Stub inspection!
Is a longer or shorter residual limb associated with more strength?
Longer is stronger!
What is the first concern for ROM loss in TransTibial amputation
Knee Extension ROM
What is the distance someone must hop on the AmpNoPro
8meters
What AD might you opt for for someone who is higher functioning after an amputation?
Crutches
How often should we reposition our patients in bed?
Every 2 hrs
What are the bony landmarks in a TT Amputation? What about a TF amputation?
Tibial Tuberosity and Greater trochanter
What kind of positioning might you try to reduce risk of hip flexion contracture?
Prone lying
How many attempts do you get at each item on the AmpNoPro
1
A patient is a mod assist for all transfers, name 1 device you might use to help transfer from WC to bed?
Sliding board
What daily task might you educate Reggie on in regards to his intact foot?
What intervals do we measure the residual limb at?
5-8cm
What dosage would you give for stretching at risk muscles ? (Sets/time)
3 sets x 30 sec
What is the most you can score on the AmpNoPro?
Bonus: what is the most you can score on the AmpPro
43
Bonus: 47
Where should you stand when guarding someone with an amputation?
Side of the involved limb
Scoring in this K level indicates you are likely not eligible for a prosthesis?
K0
Name the ideal shape of a TT amputation?
Bonus 50: Name the ideal shape of the TF amputation
TT=Cylindrical
Bonus: TF=Conical
What are the common contracture sites with TT amputations? Name 3
Knee Flexion Contracture
Hip Flexion Contracture
Hib ABD contracture
What K level is usually not covered by medicare
K4
How many points do crutches score you on the AmpNoPro?
4 pts
Where do the additional 4 points come from in the AmpPro?
SL balance item
When taking residual limb measurements, the distal end can be 1/3 in larger than the proximal end, why might this be okay?
provides more protection and cushion in prosthesis
Why is Reggie's history of rotator cuff tear significant?
Bonus 150: What would you want to find out about it?
Could impact: AD selection, his ability to perform transfers, issues with bed mobility, issues with independence, slow progression
Want to know: Strength, ROM, impacted muscles, postural changes
You just had a TT amputation- show us how you would get up off the floor without your L leg
no correct answer lol, I just wanted to make you get up
Why is it important for Reggie to wear the shrinker at all times?
to reduce risk of edema/ not fitting in his prosthesis?
Name 2 reasons why edema management is so important following an amputation
Bonus 200: Name 2 more
Better movement, Less pain, Improve healing, Helps optimize shapes, Helps with desensitization