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Orthotics and Prosthetics

PTA 213

Orthotics and Prosthetics

PTA 213

Course Description

Prerequisites: Prerequisites: PTA 102, PTA 120, PTA 120L, PTA 121, PTA 123W, PTA 123LW, PTA 124, PTA 125, PTA 125LW, and LWA 206B, each with a "C" (2.

0) minimum grade. Concurrent enrollment in PTA 205, PTA 205L, PTA 209, PTA 209L, PTA 210, PTA 210L, PTA 213L, PTA 214, PTA 216, PTA 222 and LWA 206C. Promotes understanding of orthotic and prosthetic technologies. Studies appropriate use of these technologies. Prepares the student to perform physical therapy intervention as part of a physical therapist's plan of care, under the direction and supervision of the physical therapist. (12-0)

Outcomes and Objectives

Recognize and describe pre-operative foot care.

Objectives:

  • Identify areas susceptible to pressure sores.
  • Educate patients in the prevention and management of an ulcerated foot.
  • Describe a diabetic foot.

Discuss potential legal and ethical issues pertaining to course content.

Objectives:

  • Describe an appropriate response to each legal/ethical clinical issue discussed in class.

Describe the physical characteristics of upper extremity and lower extremity amputations.

Objectives:

  • Identify the causes of amputations and define the percentage of occurrence of each.
  • Recognize the occurrence of each.
  • Describe the special precautions for an amputee patient due to Peripheral Vascular Disease.
  • Define the possible limitations of the amputee patient with regard to pain, circulation, endurance, strength, sensation and psychological stress.
  • Describe what is volume control in regards to an amputee.
  • List eight emotional/psychological problems experienced by amputees.

Discuss the basic components of prosthetics and their functions along with types of post-op dressing.

Objectives:

  • Identify the proper weight bearing and relief sites of BKA socket.
  • Define the purpose of a post-op dressing.
  • Recognize and define abnormal weight bearing on the residual limb from the prosthetic socket and describe ways to decrease it.
  • Define the purpose of the post-op dressing.
  • Define the two major complaints of early prosthetic users.
  • List three most important factors to be considered in selecting the appropriate prosthesis.
  • List the five possible physical problems to watch for in a patient wearing a prosthesis.
  • List two major advantages of a silicon suction device on a prosthesis.
  • Discuss the general biomechanics of a BK/AK prosthesis.
  • List and discuss the variety of prothesis, including partial foot, Syme-level, BK, AK, Bilateral BK or AK, hip disarticulation/hemipelvectomy.

Discuss the information utilitzed by the PT to create a treatment program and determine the amount of progression or regression after each treatment.

Objectives:

  • Discuss all information relevant for the physical therapy evaluation of the amputee patient.
  • Assess patient's abilities in all levels of mobility and function.
  • Assess residual limb prior to and after treatment, including volume, length, girth, shape, skin, and incision integrity and condition, sensation and knee stability.
  • Assess unaffected extremities.

Discuss a progressive amputee treatment protocol and explain the protocol to relevant parties.

Objectives:

  • Define the principles and purposes of correct stump wrapping and consequences of improper wrapping.
  • Define phantom sensations, phantom pains, and residual limb pain and define sic methods for decreasing this problem.
  • List six "don'ts" a BKA must follow in regard to positioning to prevent contractures and decrease edema.
  • List two additional "don'ts" necessary to an AKA to follow in regard to positioning to prevent contractures and decrease edema.

Discuss proper gait training procedures with a prosthesis as well as the proper assistive devices necessary to assist amputee in mobility and function.

Objectives:

  • Discuss the steps necessary to secure the purchase of applicable and appropriate assistive devices.
  • Describe the major gait difficulty with prosthetics.
  • Describe the major considerations in purchasing a wheelchair of an amputee in regards to the wheelchair.

Communicate effectively regarding the amputee patient.

Objectives:

  • Communicate with the patient, family and caregiver verbally and in writing regarding his/her condition and treatment using proper terminology applicable and understandable to all participants.
  • Communicate with all members of the interdisciplinary team involved in the care of the amputee patient verbally and in writing using proper terminology applicable and understandable to all participants.

Discuss resources available to patients for rehabilitation.

Objectives:

  • List 10 community resources the patient may call on for assistance to maintain independence at home.
  • Describe the purpose of an amputee clinic and list five interdisciplinary team members who may be present at an amputee clinic.
  • Describe what the advantages and disadvantages are in attending an amputee clinic.
  • Define at least seven members of the rehab team in the hospital setting and their roles.
  • Discuss the role of the PTA in working with patients that utilize prosthetics and/or orthotics.

Discuss the role of orthotics for use with patient rehabilitation.

Objectives:

  • Define the following: AFO, KAFO, HKAFO, TLSO, WHO.
  • Define at least six main pressure areas to be aware of when wearing an AFO.
  • List five purposes of orthotics.
  • Discuss the two main advantages of using a show insert.
  • Discuss the advantages and disadvantages of using a plastic AFO and AFO with bilateral metal uprights.
  • Describe the purpose of using an axial resistance brace.
  • Educate a patient in the proper procedure in fitting a lumbosacral corset.
  • Describe three situations when a doctor may order a jewett brace.
  • Describe the advantages of using a ring collar over a miami j collar cervical brace.
  • Describe the process of being fit for a custom molded AFO.