Scorebuilders 2010
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| 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
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| Where do you want to anchor the wrap when you wrap amputations? | -above knee for transtibial amputations-around pelvis for transfemoral amputations
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| 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
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| Where do you want the pressure to be provided when wrapping ampuations to enhance shaping? | -provide pressure distally to enhance shaping
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| Why must you rewrap amputations frequently? | to maintain adequate pressure
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| 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
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