treatment –> motor learning principles

A

focus on how to use the prosthetic

not on the design and fxn

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19
Q

tx –> goal setting

Study These Flashcards
A

pt centered

task specific

STG

LTG

20
Q

tx–> STG

Study These Flashcards
A

donning/doffing prosthesis

21
Q

tx–> LTG

Study These Flashcards
A

walking in park or to church

22
Q

tx–> variable practice

Study These Flashcards
A

practice skills around the goal task

ex: ambulation at variable speeds/surfaces

23
Q

tx–> random practice

Study These Flashcards
A

vary order or exercises

improves retention and transfer or skills

24
Q

tx–> when do we use block practice

Study These Flashcards
A

early on then move to random

25
tx--> bandaging
continue introduce shrinker
26
tx--> exercsie
UE, trunk and sound limb RL
27
strengthening of RL
PRE, PNF, dynamic RL exercises
28
what are dynamic RL exercises
total body exercises that utilize BW for resistance most common exercises for this population less popular in recent years
29
what happened to dynamic RL exercises
modernized --> lots of benefits
30
how were dynamic RL exercises modernized
minimal equipment total body strengthening reinforces fxn include core strengthening
31
description of dynamic RL exercises
strengthen muscles in RL as well as trunk and sound limb uses whole body for resistance facilitates restoration of body symmetry uses movements similar to gait
32
dynamic RL exercises --> equipment
stool towel roll bolsters balls sandbag weights
33
how could we progress dynamic RL exercises
use BW as resistance increase resistance incorporate the trunk/core strengthening exercise must be designed for success
34
increase resistance --> dynamic RL exercises
stool more distal add manual pressure added weight increase ROM decrease surface stability remove assistance of other extremities
35
incorporate the trunk/core strengthening --> dynamic RL exercises
modernize exercise to fit with present evidence
36
what does tx prevent
muscle atrophy skin breakdown contractures
37
contractures --> prevention
prone lying stretching MFR for sore tissue and muscle tightness (iliopsoas,HS) joint mobs (hip ext, SI joint nutation, L/S ext, knee ext)
38
how do we perform ambulation
with a temp prosthesis progressive Wbing
39
progressive WBing
balance exercises weight shift gait training
40
balance exercises --> progressive WBing
must balance to walk most important factor in gait ability (balance ability and confidence)
41
weight shift --> progressive WBing
decrease COG shift to sound side
42
gait training --> progressive WBing
work on control first quality not quantity
43
what do we give the pt
HEP
44
HEP includes
exercises (in writing) ambulation program bandaging/shrinker
45
bandaging/shrinker --> HEP
x-silver shrinker comfort silver liner sheath (worn under a liner) anti-microbial shrinker w/ gel band at top
46
goals at the end of this phase
good muscle strength and adequate ROM have a RL that is prepared for definitive prosthesis be independent in gait, balance w/ or w/o AD be independent in ADLs w/ and w/o prosthesis

Prosthetic Final (13 decks)

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