Prosthetic management of symes and partial foot amputationSmita Nayak
prosthetic management of partial foot and syme's amputation is a very challenging task. Now a days the availability of advanced technology some how fulfilling the need of the amputee but not the fully.
Prosthetic management of different levels of amputationAamirSiddiqui56
In this presentation, i have covered all the basics about levels of amputation. I have mentioned the different levels of amputation and their prosthetic management. Beneficial for those who are in the field of P & O.
Orthotic Knee joints. consists data about various orthotic knee joints still used for KAFO, KO, and AFO. it consists of both concentric and eccentric orthotic knee joints.
Prosthetic management of symes and partial foot amputationSmita Nayak
prosthetic management of partial foot and syme's amputation is a very challenging task. Now a days the availability of advanced technology some how fulfilling the need of the amputee but not the fully.
Prosthetic management of different levels of amputationAamirSiddiqui56
In this presentation, i have covered all the basics about levels of amputation. I have mentioned the different levels of amputation and their prosthetic management. Beneficial for those who are in the field of P & O.
Orthotic Knee joints. consists data about various orthotic knee joints still used for KAFO, KO, and AFO. it consists of both concentric and eccentric orthotic knee joints.
Tone is a normal characteristic of muscle physiology and defined as “ normal degree of vigour and tension: in muscle, the resistance to passive elongation or stretch”. Increase in tone known as hypertonocity. The problem like C.P and stroke are basically suffer hypertonicity. The orthoses help to reduce the tone is known as tone reducing orthoses. These orthosis are follows the principles of NDT mechanism and neurophysiology, so its also known as neurophysiological AFO.
This presentation by from the International Committee of the Red Cross describes problems and corrections for transtibial alignment in lower limb amputee prosthetic fitting.
Well explained slides about lower limb prosthesis of knee and hip after transfemoral ans transtibial amputation. Hip disarticulation and bilateral amputation not discussed
This presentation by from the International Committee of the Red Cross describes transfemoral initial alignment for lower limb amputee prosthetic fitting.
This presentation by from the International Committee of the Red Cross describes transfemoral gait deviations in the lower limb amputee prosthetic fitting.
In this presentation detailed discussion about the amputation and syme amputation and biomechanics are there. also alignment of symes prosthesis is discussed.
This orthosis is biomechanically and neuro-physiologically (facilliation and inhibition) effective ankle foot orthosis which is basically indicated for central narvous system disorder and it will provide dynamic ankle dorsiflexion and plantarflexion. It provides independent movement of ankle knee and hip.
This presentation by from the International Committee of the Red Cross describes initial alignment for transtibial prosthetic fabrication in lower limb amputee prosthetic fitting.
This presentation by from the International Committee of the Red Cross describes problems and corrections for transtibial dynamic alignment in lower limb amputee prosthetic fitting.
Tone is a normal characteristic of muscle physiology and defined as “ normal degree of vigour and tension: in muscle, the resistance to passive elongation or stretch”. Increase in tone known as hypertonocity. The problem like C.P and stroke are basically suffer hypertonicity. The orthoses help to reduce the tone is known as tone reducing orthoses. These orthosis are follows the principles of NDT mechanism and neurophysiology, so its also known as neurophysiological AFO.
This presentation by from the International Committee of the Red Cross describes problems and corrections for transtibial alignment in lower limb amputee prosthetic fitting.
Well explained slides about lower limb prosthesis of knee and hip after transfemoral ans transtibial amputation. Hip disarticulation and bilateral amputation not discussed
This presentation by from the International Committee of the Red Cross describes transfemoral initial alignment for lower limb amputee prosthetic fitting.
This presentation by from the International Committee of the Red Cross describes transfemoral gait deviations in the lower limb amputee prosthetic fitting.
In this presentation detailed discussion about the amputation and syme amputation and biomechanics are there. also alignment of symes prosthesis is discussed.
This orthosis is biomechanically and neuro-physiologically (facilliation and inhibition) effective ankle foot orthosis which is basically indicated for central narvous system disorder and it will provide dynamic ankle dorsiflexion and plantarflexion. It provides independent movement of ankle knee and hip.
This presentation by from the International Committee of the Red Cross describes initial alignment for transtibial prosthetic fabrication in lower limb amputee prosthetic fitting.
This presentation by from the International Committee of the Red Cross describes problems and corrections for transtibial dynamic alignment in lower limb amputee prosthetic fitting.
Mobility aids are appliances used to help people who have difficulty in walking.
Each aid gives a varying amount of stability, and accordingly, a varying extent of mobility.
They enable some of the body weight to be supported by the upper limbs and thus build up the stability and thus indirectly the mobility of a patient.
Usually the stability of an aid is inversely proportional to the mobility it can help achieve.
Selection of mobility aid depends upon diagnosis, strength of patients, gait, stability, coordination, vision, psychological factor like enthusiasm to heal, extent of disability, architectural barriers and prognosis of the disease.
It serves as the functions of to reduce weight bearing on injured part or extremity, to reduce pain, to compensate for weak musculature, for visually impaired, to give proprioceptive information and to improve balance along with indicating the bystanders of disability
Goniometry is the measuring of angles created by the bones of the body at the joints.1, 2, 3
The term goniometry is derived from two Greek words, gonia meaning angle and metron, meaning measure. 1, 2, 3, 4, 5,
System to measure the joint ranges in each plane of the joint is termed goniometry. 4
These measurements are done with instrument such as goniometer, a tape measure, inclinometers or by visual estimate.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
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Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
5. ALIGNMENT OF TTP:
The spatial relationship between prosthetic components and
the amputee..”
