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{{c1::Transradial}} amputation is the most common UE level
Amputation an open incision or wound should be covered with a {{c1::Telfa}} ® pad under the shrinkage device or prosth...
Hind Foot amputations ie: Symes, Pirogoff, Boyd's provides a {{c1::weight-bearing stump}} does not need {{c1::a pros...
Ensure
Ensure adequate suspension
Gait Analysis of the Transtibial Amputee Knee too forcefully and rapidly flexed after heel strike cause {{c1::Heel wedg...
Gait Analysis of the Transtibial Amputee limited knee flexion immediately after heel strike (not throughout stance) cau...
flexion:
Gait Analysis of the Transtibial Amputee “Hill-climbing” sensation toward end of stance phase cause {{c1::Foot too anter...
Effect – Lengthens leg (similar to Pelvic
Gait Analysis of the Transfemoral Amputee Exaggerated lordosis prosthetic problem {{c1::Insufficient socket flexion}} {{...
Rocker” (Initial Contact) – plantar flexion & supination lengthen
Stiffen forefoot change foot to appropriate weight category "
{{c1::improve socket fit}} {{c2::improve suspension}} "
Insufficient push-off cause {{c1::Gastroc-soleus weakness}} {{c1::Achilles tendon rupture}} {{c2::metatarsalgia}} {{c2::...
{{c1::Stride length}} : It is the distance measured from heel strike to heel strike of {{c2::the same foot}}
Muscle Activity during Gait Mid Swing {{c1::Iliopsoas}} {{c1::Hamstrings}} {{c1::Pre-tibial}}
{{c1::Stance phase : }} Time period during which the limb is in contact with the ground
Gait Impairment With Hip Flexion Contracture compensation: increased {{c1::anterior pelvic tilt}} decreased {{c2::cont...
Address an inadvertently-long prosthesis
pelvic rotation); reducing CoM drop.
Bone Problems If the {{c1::periosteum}} is incorrectly stripped during surgery or trauma, {{c1:: bone spurs }} may ...
Gait Analysis of the Transfemoral Amputee Circumducted gait (Prosthesis swings laterally) prosthetic causes {{c1::Prosth...
Gait Analysis of the Transfemoral Amputee Lateral bending of trunk (generally to prosthetic side) prosthetic causes {{c1...
{{c1::Improve socket fit to reduce rotation}}
Gait Analysis of the Transfemoral Amputee hip hiking prosthetic problem {{c1::prosthesis too long}} {{c1::excessive plan...
Bouncing or exaggerated gait causes {{c1::gastroc spasticity / contracture}}
Gait Analysis of the Transfemoral or Transtibial Amputee Uneven step length prosthetic problem {{c2::Insufficient knee/s...
PT to reduce abduction contracture "
Ipsilateral {{c3::pelvic drop}} in preswing, causing increased energy consumption "
knee mechanisms) to reduce CoM drop "
of just over 30 degrees just before {{c1::initial contact}}
foot posterior to socket
the body has the highest COG during {{c1::midstance}}
Excessive medial femur rotation cause {{c1::Tight medial hamstrings}} {{c2::anteverted femoral shaft}} weakness of oppos...
ply socks or replace socket to improve fit (control) Patient may complain of pain/pressure on proximal-lateral or distal...
Determinants of Gait Knee flexion in stance Early bending of the knee lowers the {{c1::COG}} of the body at {{c1::mid...
PT to
Muscle Activity during Gait Terminal Swing {{c1::Hamstrings}} {{c1::Pre-tibial}}
Incisional Pain in the Amputee Patient Remember that not all residual limb pain is a result of a problem within the ampu...
Muscles Active During Gait Cycle all are eccentric except for... {{c2::iliopsoas}} always {{c1::calf m's}} after {{c...
WHEELCHAIR PROPULSION Measured the energy expenditure of wheelchair propulsion in patients with paraplegia there was o...
Sagittal Plane Kinematics Ankle: Peak dorsiflexion of 10
& propagates forward motion
Transtibial Amputee Gait Deviations Excessive toe out Solutions:
Align foot toe break to reduce in-toeing at all stance
foot compared to socket
Solutions:
of 20 degrees in {{c1::initial swing (just after toe off)}}
Determinants of Gait Pelvic tilt pelvis on the side of the swinging leg is {{c1::lowered}} by {{c1::5}} degrees th...