Term
| After how long into the evaluation should you allow the pt to rest if they'v ebeen standing? |
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Definition
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Term
| What do you need to do before checking to see if the pelvis is level? |
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Definition
| Make sure they're WB on both LEs equally. |
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Term
| What could instability toward flexion be caused by? |
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Definition
| Too much initial flexion in the socket, or too much DF. |
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Term
| What could instability toward extension be caused by? |
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Definition
| Not enough initial socket flexion, foot in too much PF, or heel cushion too soft. |
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Term
| Where should the anterior trim line extend to? |
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Definition
| The middle of the patellar tendon |
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Term
| Should the insert extend above the trim line of the plastic socket? |
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Definition
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Term
| Should the residual limb be in contact with the distal end of the socket? How can you tell if it is or not? |
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Definition
| There should be no distal end-socket contact. Test w/ a marble sized piece of clay in bottom of socket. If limb squishes clay flat, there's too much contact. |
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Term
| Where should the tabs be located in a suspension cuff? |
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Definition
| At the level of the joint and slightly behind mid-frontal plane. |
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Term
| What should you find in the posterior trim line? |
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Definition
| flaring to allow room for the hamstring tendons |
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Term
| How much gapping is acceptable at the anterior socket witht he sole of the shoe flat on the floor in sitting? |
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Definition
| less than 3/4 of an inch. |
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Term
| How far should the knee be able to flex in sitting before tissue rolls are present? |
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Definition
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Term
| What could cause the limb to be forced out of the socket excessively in sitting? |
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Definition
| high posterior brim or high knee joints. |
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Term
| Between what degrees of knee flexion is slack in the suspension expected? |
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Definition
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Term
| What could you observe that would make you stop the evaluation after sitting, without moving on to ambulation? |
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Definition
| Red marks! Walking will only make them worse, increasing chance of wound. |
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Term
| What could cause hyperextension of the knee during gait? (4) |
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Definition
| soft heel cushion, excessive PF, not enough initial flexion in socket, shank too far posterior on foot. |
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Term
| Would you expect that step lengths should be equal B? |
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Definition
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Term
| What could cause the pt to walk w/ lateral bending of the trunk? (3) |
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Definition
| weak hip abductors on amputated side, discomfort at the medial brim or lateral distal residual limb, short prosthesis. |
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Term
| Should cuff suspension move during gait? |
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Definition
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Term
| What could jerky or wobbly knee be caused by from heel strike to foot flat? |
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Definition
| Heel wedge that's too hard, or PF bumper that is too firm --> inadequate shock absorption. |
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Term
| What can dropping off in the last half of stance phase be caused by? |
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Definition
| foot set too far posteriorly on the shin, or excessive DF. |
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Term
| What could cause pelvic rise in the last half of stance phase? |
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Definition
| Foot too far anterior, too much PF |
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Term
| Should the weight be borne on the medial or lateral side of the socket? |
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Definition
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Term
| Where is the foot positioned relative to the socket? |
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Definition
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Term
| Where is the foot positioned in the A-P plane in relation to the socket? |
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Definition
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