Prosthetics

Question 1

what is the most common cause for amputation?

Answer 1

peripheral vascular disease PVD

Question 2

surgeon determines the height of amputation based on ________ of the extremity

Answer 2

palpable pulses

Question 3

chopart’s amputation

Answer 3

midtarsal

Question 4

Syme’s amputation

Answer 4

ankle disarticulation

Question 5

O’Sullivan goals for healing process (6)

Answer 5

1. edema
2. contractures
3. strength
4. adjust to loss
5. HEP
6. proper care of remaining limb

Question 6

sensation of the limb that is no longer there. Tingling, burning, itching, usually not painful

Answer 6

phantom limb sensation

Question 7

cramping, squeezing, shooting, burning pain of limb that is no longer there

Answer 7

phantom limb pain

Question 8

manage swelling by using this wrapping technique

Answer 8

figure 8

Question 9

soft dressings (2)

Answer 9

1. shrinker

2. . elastic wrap

Question 10

improves edema control but loosens easily

Answer 10

semirigid dressing (UNNA boot)

Question 11

Rigid dressings (2)

Answer 11

1. IPOP

2. RRD

Question 12

non-adjustable, non-removable temporary prosthesis that helps limit edema and allows early ambulation

Answer 12

IPOP

Question 13

adjustable and removable for wound inspection, temporary

Answer 13

RRD

Question 14

Stretch abductors for _______ and adductors for ______

Answer 14

transfemoral

transtibial

Question 15

most common contractures for AKA

Answer 15

hip flex and ABD

Question 16

most common contractures for BKA

Answer 16

hip flex and ADD, knee flex

Question 17

tips to avoid LE contracture (3)

Answer 17

1. avoid prolonged sitting
2. avoid elevating limb
3. prone each day

Question 18

science of dealing w/ functional and/or cosmetic restoration for all or part of a missing limb

Answer 18

prosthetics

Question 19

science of dealing w/ orthoses designed to provide external control, correction and support

Answer 19

orthotics

Question 20

contains the residual limb. Stump sock, gel liner to reduce friction

Answer 20

socket

Question 21

goal is to eliminate pistoning. Achieved w/ suction valve, locking liner/shuttle lock, belts/straps/sleeves

Answer 21

suspension

Question 22

connects foot to socket. Can be either exoskeletal or endoskeletal

Answer 22

pylon/shank

Question 23

Dynamic Response: stores energy w/ loading, releases energy at terminal stance.

Answer 23

foot

Question 24

allows some PF/DF

Answer 24

single axis foot

Question 25

allows some PF/DF/Inv/Ev

Answer 25

multi axis foot

Question 26

knee mechanism types from least control to most control (6)

Answer 26

1. single axis 2. friction brake 3. polycentric 4. manual lock 5. hydraulic 6. c-leg (microprocessor)

Question 27

pt does not have ability/potential to ambulate or xfer safely. Prosthesis does not enhance quality of life

Answer 27

K0

Question 28

pt has ability to xfer or amb on even surfaces for 100-200 ft

Answer 28

K1

Question 29

pt has ability/potential for amb and traverse low-level environmental barriers (curbs, stairs) community ambulator

Answer 29

K2

Question 30

pt has ability/potential for amb w/ variable cadence. Community ambulator. Traverse most environmental barriers. Still working or exercising beyond simple locomotion

Answer 30

K3

Question 31

pt amb needs exceed basic amb skills. High level athlete or child

Answer 31

K4

Question 32

orthosis that can be moved from shoe to shoe. Corrects foot alignment, improves function, relieves pain.

Answer 32

foot orthotic insert

Question 33

orthosis that captures foot and ankle by extending up to calf. Solid, articulating, and posterior leaf spring

Answer 33

AFO

Question 34

TF knee orthosis can be rigid or soft

Answer 34

True

Question 35

Orthosis that captures knee and ankle by extending up to thigh. Allows for flexion but also provides stability in extension

Answer 35

KAF orthosis

Question 36

spinal orthosis that provides abdonminal compression and support

Answer 36

corset

Question 37

spinal orthosis for spine alignment d/t scoliosis

Answer 37

Milwaukee

Question 38

orthosis for cervical stabilization

Answer 38

Halo

Question 39

redness of skin from orthosis should go away w/in _____ after removal

Answer 39

15-20 min

Question 40

TF it is ok to add padding to orthosis to relieve pressure

Answer 40

False