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Functional training cumulative
Terms in this set (34)
Dyvascular disease (81-87%)
What are the 4 main causes of amputation??
For those individuals with diabetes and dyvascularity who already have a LE amputation, 20-50% of these individuals will have an amputation on the contralateral LE in ???
Guillotine (slice, cut or some type of trama that leads to a complete detachment or trauma to one part of the body from other)
Avulsion (limb pulled off)
What are the three most common types of traumatic amputations?
Osteosarcoma (cancer of long bones)
Ewing's sarcoma (cancer of axial skeleton)
Identify some cancer-related amputations that can lead to limb loss?
phocomelia- mid portion of limb is missing
amelia means the entire limb absent while phocomelia??
intrauterine growth inhibition or disruptions secondary to intrauterine destruction of normal embryonic tissue
congenital limb deficiencies are primarily due to ??
limb develops to a point then ceases to develop??
Reduction or absence occurs within the long axis of the limb, but normal skeletal components are present distal to the affected bones??
Amniotic band syndrome
Most common occurrence of congenital limb deficiency??
muscular, well-padded, not bulbous, and avoids exposure of bony landmarks
The idea residual limb is ??
Tenodesis (distal attachment of severed tendon to bone)
The best method for stabilizing muscles but can only be down with disarticulations??
Myofascial closure: closure of muscle fascial envelope without attachment to the bone.
Provides good cushioning over distal bone, but limited stabilization of muscle structure, limiting power generation.
Myoplasty techniques involve suturing of the muscle fibers and fascia(of muscle)
Enhances muscle stability but can result in a mobile sling of muscle that creates excess movement and potential for the formation of a painful bursa.
techniques are when the muscle and fascia are directly sutured to the periosteum of the bone
tech. muscle to muscle
muscle to outer fascial kind of skin
Myodesis techniques are when the muscle and fascia are directly sutured to the periosteum of the bone
Provides greater stabilization of the muscles and enhances contractile effectiveness and efficiency of the muscle; typically done with deep layers of muscles.
Usually done for the adductors in transfemoral amputations to counteract the hip abductors during standing and ambulation.
Benefits: simple, low cost, provide good accessibility to evaluate wound healing
Drawbacks: higher rates of joint contraction, increased time to ambulation, and risk pressure ischemia from poorly placed elastic wrap.
What are the benefits and disadvantages of soft dressings (gauze, elastic bandage, ACE wrap)
Benefits: Rigid, help with joint contracture and protect wound from trauma. with addition of a temporary prosthesis, the rigid plaster also promotes early ambulation.
Drawbacks: hard to access wound and care for it, and if not fitted properly will result in sheer stress and thereby break down the wound.
What are the benefits and drawbacks of semirigid and rigid dressings?
Benefits: reduce the time without bipedal ambulation to a minimum, early WB, easy wound access for exams, prevention of joint contractures and wound protection.
Drawbacks: bulky, expensive
What are the benefits and drawbacks of Immediate Post-operative prosthesis?
management of the residual limb including wound care, edema control, shaping, desensitization, and increasing joint and muscle flexibility.
Strengthening of trunk as well as extremities.
What rehab do you accomplish during pre-prosthetic phase??
positioning, skin protection, sensory and proprioceptive training, joint ROM, and muscle strengthening occur in conjunction with general conditioning activities.
pain control, promote wound healing, improve mobility/function
What rehab is done post operative acute phase??
How many days post-surgery can you perform AROM and PROM on the involved joint
patient should be placed in cardiovascular conditioning and residual LE strengthening program (a lot of hip)
What is done rehabilitation wise in the pre-operative phase?
C. diff (clostridium difficile)
Contagious skin infection (lice & scabies)
What are contact isolations?
What are droplet precautions?
surgical mask, eye shield, gown, glove
Basic components of droplet precautions??
tuberculosis, measles, chickenpox
What are some airborne precautions?
Basic components of airborne isolations?
pt that received transplant that has decreased immune system function
What are some neutropenic precautions?
Air-fluidizer support bed
What is the best bed for burn units??
What is the best bed for SCI and Covid??
post trauma, maintains injured pt in stable position and oscillates side to side for lung function and skin integrity, slowly turns the pt L/R nonstop??
NG tube or DHT feet
Dobhoff tube via nose
Do not lay pt below 30 degrees with ___ or __??
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