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Prosthetic Final > Prep for Prosthesis (1) > Flashcards

Prep for Prosthesis (1) Flashcards

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

A

pt centered

task specific

STG

LTG

20
Q

tx–> STG

A

donning/doffing prosthesis

21
Q

tx–> LTG

A

walking in park or to church

22
Q

tx–> variable practice

A

practice skills around the goal task

ex: ambulation at variable speeds/surfaces

23
Q

tx–> random practice

A

vary order or exercises

improves retention and transfer or skills

24
Q

tx–> when do we use block practice

A

early on then move to random

25
Q

tx–> bandaging

A

continue

introduce shrinker

26
Q

tx–> exercsie

A

UE, trunk and sound limb

RL

27
Q

strengthening of RL

A

PRE, PNF, dynamic RL exercises

28
Q

what are dynamic RL exercises

A

total body exercises that utilize BW for resistance

most common exercises for this population

less popular in recent years

29
Q

what happened to dynamic RL exercises

A

modernized –> lots of benefits

30
Q

how were dynamic RL exercises modernized

A

minimal equipment

total body strengthening

reinforces fxn

include core strengthening

31
Q

description of dynamic RL exercises

A

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
Q

dynamic RL exercises –> equipment

A

stool

towel roll

bolsters

balls

sandbag weights

33
Q

how could we progress dynamic RL exercises

A

use BW as resistance

increase resistance

incorporate the trunk/core strengthening

exercise must be designed for success

34
Q

increase resistance –> dynamic RL exercises

A

stool more distal

add manual pressure

added weight

increase ROM

decrease surface stability

remove assistance of other extremities

35
Q

incorporate the trunk/core strengthening –> dynamic RL exercises

A

modernize exercise to fit with present evidence

36
Q

what does tx prevent

A

muscle atrophy

skin breakdown

contractures

37
Q

contractures –> prevention

A

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
Q

how do we perform ambulation

A

with a temp prosthesis

progressive Wbing

39
Q

progressive WBing

A

balance exercises

weight shift

gait training

40
Q

balance exercises –> progressive WBing

A

must balance to walk

most important factor in gait ability (balance ability and confidence)

41
Q

weight shift –> progressive WBing

A

decrease COG shift to sound side

42
Q

gait training –> progressive WBing

A

work on control first

quality not quantity

43
Q

what do we give the pt

A

HEP

44
Q

HEP includes

A

exercises (in writing)

ambulation program

bandaging/shrinker

45
Q

bandaging/shrinker –> HEP

A

x-silver shrinker

comfort silver liner sheath (worn under a liner)

anti-microbial

shrinker w/ gel band at top

46
Q

goals at the end of this phase

A

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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