prosthetic limb
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Indications
Contraindications
- inadequate cardiovascular reserve
- inadequate healing
- inadequate range of motion
- inadequate muscle strength
- inadequate motor control
- inadequate cognitive function
Management
- 6-10 weeks prior to fitting
- requires less energy than swing-through crutch- assisted walking
- below knee amputation (BKA)
- 33% increase in energy consumption with ambulation over baseline
- knee contractures of > 25% do not allow ambulation
- above knee amputation (AKA)
- 87% increase in energy consumption with ambulation over baseline
- lightweight prosthesis (titanium) recommended for geriatric population
- pre-prosthetic training
- range of motion exercises
- proper positioning to prevent contracture
- muscle strengthening
- skin care
- wheel chair mobility
- transfers
- self care
- ambulation with assistive devices if able
- patient/family education regarding care of residual limb
Notes
-reinnervated skin may allow prosthetic limb users to 'feel' with a prosthetic limb[4]
More general terms
Additional terms
References
- ↑ Medical Knowledge Self Assessment Program (MKSAP) 11, 14, American College of Physicians, Philadelphia 1998
- ↑ Genova A. In: Intensive Course in Geriatric Medicine & Board Review, Marina Del Ray, CA, Sept 12-15, 2001
- ↑ Stedman's Medical Dictionary 27th ed, Williams & Wilkins, Baltimore, 1999
- ↑ 4.0 4.1 Marasco PD et al. Sensory capacity of reinnervated skin after redirection of amputated upper limb nerves to the chest. Brain 2009 Jun; 132:1441. PMID: https://www.ncbi.nlm.nih.gov/pubmed/19369486