Equipment, IER, NPTE, Physical therapy
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| What muscles should be strengthened if long term ambulatory aids are to be used | show 🗑
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| Three point gait | show 🗑
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| two-point gait | show 🗑
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| show | slow gait pattern one assistive device advances forward and placed on floor then advancement of opposite leg repeat for the other side- maximum stability
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| show | assistive devices are advanced forward together then the legs are swung forward to meet the assistive devices
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| show | assistive devices are advanced forward together then the legs are swung forward beyond the assistive device-not as safe as swing to and can only be done using crutches
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| Which assistive devices can be used for stair ascending/descending | show 🗑
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| show | every 15-20 minutes or 3-4 times per hour
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| When are elevating leg rest contraindicated | show 🗑
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| When is a tilt in space wheelchair indicated | show 🗑
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| When using a Body Weight Support System(BWS) without a treadmill what is the initial % of weight supported | show 🗑
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| show | single force is placed at the area of deformity or angulation with two additional counter forces applied in opposite direction above and below the deformity
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| show | heel spurs and plantar fasciitis
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| show | supports longitudinal arch used for pes plantus-flatfoot
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| Semirigid plastic insert FO | show 🗑
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| show | takes pressure off metatarsal heads used for metatarsalgia (metatarsal pain)
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| Metatarsal Bar FO | show 🗑
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| Thomas or medial heel wedge FO | show 🗑
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| show | used for excessive pes varus (supination) or genu varum (bow legged)
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| Medial/Lateral SOLE wedges FO | show 🗑
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| show | builds up soles allows more push off in weak or inflexible feet used for metatarsalgia and with weak plantarflexion
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| Solid AFO | show 🗑
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| show | limits plantarflexion used to correct for knee recurvatum in stance and toe drag during swing phase of gait
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| show | limits dorsiflexion used to prevent knee buckling or excessive knee flexion during early stance
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| Posterior leaf spring AFO | show 🗑
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| Dorsiflexion spring assist AFO | show 🗑
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| What does a valgus correction strap do | show 🗑
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| What does a varus correction strap do | show 🗑
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| Which type of AFO molded or conventional allows for volume change of the lower leg | show 🗑
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| Offset joints in KAFO | show 🗑
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| show | MOST COMMON KNEE CONTROL locks the knee in extension
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| Craig-Scott KAFO | show 🗑
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| show | used for patients with T9-12 level of spinal cord lesion or spina bifida lesion usually with children
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| ParaWalker THKAFO | show 🗑
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| Toronto hip/Scottish Rite HO | show 🗑
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| scoliosis orthoses | show 🗑
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| milwalkee orthoses- scoliosis | show 🗑
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| Boston orthoses-scoliosis | show 🗑
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| At what level would a wrist driven tenodesis orthosis be used | show 🗑
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| Transmetatarsal amputation | show 🗑
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| Syme's amputation | show 🗑
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| show | long BTK more than 50% of tibia is left
standard BTK 20-50% tibia is left
short BTK less than 20 % is left
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| show | amputation through the knee with the femur intact
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| show | long AKA more than 60% of femur is left
ideal AKA 35-60% of femur
short AKA less than 35% of femur left
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| Hip disarticulation | show 🗑
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| show | resection of the lower half of the pelvis
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| Hemicorporectomy | show 🗑
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| show | amputation through the wrist jt
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| Transradial | show 🗑
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| show | amputation through the elbow
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| show | Above elbow (AE) amputation
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| Shoulder disarticulation | show 🗑
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| Post-op amputation dressing- ridgid | show 🗑
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| post-op amputation dressing - soft | show 🗑
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| show | can be fitted as soon as the wound is healed
shrinks residual limb more effectively
