Term
What is shrinker? How often should one be worn? |
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Definition
A garment that goes onto the leg that is designed to help the limb ‘mature’ The shrinker provides graded compression The shrinker should be worn constantly, except for during the time that the prosthesis is being worn.
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Term
| What is meant by "limb maturation" and what occurs intitally after a limb has been amputated? |
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Definition
Reduce in volume Desensitize - the shrinker being total contact will help to de-sensitize the limb Form into a conical shape - this is so that it can fit will inside a prosthesis After the limb has been cut, it must go through a very major healing process, it has to recreate its own vascular system
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Term
| What is the purpose of prosthetic sox? |
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Definition
Decrease sheer forces Provide cushion Absorb moisture
a nylon garment that is worn to protect the skin under a prosthesis |
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Term
| What is the purpose of the "socket" |
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Definition
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Term
What are the WB tolerant areas of a PTB (patella tendon bearing socket) |
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Definition
Patellar tendon Shaft of the Fibula Anterior Compartment Medial Flair of Tibia Gastroc Popteal area
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Term
What are the non-WB tolerant areas that are pressure sensitive to for the PTB (patellar tendon bearing) socket |
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Definition
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Term
| What type of socket is a TSB socket? |
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Definition
Total Surface Bearing socket Allows for total contact, and WB over the entire surface of the limb
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Term
What is the purpose of a socket insert, a.k.a. socket liner? [image] |
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Definition
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Term
What are advantages and disadvantages to a transtibial liner? [image] |
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Definition
Advantages Ease of adjustment Soft WB Allows for le-way in sock-ply error
Disadvantages Added bulk and weight to a prostetic limb Durability (they can rip easily) Hygiene |
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Term
What types of suspension can be used for a transtibial prosthesis |
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Definition
[image][image][image] [image] |
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Term
| What is the difference between a temporary and diffinitive prosthesis? |
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Definition
Temporary: made of a poly-propoline plastic ( a thermal plastic) it can be heated and reshaped Definitive: placed in ~6 months after wearing the temporary (once they are well fitted and adjusted to their device)
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Term
Prosthetic Feet What is the difference between a: Articulated Non-articulated SACH Running or J shaped foot
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Definition
Articulated - contains joints, can be single axis or multiaxis, and have dynmaic responses Has a heal lever and toe level, allowing for greater PF, DF They are made based on activity level and body weight But they are heavier and have more maintenance issues
Non-articulated - has no joints SACH (soft arch cushion heel)- very light weight, durable, and inexpensive Running foot or J shaped foot - has no heel
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Term
| What is the purpose of a keel? |
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Definition
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Term
| What is the purpose of a prosthetic shrinker |
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Definition
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Term
| Why is a transtibial socket aligned in flexion? |
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Definition
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Term
| When gait training with a transtibial amputee what motion at the knee is important during heel strike? |
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Definition
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Term
A new patient presents with knee hyperextension during gait training, how do you correct this problem? |
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Definition
Increase the socket flexion and/or move the foot posterior Increase the heel height of the shoe and/or increase heel stiffness of the shoe/foot Send back to the prosthetist
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Term
| If a new patient presents with too much knee flexion during gait training what is one way that you could correct this problem? |
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Definition
| increase the toe lever (keel) |
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Term
| What are three main objectives that should be taught to a transtibial when gait training? |
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Definition
Weight shifting over the prosthesis Speding equal time on each limb throughout the gait cycle Not to look down, but to look up
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Term
| At heel off where are the GRFs that will cause a knee extension moment? |
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Definition
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