Busy. Please wait.
Log in with Clever
or

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever
or

Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.

Amputations II

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
        Help!  

Question
Answer
Team Effort: Patient   -Include in all rehab plans -Disbelief...Anger...Bitterness...Denial...Acceptance= stages of grief -Varying attitudes towards prosthetics  
🗑
Team Effort: Physician   -Mostly vascular surgeons with varying knowledge of prosthetic rehab -Orthopedics and psychiatrists tend to be more knowledgeable of rehab  
🗑
Team Effort: Nursing   -Most of education and wound care  
🗑
Team Effort: Therapists   -PT makes prosthetic recommendations -Co-treatments common with OT and PT  
🗑
Team Effort: Dietician   -Consult to aid in healing  
🗑
Team Effort: Prosthetist   -Fabricates/ modifies prosthetic -Most of education and training now  
🗑
Team Effort: Social worker   -Counseling/ vocational rehab  
🗑
Team Effort: Psychologist   -Serve emotional needs  
🗑
Phantom limb   -Sensation that the limb is still there -Occurs initially after surgery -Tingling, burning, itching, pressure, or numbness- -Distal part is most frequently “felt” -Responsive to bandaging or rigid dressings -Usually improves with time  
🗑
Phantom pain (different than sensation)   -Occurs in 80% of amputees -Described as cramping, squeezing, shooting or burning pain -May be localized or diffuse -Can be continuous or intermittent -Can be triggered by external stimuli -Usually improves with time  
🗑
Phantom pain cont...   -RL should be examined for neuromas and trigger points -Wearing a prosthesis may help; Why? -Non-narcotic analgesics have been of limited value  
🗑
Phantom limb and pain treatment   -Good evidence- Anti-convulsents, opioids, anti-depressants, anti-epileptic, manual therapies -Insufficient evidence- TENS, sympathectomies, spinal cord stimulation -Others- no systematic reviews in Cochrane Library  
🗑
Phantom limb and pain treatment cont...   -Manual therapy- progress from: -Soft to rough textures -Light to heavier pressures  
🗑
Rehab phases   -Pre-prosthetic or Post-surgical phase: -Promote function without prosthetic -Prepare for prosthetic as needed -Prosthetic phase  
🗑
Pre-prosthetic or post-surgical phase   -Skin care -Bandaging -Positioning -Exercise -Bed mobility -Basic transfer training -Gait training  
🗑
Skin care   -Education of skin care: -Pay attention to skin folds; keep dry -RL washed daily with mild soap; early handling promotes acceptance; desensitization -Man ther/ther ex to avoid excess scar tissue -No creams, etc should be put on without MD approval  
🗑
Bandaging   -Family may help initially -Encourage joint extension -Smooth/wrinkle free -Avoid unevenness with: -Adductor rolls -Dog ears -Tourniquet Effect -Greater pressure distally -Shrinkers  
🗑
Shrinkers   -Not used until incision is healed -Rolled NOT pulled  
🗑
Positioning for BKA   -Avoid prolonged: hip IR and knee flexion  
🗑
Positioning for AKA   -Avoid prolonged: hip flexion and abduction  
🗑
Positioning in general   -Limit prolonged sitting -Assume prone position daily  
🗑
Exercise for amputations   -ROM: -Manual techniques -STM/JM -PROM- with/without PNF motions -Self stretching -Strengthening: -Focus on UE/LE anti-gravity muscle groups -Focus on all groups of RL  
🗑
Transfer training   -Protect RL- don’t push or slide on bed/chair -Sliding board/pivot transfers for AKA/BKA -Forward/backward transfer for AKA, especially with bilateral RLs  
🗑
Wheelchair Mobility   -Required for bilateral amputees -Special cushion -Amputee chairs: -Offset wheels for balance or anti-tip device -No leg rests -RL rest for BKA -Place a sliding board under your residual limb while sitting in W/C  
🗑
Pre-prosthetic gait   -Standing balance -Ambulation: parallel bars -Assistive device  
🗑
Prosthesis   -PT must determine potential first -Temporary ones are often used initially  
🗑
Prosthetic phase   -Skin & Prosthetic care -Don/Doff prosthesis -Exercise -Transfers -Ambulation with prosthesis  
🗑
Skin care   -Only put dry RL into socket -Examine RL for signs of chafing, blisters, or bruising- use mirror  
🗑
Prosthetic care   -Wash socket regularly -Tighten and clean all parts -Oil leather parts  
🗑
Donning/ doffing of prosthesis   -Usually done in lying/ sitting -Exact sequence depends on type  
🗑
Exercises   -Greater focus on standing and functional activities -UE and trunk activities as well due to greater dependence on these areas  
🗑
Basic transfer   -(sit to stand) with and without prosthesis  
🗑
Advanced tansfer   -(floor/car/tub/etc) utilizing various positions with and without prosthesis  
🗑
Advanced activities and gait training   -Verbal feedback -Physical contact/ tapping -Mirror/video give visual feedback -Parallel bars: press down w/ UEs, don't pull to mimic gait -Emphasize knee control in opened & closed chain activity -Control swing momentum & controlling foot placement  
🗑
AKAs   -Using hip flexion to bend the knee -Using hip extension to stabilize the knee -Keeping good leg forward increases knee stabilization in prosthetic leg  
🗑
Advanced activities and gait training   -2 feet to one -2 hand support to none -Frontal plane then to sagittal plane -Predictable to unpredicatable enviroments  
🗑
Advanced activities and gait training cont...   -Balance and weight shifting- away and then toward prosthetic -Reaching outside of BOS: -Over sound then prosthetic side -Two to one hand -Vary heights -How to fall -Side stepping -Braiding -Gait cycle components to full gait cycle  
🗑
Advanced activities and gait training cont...   -Sound leg step forward/backward -Sound leg step through -Prosthetic leg step forward/backward -Prosthetic leg step through -Walking: level to uneven surfaces, inclined surfaces, stepped surfaces -Ramps and stairs: up w/ good, down w/ bad  
🗑
Advanced activities and gait training cont...   -Walking around furniture -Picking things up off floor -Lifting techniques & carrying techniques -Busy hallway -Obstacle course for endurance & control -Exercise videos i.e. www.veho.com -Running, sports  
🗑
Extras   -Swimming- fixed ankle PF -Driving -Artificial intelligence  
🗑


   

Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
 
To hide a column, click on the column name.
 
To hide the entire table, click on the "Hide All" button.
 
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
 
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.

 
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how
Created by: alovedaytn
Popular Physical Therapy sets