Prosthetics and Orthotics

to manage volume within socket-add when decreased weight/edema; remove when increased edema/weight

Medicare

to determine eligibility of patient to receive prosthetic components

prone with hip adducted, neutral rotation

decreases post-op pain and swelling, protection, improved healing, decreases knee flexion contracture, improved balance/safety with transfers, early mobilization/ambulation

patients with severe dementia or depression, advanced cardiopulmonary disease

peripheral vascular disease (usually secondary to DM)

socket, suspension, –knee–?, shank (pylon), foot-ankle assembly

Does not have the ability or potential to ambulate or transfer safely with or without assistance and a prosthesis does not enhance their quality of life or mobility.

Has the ability or potential to use a prosthesis for transfers or ambulation on level surfaces at fixed cadence. Typical of the limited and unlimited household ambulator.

Has the ability or potential for ambulation with the ability to traverse low level environmental barriers such as curbs, stairs or uneven surfaces. Typical of the limited community ambulator.

Has the ability or potential for ambulation with variable cadence. Typical of the community ambulator who has the ability to traverse most environmental barriers and may have vocational, therapeutic, or exercise activity that demands prosthetic utilization beyond simple locomotion.

Has the ability or potential for prosthetic ambulation that exceeds basic ambulation skills, exhibiting high impact, stress, or energy levels. Typical of the prosthetic demands of the child, active adult, or athlete.

shrinker (incision must be healed and sutures removed)

perception that the part of the limb that has been amputated is still present

occurs when phantom sensations are noxious (burning, aching, or cramping)

pharmacologic-analgesics-NSAIDS non-pharmacologic-Beep brain stim/DRG stim, TENS, acupuncture, hypnosis, mirror therapy, augmented VR (virtual reality)

Milwaukee brace, Boston orthosis, Night bracing as alternative: Charleston bending brace, Providence brace

adults with paraplegia

parapodium