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OT Sem 2 > Prosthetics > Flashcards

Prosthetics Flashcards

1
Q

A device that replaces the function of a
missing part.

A

prosthesis

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2
Q

through the metatarsal
bones ang amputation

A

transmetatarsal

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3
Q

amputation is between
the tarso and metatarsal

A

tarsometatarsal

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4
Q

Prosthetic prescription for tarsometatarsal and transmetatarsal:

A

shoe filler; rocker bar

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5
Q

lisfranc

A

tarsometatarsal

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6
Q

● Midtarsal amputation
● Preserves the calcaneus and talus

A

CHEOPART

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7
Q

term for surgical removal of talus

A

talectomy

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8
Q

Talectomy + There is a horizontal section through the
calcaneus

A

boyd

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9
Q

Vertical section through calcaneus

A

pirogoff

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10
Q

If your patient had a partial foot amputee, what is
the required heel of the patient shoe?

A

low heel

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11
Q

Ankle disarticulation

A

symes

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12
Q

Below knee amputation

A

TRANSTIBIAL

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13
Q

3 Lengths of BKA

A

a. Short
b. Standard
c. Long

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14
Q

3 Lengths of BKA

a. Short=
b. Standard=
c. Long=

A

a. Short= <20%
b. Standard= 20-50%
c. Long= >50%

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15
Q

IDEAL STUMP SHAPE TRANSTIBIAL/BKA:

A

Cylindrical

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16
Q

BKA contracture:

A

Knee flexion contracture

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17
Q

3 types of KNEE DISARTICULATION

A

tenoplastic osteplastic true disarticulation

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18
Q

Simplest and least traumatic
Removal Tibia, Fibula and Patella only
Removal only, no transection or cutting
ng distal end of femur.
Preserves: Distal femoral condyles and
epiphysis

A

true disarticulation

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19
Q

Gritti-stokes

A

osteplastic

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20
Q

Kirk, Callender

A

tenoplastic

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21
Q

Section femur is
covered with quads tendon

A

tenoplastic

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22
Q

Arthrodesis of patella to sectioned
femur

A

osteplastic

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23
Q

Above Knee Amputation

A

transfemoral

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24
Q

standard transfemoral length

A

35-60/33-66

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25
Q

AKA IDEAL STUMP SHAPE:

A

Conical

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26
Q

AKA Contractures

A

Hip Flexion and Abd. Contractures

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27
Q

SINGLE BELOW KNEE/ABOVE KNEE
AMPUTATION

Which prosthesis length has greater trim-down?

A

Above Knee Prosthesis

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28
Q

Above Knee Prosthesis
○ Should be made ____ shorter than the
below knee prosthesis for foot
clearance

A

¼ - ½

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29
Q

BILATERAL BELOW KNEE AMPUTATION
Prosthetic Prescription:

Both below knee prosthesis should be made
__________ shorter than the pre-amputation legs
for _________

A

1 inch shorter; better balance

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30
Q

BILATERAL ABOVE KNEE AMPUTATION
Primary means of ambulation:

Wheelchair with ( posterior / anterior ) displaced wheels
(Wheels:_______ inches posteriorly/backward)

A

posterior; 2-2.5

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31
Q

BILATERAL ABOVE KNEE AMPUTATION
Prosthetic Prescription: (If individual has Bilateral
AKA but is young and active)

A

stubby prosthesis

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32
Q

stubby prosthesis has:

___________ socket w/ (anterior / posterior)
protruding rocker bars

A

quadrilateral; posterior

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33
Q

stubby prosthesis reduces the height of the px by _______
inches

A

12

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34
Q

Canadian hip disarticulation prosthesis is used for

A

VERY SHORT ABOVE KNEE AMPUTATION
HIP DISARTICULATION
HEMIPELVECTOMY

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35
Q

Removal of the of pelvis, sacrum/cocyx,
below L4-L5 level

A

hemicorporectomy

36
Q

hemicorporectomy porste presc:

A

Sitting bucket articulated to canadian hip
disarticulation prosthesis

37
Q

Upper ex prosthesis components:

A
  1. terminal devices
  2. interposing devices
  3. sockets
  4. suspensions/harness
  5. control cable
38
Q

● MC used terminal device
● Most functional terminal device

A

VOLUNTARY OPENING

39
Q

Most physiologic terminal device

A

VOLUNTARY CLOSING

40
Q

terminal device
● Non-functional
● Made up of rigid or semi-rigid
materials

A

cosmetic hand

41
Q

terminal device

Muscle rectified hand fxns with the
use of electrodes

A

MYO-ELECTRIC HAND

42
Q

MOTOR-DRIVEN HAND

A

uses motor

43
Q

2 types of wrist interposing joints

A

fixed, quick change

a. Fixed- uses 1 terminal device only
b. Quick change- uses many terminal
devices. Pwedeng papalit- palit

44
Q

types of elbow interposing joints

A

mech, electrical

45
Q

Mechanical elbow pre-positioned from
_______° of elbow flexion (by the
patient)

A

5-135

46
Q

Elbow IPJ

has more control and
versatility; kasi may kasama minsan
na forearm pronation-supination

A

electrical

47
Q

Elbow IPJ

Pre-positioned by the patient
according to functional needs.

