Amputations and Prosthetics Flashcards Preview

Hand/UE 3 > Amputations and Prosthetics > Flashcards

Flashcards in Amputations and Prosthetics Deck (14)
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1
Q

levels of upper limb amputations (9)

A
  • proximal to distal
    1. interscapular thoracic
    2. shoulder disarticulation
    3. transhumeral (short)
    4. transhumeral (long)
    5. elbow disarticulation
    6. transradial (short)
    7. transradial (long)
    8. wrist disarticulation
    9. transmetacarpal
2
Q

levels and losses

A

the higher the level of amputation the greater the functional loss of the limb
the greater the functional loss the more complex the prosthesis

3
Q

phocomelia

A

shortening or absence of limbs as a side effect of thaliodomide
occurred in many children in the 1960s

4
Q

amputation postsurgical care (4)

A
  1. skin
  2. sensation
  3. bone
  4. wound healing
5
Q

skin issues postsurgical amputation (6)

A
  1. skin breakdown
  2. delayed healing
  3. edema
  4. cysts
  5. ischemia
  6. scar adhesions
6
Q

sensation issues postsurgical amputation (3)

A
  1. neuroma
  2. phantom limb
  3. phantom sensation
    * patients rely on vision and propriocepetion
7
Q

bone issues postsurgical amputation

A

bone spurs may develop

8
Q

body-powered prosthesis components (5)

A
  • for wrist disarticulation and higher
    1. prosthetic sock
    2. socket
    3. harness and control system
    4. terminal device
    5. wrist unit
9
Q

functional training with prosthesis

A

most functional activities are performed with the uninvolved hand/arm as the dominant hand

10
Q

What is the determining factor in deciding which hand to use?

A

sensory feedback

11
Q

preprosthetic therapy (3)

A
  1. identify or test potential muscle sites for control
  2. improve muscle site control and strength
  3. obtain adequate financial sponsorship for prosthesis and training
12
Q

postprosthetic therapy

A

training of ADLs and IADLs with use of prosthesis

13
Q

Coat Method of donning/doffing prosthesis

A

The prosthesis is on a table/bed and the person pushes the limb between the control cable and the Y-strap from the medial side into the socket. The harness is then brought across the shoulder of the amputated side and dangles the harness down the back. The sound hand reaches around the back and slips into the axilla loop. The person then slips into the harness as if putting on a coat.

14
Q

Sweater Method for donning/doffing prosthesis

A

placing the residual and sound limb in at the same time and then raising both arms up, out, and up to don the prosthesis