Rehab w/ Limb Loss (3)

Question 1

what should rehab training interventions include

Answer 1

open and closed chain exercises

PRE

PNF gait

exercises that improve CV fitness

ADL specific exercises

Question 2

PRE –> training interventions

Answer 2

UE

uninvolved lower limb

Question 3

PNF Gait –> training interventions

Answer 3

if they have temp prosthesis

Question 4

when do we start exercise

Answer 4

post op day 1

Question 5

what do we do post op day 1

Answer 5

AA/AROM for the RL and stretching for all limbs

Question 6

what do we gradually add to exercuse

Answer 6

isometrics

gentle ROM

PRE (stitches out)

trunk strengthening

Question 7

what do we stretch

Answer 7

ADDs

hip flexors and ERs

knee flexors

Question 8

what do we strengthen

Answer 8

trunk flexion

Question 9

what do we strengthen –> TF

Answer 9

ABD

ADD

extension

glutes

Question 10

what do we strengthen TT

Answer 10

hip extension

knee flexion

knee extension

hip and knee extension combined

Question 11

stress –> TF

Answer 11

hip extension

ADD

IR

Question 12

stress –> TT

Answer 12

knee extension

hip extension

ADD

IR

Question 13

stress –> trunk strengthening

Answer 13

core strengthening

good time to begin w/ abdominal bracing

Question 14

stress –> CV training

Answer 14

endurance exercise

w/c mobility ex

UE ergometer

Question 15

stress –> balance

Answer 15

sitting & standing

static and dynamic reaching exercises

Question 16

stress –> manual therapy

Answer 16

on restricted joints and soft tissue

Question 17

ambulation

Answer 17

w/ and w/o IPOP

Question 18

precautions of ambulation

Answer 18

benefits

problems

progression

Question 19

mobility training

Answer 19

ADLs –> w/c

transfers, bed mobility, etc.

Question 20

mobility training –> w/c

Answer 20

amputation results in elevation of the COG

elevated leg rest

Question 21

amputation results in elevation of the COG

Answer 21

pt is “top heavy”

weight anterior chair

wider base of chair

Question 22

what is it critical to teach your pt –> mobility training

Answer 22

how to rise from the floor

Question 23

what should we discuss with the pt –> mobility training

Answer 23

need for therapist to go into home

evaluate and treat in home

Question 24

pt/family education (1)

Answer 24

realistic expectation

rehab progression

changes in body image

phantom sensation

Question 25

pt/family education (2)

Answer 25

safety awareness, falls prevention

limb positioning

therex

ace wrapping/shrinker (once healed)

Question 26

emotional support

Answer 26

restore locus control

pt in control of own destiny

outside help

Question 27

what does emotional support include

Answer 27

re-eval

necessary referrals

Question 28

goals at completion of acute post surgical phase

Answer 28

independent in…

Question 29

independent in…–> goals

Answer 29

RL care

mobility, transfers, fxnal activities

HEP

care of opposite limb

Question 30

RL care –> goals

Answer 30

bandaging

skin care

positioning

Question 31

HEP –> goals

Answer 31

ROM and resistive exercise for RL and opposite limb

important to prevent contractures

pt education

Question 32

care of opposite limb –> goals

Answer 32

esp w/ PVD and DM

Question 33

D/C planning

Answer 33

factors influencing acute stay

Question 34

factors influencing acute stay

Answer 34

payer source, level, comorbidities, age, social support & injuries

traumatic amputation

dysvascular amputations

Question 35

traumatic amputation

Answer 35

home unless major trauma

medically stable

if not then inpatient acute rehab

Question 36

dysvascular amputations

Answer 36

in patient rehab

acute rehab: 1-3 weeks

Question 37

where do pts progress better

Answer 37

in patient rehab

esp w/ indications of vascular dysfxn

Question 38

when can a pt be sent home and continue PT

Answer 38

reach STG

have resources