A

shoulder

48
Q

III. SOCKET

  1. ● MC used
    a. _________ - directly encapsulates the
    stump
    b. _________l - pre-designed as the real
    arm or forearm of the patient
A

III. SOCKET
1. STANDARD (TWO-WALLED SOCKET)
● MC used
a. Inner wall- directly encapsulates the
stump
b. Outer wall - pre-designed as the real
arm or forearm of the patient

49
Q

SOCKET

Indicated for infants

A

THREE WALLED SOCKET

50
Q

3 PARTS OF THREE WALLED SOCKET

A

INNER, MIDDLE, OUTER

51
Q

SOCKET FOR elbow disarticulation

A

SINGLE WALLED SOCKET

52
Q

SOCKET For very short BEA and to gain power

A

MUNSTER

53
Q

SOCKET for very short below elbow
amputation (BEA) and for pt. with limitation
of elbow flexion

A

SPLIT SOCKET WITH STEP UP HINGE

54
Q

For every 1° of elbow flexion= 2° socket
flexion (multiply elbow flexion by 2)

A

SPLIT SOCKET WITH TEP UP HINGE

55
Q

TYPES OF HARNESS

A

FIGURE OF 8
O RING
FIG OF 9
MODIFIED SHOULDER SADDLE
CHEST STRAP

56
Q

MC USED HARNESS

A

FIG OF 8

57
Q

HARNESS For pt. with shoulder disarticulation
and/or forequarter amputation

A

CHEST STRAP

58
Q

HARNESS For heavy lifting

A

MODIFIED SHOULDER SADDLE
HARNESS

59
Q

tinanggal na yung humerus
tinapyasan pa yung ribs

A

FOREQUARTER AMPUTATION

60
Q

tinanggal yung pag
kaka-attach ng humeral head
from the glenoid fossa

A

SHOULDER DISARTICULATION

61
Q

amputation above the lesser trochanter

A

Very short above knee amputation

62
Q

Removal of femoral head from the
acetabulum

A

Hip disarticulation

63
Q

Resection of the lowe half of pelvis

A

hemipelvectomy

64
Q

CONTROL CABLE/SYSTEM

● MC used
● Uses a single control system

A

BOWDEN

65
Q

CONTROL CABLE/SYSTEM

Uses a double-control system

A

FAIR LED

66
Q

CONTROL CABLE/SYSTEM

Muscle-rectified control system

A

MYO ELECTRIC

67
Q

SPEED OF AMBULATION
Normal/ minimum speed MPH
w/ BKA MPH
w/ AKA MPH

A

Normal/ minimum speed 3 mph
w/ BKA 2-2.5 mph
w/ AKA 1.5 mph

68
Q

ENERGY EXPENDITURES

Wheelchair _________ _____
_______ walking _____
_______ BK ______
___________ BK is ________
__________ AKA is ______
Double AKA ___________
Single BK/ Single AK _________

A

ENERGY EXPENDITURES

Wheelchair ambulation 9%
Crutch walking 60%
Single BK 10-40%
Double BK (& uses bilateral BKP) 41%
Single AKA 65%
Double AKA (& uses bilateral AKP) 110%
Single BK/ Single AK 75%

69
Q

PROSTHETIC FITTING IN CHILDREN

Above/Below ________ ________ months
Below/Above ___________ _______ months
_____________ 2 years old
Elbow unit _____________
______________ ______________
_______________ 3-4 years old

A

PROSTHETIC FITTING IN CHILDREN

Above/Below Elbow 3-6 months
Below/Above Knee joint 8-10 months
Active Terminal Device 2 years old
Elbow unit 2-3 years old
Functional hand 3 years old
Actively controlled knee joints 3-4 years old

70
Q

Single BK

A

10-40

71
Q

single AKA

A

65

72
Q

Double AKA

A

110

73
Q

Wheelchair ambulation

A

9

74
Q

Double BK

A

41

75
Q

Single BK/ Single AK

A

75

76
Q

Crutch walking

A

60

77
Q

PROSTHETIC FITTING IN CHILDREN

Below/Above Knee joint

A

8-10 mos

78
Q

PROSTHETIC FITTING IN CHILDREN
Elbow unit

A

2-3 years old

79
Q

PROSTHETIC FITTING IN CHILDREN
Actively controlled knee joints

A

3-4 y/o

80
Q

PROSTHETIC FITTING IN CHILDREN
Functional hand

A

3 y/o

81
Q

PROSTHETIC FITTING IN CHILDREN
Above/Below Elbow

A

3-6 mos

82
Q

PROSTHETIC FITTING IN CHILDRENActive Terminal Device

A

2 y/o

83
Q

SPEED OF AMBULATION
Normal/ minimum speed

A

3 mph

84
Q

SPEED OF AMBULATION
w/ BKA

A

2-2.5

85
Q

SPEED OF AMBULATION

w/ AKA

A

1.5 mph

OT Sem 2 (9 decks)

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