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Prosthetic training

Scorebuilders 2010

Hemipelvectomy and Hip Disarticulation -All functions of hip,knee,ankle and foot are absent-most common cause is malignancy-does not allow for activation of the prosthesis through a residual limb-prosthetic motion must be initiated through weight bearing
Transfemoral amputation -length of residual limb with regard to leverage and energy expenditure-no ability to wb through the end of the residual limb-susceptible to hip flexion contracture-adaptation required for balance, weight of prosthesis, and energy expenditure
knee disarticulation -loss of all knee/ankle/foot function-residual limb can wb through its end-susceptible to hip flexion contracture-knee axis of the prosthesis is below the natural axis of knee-gait deviations can occur secondary to malalignment of the knee axis
transtibial amputation -loss of ankle/foot functions-residual limb does't allow for wb at end-wb in the prosthesis should be distributed over the total residual limb-patella tendon should be area of primary wb-adaptations required for balance -knee flexion conracture
syme's amputation -loss of all foot fxn-residual limb can wb through its end,is bulbous with non-cosmetic appearance-dog ears must be reduced for proper prosthetic fit-adaptation required for inceased wb of prosthesis-adaptation required due to diminshed toe off
neuroma bundle of nerve endings that group together and can produce pain due to scar tissue, pressure from the prosthesis or tension on the residual limb
phantom limb painless sensation where the patient feels that the limb is still present-seen soon after the amputation and usually subsides with desensitization and prosthetic use-may continue for extended periods of time
phantom pain perception of some form of painful stimuli-pain can be continuous,intermittent,local/general,short-term or permanent-can interfere with successful rehab-treatment: TENS, US, icing, relaxation techniques, desensitization techniques, prosthetic use
What motions do you try and promote when you are wrapping an amputation? -promote full knee extension for transtibial amputations-promote full hip extensions for transfemoral amputations
Where do you want to anchor the wrap when you wrap amputations? -above knee for transtibial amputations-around pelvis for transfemoral amputations
What pattern do you want to use to wrap amputations? -diagonal and angular patterns -do not wrap in circular patterns-elastic wrap should not have any wrinkles
Where do you want the pressure to be provided when wrapping ampuations to enhance shaping? -provide pressure distally to enhance shaping
Why must you rewrap amputations frequently? to maintain adequate pressure
How big of elastic wrap whould you use for transtibial and transfemoral amputations and how should you secure the wrap? 3-4 inch for transtibial6 inch for transfemoralsecure wrap with tape, do not use clips
Created by: mbutterfly



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