Info for Px Eval
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Name, Age, DOB, Sex
Ht, Wt
Meds, comorbidities
Amp site/cause/date
ADLs/vocational/avocational
Goals!
Home status/environment
Work status/environment
, PT/OT, assistive devices used
Current/previous px treatment
MMT, ROM
Sensation
Condition of residual limb
Condition of contralateral/upper extremities
K-level/AMP
Clues: Anterior distal pressure
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Problem: too much pressure
Solution: pretibial pads, extend socket
Sagittal TF dynamic alignment goals
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Knee stability throughout stance
Smooth loading response
Symmetry of step length and duration
Quality of knee flexion during late stance and swing
K3-4 knees - control
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Fluid (cadence responsiveness) hydraulic or pneumatic
-Pros: variable cadence, swing and stance control, more natural gait
, -Cons: increased weight/maintenance/cost
Microprocessor (fluid controlled by "computer chip")
Clues: bilstering/discoloration of distal limb (socket fit is correct)
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Problem: milking on the limb due to donning the liner incorrectly
Solution: don liner without air at distal end
K1 feet
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SACH, Single axis, safe
Scarpa's triangle
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Inguinal ligament, sartorius, adductor longus
Quad trimlines
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, Anterior: 2.5" proximal to IT
Medial: at ischial level
Lateral: 2.5" proximal to IT
Posterior: at ischial level
TR Cable System Validation Criteria
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>70% efficiency (force at TD/force at hanger)
Elbow flexion w/in 10* of anatomical
Retain >50% available pronosupination
Lift 50 lb or 1/3 of body weight (figure 8)
50 lb axial pull should not displace >12-25mm
TD doesn't fully open at waist/mouth (TH)
Give this one a try later!
Excursion problem
Solution: tighten CAS, check housing clearance, move EFA distal, move
baseplate posterior/distal/medial, add Northwestern ring/Baha/etc; add Z
strap
TD opens before/during elbow flexion (TH)
Give this one a try later!
Force problem
Solution: move EFA distal, more bands, baseplate anterior/prox/lateral,
Give this one a try later!
Name, Age, DOB, Sex
Ht, Wt
Meds, comorbidities
Amp site/cause/date
ADLs/vocational/avocational
Goals!
Home status/environment
Work status/environment
, PT/OT, assistive devices used
Current/previous px treatment
MMT, ROM
Sensation
Condition of residual limb
Condition of contralateral/upper extremities
K-level/AMP
Clues: Anterior distal pressure
Give this one a try later!
Problem: too much pressure
Solution: pretibial pads, extend socket
Sagittal TF dynamic alignment goals
Give this one a try later!
Knee stability throughout stance
Smooth loading response
Symmetry of step length and duration
Quality of knee flexion during late stance and swing
K3-4 knees - control
Give this one a try later!
Fluid (cadence responsiveness) hydraulic or pneumatic
-Pros: variable cadence, swing and stance control, more natural gait
, -Cons: increased weight/maintenance/cost
Microprocessor (fluid controlled by "computer chip")
Clues: bilstering/discoloration of distal limb (socket fit is correct)
Give this one a try later!
Problem: milking on the limb due to donning the liner incorrectly
Solution: don liner without air at distal end
K1 feet
Give this one a try later!
SACH, Single axis, safe
Scarpa's triangle
Give this one a try later!
Inguinal ligament, sartorius, adductor longus
Quad trimlines
Give this one a try later!
, Anterior: 2.5" proximal to IT
Medial: at ischial level
Lateral: 2.5" proximal to IT
Posterior: at ischial level
TR Cable System Validation Criteria
Give this one a try later!
>70% efficiency (force at TD/force at hanger)
Elbow flexion w/in 10* of anatomical
Retain >50% available pronosupination
Lift 50 lb or 1/3 of body weight (figure 8)
50 lb axial pull should not displace >12-25mm
TD doesn't fully open at waist/mouth (TH)
Give this one a try later!
Excursion problem
Solution: tighten CAS, check housing clearance, move EFA distal, move
baseplate posterior/distal/medial, add Northwestern ring/Baha/etc; add Z
strap
TD opens before/during elbow flexion (TH)
Give this one a try later!
Force problem
Solution: move EFA distal, more bands, baseplate anterior/prox/lateral,
