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Flashcards in Midterm/Practical Deck (48)
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1

Prosthetic Causes of Medial Whip

ER rotation of knee
tight socket
mis-aligned toe break

2

Amputee causes of medial whip

gait habit
socket not put on properly
ER rotation of hip at toe off/hip flexion

3

Treatment for medial whip:

Stretch ER (FAIDER, IT band)
Gait training to re-educate foot/ knee and placement during swing

4

Prosthetic causes of lateral whip

IR rotation of knee
loose socket
mis-aligned toe break

5

Amputee causes of lateral whip

gait habit
socket not put on properly
IR of hip at toe off/flexion

6

Treatment for lateral whip

stretch internal rotators: piriformis stretch
gait retaining

7

Prosthetic causes of abducted gait

prosthesis too long
medial wall too high
insufficient femoral stability
induces medial whip

8

Amputee causes of abducted gait

abduction contracture
poor gait habit, patient insecure and desires wide base in belief it will increase stability
pelvic instability

9

Treatment of abducted gait

seated/standing abductor stretch
gait re-training focusing on BOS in p-bars for patient stability
strengthening of abductors (clams, donkey kicks, fire hydrants)

10

Prosthetic causes of circumducted gait

long prosthesis
excessive knee friction
excessive knee stability

11

Amputee causes of circumducted gait

lack of cofidence in flexing knee
abduction contracture
weak hip flexors
habit

12

Treatment of circumducted gait

stretch abductors
strengthen hip flexors (SLR, standing knee flexion and holding)
practice knee flexion in P-bars/gait re-training

13

Prosthetic causes of vaulting

long prosthetic
poor suspension
excessive plantarflexion of foot
excessive knee resistance or stability

14

Amputee cause of vaulting

gait habit, fear of catching toe
weak hip flexors on residual limb
improper initiation of hip flexors on residual limb

15

Treatment of vaulting

strengthen hip flexors of residual limb (SLR, standing knee flexion and hold)
foot ROM: stretch plantarflexors and strengthen dorsiflexors: resisted ROM

16

Prosthetic causes of heel rise

inadequate extension aid
insufficient knee friction
improper knee selection

17

Amputee cause of heel rise

excessive use of hip flexors to initiate swing phase, overpowering knee unit

18

Treatment of heel rise

stretch hip flexors (thomas stretch, standing quad stretch)
strengthen hip extensors (leg 3 way)

19

Prosthetic cause of knee instability

excessive dorsiflexion
knee aligned in unstable position
insufficient socket flexion
mal-alignment of foot

20

Amputee causes of knee instability

weak hip extensors
hip flexion contracture

21

Treatment of knee instability

strengthen hip extensors (leg 3 way, clams)
stretch hip flexors (thomas stretch, standing quad stretch)

22

Prosthetic causes of unequal step length

less time of prosthesis

23

Amputee causes of unequal step length

excessive lumbar lordosis

24

Treatment of unequal step length

pelvic tilt
gait training
strengthen hip extensors/abs

25

Prosthetic causes of foot slap

soft plantarflexion bumper
insufficient plantarflexion resistance in prosthetic foot

26

Prosthetic causes of hyperextension of knee

Heel cushion too soft; keel or toe lever arm that is too long or too firm

27

Amputee causes of foot slap

fear of instability in early stance and wearer forcefully drives heels into ground to ensure knee extension

28

Treatment for foot slap

gait retaining to trust prosthetic in P bars

29

Amputee causes of hyperextension of knee

laxity of posterior capsule of knee or hamstring tendon

30

Treatment of hyperextension of knee

strengthening of posterior capsule/hamstring
hamstring curls
russian hamstring curls