epidemiology
dysvascular disease (DM more specifically)
name three aspects of residual limb care
inspection, desensitization, moisturizing, skin/scar mobilizations, wash with mild soap
name two general biomechanical changes that occur after amputation
decrease muscle force, altered balance, increase energy cost of walking, common gait deviations
What compensations might you see in people with a prosthetic that is too long
vaulting, circumduction, decreased clearance
What K level uses a SACH foot
K1
80% of foot ulcers involve this side effect of DM
peripheral neuropathy
name two treatments for phantom limb pain
mirror therapy, graded motor imagery (laterality training, explicit motor imagery), TENS, desensitization, relaxation
What muscle insertion does a transfemoral amputation preserve
adductor insertion
What compensation might you see in a person with weak hip abductors
trunk lean
what type of suspension has the best control but is the most expensive
elevated vacuum
What joint is amputation most likely to happen to in a traumatic accident
digit amputation
name the golden three rehab goals/interventions
education, prevention, treatment
What is a Syme's amputation AND what is preserved
amputation at ankle joint distal to malleolus, heel fat pad is preserved and positioned under tib fib
What is a prosthetic cause to an early heel rise in a TTA
PF, socket extension
What K levels can use weight-activated and polycentric knees
K1, K2
What kind of cancer is most common to cause amputation
osteosarcoma
What are two types of methods for volume management
ace wrap, shrinker, rigid dressings, IPOP
what does myodesis consist of
attaching muscle to bone during surgery
what is the prosthetic cause of a medial whip and what is a potential patient cause
ER of knee, incorrect donning
name four outcome measures for prosthetic patients
6MWT, gait speed, 10m WT, TUG, ABC, AMPPRO
What kind of congenital amputation is the absence of the entire limb
Amelia
what percent of amputees fall per year
50%
In a transmetatarsal amputation, what contracture is most likely to occur and what surgery may follow
PF contracture - achilles tendon lengthening
In a TTA, what is a prosthetic cause of limited knee flexion in swing phase
tight suspension
single OR polycentric, K3