Prosthetic component are:
Socket
Pylon tube
Prosthetic foot
7. ROLE OF ALIGNMENT
Proper alignment and good socket
go hand in hand , one will not do
without other.
A well fitting socket will be
uncomfortable with poor
alignment and vice versa.
8. GOALS OF ALIGNMENT:
Even weight distribution
Smooth natural gait
Less energy expenditure
Cosmetic realism
10. BENCH ALIGNMENT:
“Standard alignment with all the alignment screw neutral and
technician assemble the prosthetic component..”
Also called initial alignment.
This is done before fitting the prosthesis onto the patient and before weight
bearing.
11. Ensure that:
Prosthesis is stable without any support
Prosthesis is aligned within the patient shoes /on the heel height of 1cm
Pylon tube is vertical
Foot size is according to the sound side and foot is properly aligned
Socket, shank, foot are in proper relation according to the readings done
during pt. assessment.
12. ALIGNMENT CAN BE DONE BY:
• Tilting (changing the angulation)
• Shifting (sliding the foot or socket)
13.
14. Make Sure:
• The socket and foot are attached to each other so that socket is flexed 5-7
degree.
• If the knee has flexum , the socket should be initially set with that amount
of flexion then add 5 deg. Of flexion to the initial flexum.
15.
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23. Advantage:
Remember that this initial alignment give prosthetic enough free way to make
all the changes needed during the static and dynamic alignment without too
much pain taking . This way we maximize our chance to obtain the optimum
final alignment for the patient.
25. Preliminary alignment of the prosthesis is observed on amputee as he stands
between parallel bars and shift his weight equally between prosthesis and sound leg.
Put the leg on patient and assess the fit.
Assess the height and ask the pt. about pain.
Check that hip is in level (not externally rotated) and toes out.
Check the height of pt. comparing both legs.
Check the initial tilt of socket.
STATIC ALIGNMENT
26. STATIC ALIGNMENT IN DIFFERENT
POSITIONS:
In standing:
Weight distributed on both limbs and feet are approximately 10cm apart
In sitting:
both the knee joint flex at 90 degree and feet are touching the ground
27. ENSURE THAT:
Socket is 5-7 degree flex
Socket is 5-7 degree adducted
Feet are 5-7 degree in external rotation
Plumb line in the middle of the knee , through the pylon tube and through
the 2nd web space in frontal view.
Patient is comfortable while standing
No uncomfortable pressure at lateral and medial brim of socket
Prosthesis is of correct length
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36.
37. REMEMBER THAT:
Pt. is the most important part of the process. Always listen to what he say
and ask his opinion. But you must also use your judgement and your
experience to understand what the patient is trying to tell you.
39. Any gait deviation can be adjusted based on:
Visual observation
Feed back of discomfort from the user
Observation of skin responses after gait evaluation
Interpretation of gait deviation by practitioner
40. Ensure that:
GRF has a similar affect on the amputee’s joint movement as in normal
subjects
41. PROCEDURE:
Prosthetist should not expect perfect gait from the amputee.
Once the amputee has become accustomed to standing to the prosthesis and
shifting his weight from leg to leg, and after static alignment has been
completed, refinement can be made by observing the amputee walk. Best to
walk between the rails until he is confident.
If the alignment is not too bad allow the patient to walk for 2-3 minutes to
settle in . If alignment is wrong then adjust until it nearly correct and then let
the patient continue walking.
42. Cont.
View the patient from behind or in front, then from the side. Observes the
anomalies of the walking pattern and adjust as required.
If the patient is walking with an incomprehensible pattern to you, have him
walking on his old leg, if he has one. This will tell if he has any bad gait
habbits or the peculiarities. Observe the action of the sound leg as well as
since both legs may be affected by the same deformity. Then have him walk
with new prosthesis. From your observation see there is a way to improve or
not.
43. Observe the gait of Amputee:
At heel strike knee is extended
Between heel strike and foot flat knee is flexed
after mid stance knee is extended
Late stance knee is flexed
44.
45.
46.
47.
48.
49.
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52.
53. BK ALIGNMENT PROCEDURE:
Watch pt. walk on old leg.
Check information on measure chart.
Check prescription.
Check bench alignment. (in workshop)
Examine pt.’s stump carefully.
Put on stump sock and liner
Put on prosthesis.
54. Cont.
STATIC ALIGNMENT :
check height
check stability
check for the initial tilt of the socket.
check for toe out.
check for comfort.
55. Cont.
LOOK FROM FRONT AND BACK:
Toe position
Pole vertical
Toe rise at heel strike
Width of the walking base. (M-L thrust at knee)
56. Cont.
LOOK FROM SIDES:
Knee flexion
hyperextesion moves socket anterior
too much flexion moves knee posterior
Check everything again.
Check trim lines with patient sitting.
Take prosthesis off and check stump.
Check measures for cosmetic finish.
57.
58. REFERENCE:
Below knee prosthetics, course work manual, national school of prosthetics
and orthotics, phnom penh, Cambodia. carson harte, anne henrickson.
Clinical aspects of lower limb prosthetics, The Canadian association of
orthotics and prosthetics.
Lower limb prosthetics,1990 revision, newyork university medical centre.
Red cross Manuals.