allows for early ambulation
normally used for younger candidates whose amputation was not a result of vascular disease
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| show | socket and terminal device
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| show | custom molded to the residual limb with total contact and full load distribution with the goals of assisting circulation and providing maximum sensory feedback
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| show | provide soft interface between the residual limb and socket
used to accommodate for changing residual limb volume
should not exceed 15 ply thickness for proper fit and weight bearing of the socket
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| show | functions to provide an interface between the prosthesis and the external environment
for LE prosthesis it is the foot
for UE prosthesis it is the hook/hand
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| partial foot prostheses | show 🗑
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| what does a Below-Knee prostheses consist of | show 🗑
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| foot ankle assembly for BKA | show 🗑
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| show | SACH foot (Solid Ankle Cushion Heel)
SAFE foot (Stationary attachment flexible endoskeleton)
Seattle foot
Fex-foot (Springlite foot)
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| SACH foot | show 🗑
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| SAFE foot | show 🗑
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| show | -slightly flexible plastic keel bends at heel contact
-keel stores energy and recoils in latte stance releasing energy for springy termination to stance
-disadvantage: heavier than SACH foot
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| show | -includes a long band of carbon fiber material, which extends from the toe to the proximal shank and to the posterior heel section
-the long bands acts as a leaf spring, enabling the foot to store energy in early and mid stance and the release it in late
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| show | single-axis foot
multi-axis foot
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| single-axis foot | show 🗑
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| multi-axis foot | show 🗑
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| show | -provides leg length and shape
-transmits weight from socket to foot
-exoskeletal-usually made of wood with a plastic laminate finish that can be colored to match the skin-very durable
-endoskeletal-central aluminum or rigid plastic pylon covered with
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| show | patellar-tendon bearing (PTB)
-total contact socket that allows for maximum distribution of the load and assistance in venous blood circulation
-provides tactile feedback
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| Socket Reliefs | show 🗑
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| Socket built-ups | show 🗑
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| Suspension | show 🗑
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| What types of suspension are there | show 🗑
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| show | -medial and lateral walls of the socket extend up and cover the femoral condyles
-a removable medial wedge is placed between the socket and the medial epicondyle
-more cosmetic with no buckles and increases mediolateral stability
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| show | -similar to the SC with the addition of an anterior wall, which terminates above the patella
-used for SHORT RESIDUAL LIMBS
-may interfere with kneeling and is very visible when sitting
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| Thigh corset suspension | show 🗑
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| what does an Above Knee prostheses (AK) consist of | show 🗑
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| show | -enables to bend the knee when sitting and during ambulation
-single axis
-polycentric system (multiaxial)
-friction mechanism
-hydraulic knee units
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| show | permits knee motion around a fixed axis
-knee flexion is needed during late stance and swing phase
-knee locks in extension for heel strike and foot flat
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| Polycentric system knee unit | show 🗑
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| Friction mechanism knee unit | show 🗑
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| Hydraulic knee units | show 🗑
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| show | -many knee units have a mechanism to assist knee extension during the latter part of swing phase
-elastic webbing located in front of the knee unit stretches during knee flexion (early swing)and recoils to extend the knee(late swing)
-an internal exten
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| mechanical stabilizer | show 🗑
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| show | -designed to be a total contact device that emphasizes loading on PRESSURE TOLERANT structures such as the ischial tuberosity, gluteal muscles, lateral side of the thigh and to a lesser extent the distal end of the amputation
-it limits the load on the P
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| show | -MOST COMMONLY USED FOR AKA
-uses a horizontal posterior shelf to support the ischial tuberosity and gluteals
-the medial wall is the SAME height as the posterior wall while the anterior and lateral walls are 2.5-3" higher
-reliefs are provided for th
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| What types of suspension are there for an AKA | show 🗑
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| Suction suspension for AK | show 🗑
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| show | -a strap that anchors the prosthesis by reaching around the pelvis
-controls for rotation
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| show | -Includes a hinged hip joint attached to a leather/metal band anchored around the pelvis
-adds control for rotation, hip ADD/ABD
-REDUCES TRENDELENBURG GAIT
-adds extra weight
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Created by:
jen_p99
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