Things to consider when pt has diminished sensation
(page 1015 O'S) correct answers skin inspection should be performed carefully and at least once
a day
SACH
(page 1366 O'S) correct answers solid ankle cushion heel
Purpose of SACH
(page 1366 O'S) correct answers to absorb shock and permit plantar flexion in early stance;
allows the foot to hyperextend in late stance; allows a very small amount of medial-lateral and
transverse motion
Transtibial contractures
(page 1015 O'S) correct answers knee flexion
Transfemoral contractures
(page 1015 O'S) correct answers hip flexion and hid abduction
Manageable contracture
(slide 69;) in amputations PP) correct answers 15 degrees or less
Treatment for transtibial contractures
(slide 69;) in amputations PP) correct answers spend time in prone
use splint/board in sitting to keep knee extended
PNF stretching
,treatment for transfemoral contractures
(slide 70 in amputations PP) correct answers emphasize full hip extension and adduction
prone laying
avoid prolonged sitting
what to avoid with contractures
(slide 68 in amputations PP) correct answers propping residual limb on pillows
prolonged sitting
Muscles needed for strong prosthetic gait with transtibial and transfemoral amputations
(page 1016 O'S) correct answers Hip extensors and abductors
Knees extensors and flexors
Advantages with suction suspensions
(page 1373 O'S) correct answers Promotes fluid exchange
moisture buildup
Regulates residual limb volume fluctuations
proprioceptive awareness
advantages with pin and lock suspensions
(page 1373 O'S) correct answers prevents prosthesis from slipping during swing phase
stages of grief correct answers denial, anger, bargaining, depression, acceptance
stages of grief according to Donatelle and Davis
(page 1179 O'S) correct answers frozen feelings, emotional release, loneliness, physical
symptoms, guilt, panic, hostility, selective memory, struggle for new life pattern and a sense that
life is okay
, #1 leading cause of amputations in the US
(page 1001 O'S) correct answers PVD
#2 leading cause of amputations in the US
(page 1001 in O'S) correct answers Trama
Pressure relief areas in transfemoral concave quadrilateral socket prosthesis
(page 1377 O'S and slide 39 of prosthetics PP) correct answers adductor longus
obturator nerve
hamstring tendons
sciatic nerve
gluteus maximus
rectus femoris
pressure tolerant relief areas in transfemoral correct answers ischium
soft tissues of residual limb
Transtibial residual limb pressure tolerant areas
(slide 86 of prosthetics PP) correct answers Patellar tendon
Medial tibial plateau
Tibial & fibular shafts
Distal end (rarely but could be sensitive)
pressure sensitive areas of transtibial correct answers Anterior distal tibial
Anterior tibial crest
Fibular head & neck