Answer 1
a) Female, primary, age 75
Cause of amputation P.V.D.
General muscular weakness
Medium length stump in good condition
The female is 75 years old and have general muscular weakness, with stump in good condition. It puts patient in K1 scale level. Quadrilateral socket with socks, stability is primary in this case, because of P. V. D. can cause problems with over excretion of liquid. Quadrilateral socket does not compressed stump that much and les problems can be expected (Lusardi, et al., 2013).
Total elastic suspension system for 75 years old woman with general muscular weakness is suitable solution because is no need much effort to put residual limb in socket and strap prothesis with comfort neoprene belt (Lusardi, et al., 2013).
…show more content…
The hydraulic knee unit with swing and stance control (SNS), provide fluid swing phase control for patients who are active and want the ability to change cadence. Hydraulic knee is cadence responsive and if gait speed changes shin angular velocity changes. Hydraulic fluid cause friction resistance in narrow channels, which incise with speed of compression. Resistance to knee flection provide SNS, what allow to patient grater security of walking uneven surfaces or more natural gait pattern uphill and downstairs. That kind of knee allows knee locked to walking on rug surface (Lusardi, et al., 2013).
Carbon fibre composite feet with energy-storing dynamic response for active patients. It means energy store feet and gives push-off to provide rapid movement of shin during swing phase. Foot is intended for faster walking patients using transfemoral prosthesis. It has mediolateral adaption on surface, what enable more comfortable walk on uneven surfaces. It enables include shock absorber what is really usable for active patients (Lusardi, et al.,
…show more content…
Equinovarus foot cause forces on AFO as figure 1 shown. Fe1, Fe2 and Fe3 are forces caused by equinus, Fv1, Fv2 and Fv3 Are forces caused by varus and Fs1, Fs2 and Fs3 are forces caused by foot drop. Ankle foot orthosis is made to wear in shoe to provide binding foot with orthoses the same task has band on shank. Material for orthosis is polypropylene Polypropylene is durable and the strongest thermoplastic available for making orthosis, on prominent bone spots can be placed the prelate foam to prevent the skin abrasion and irritation (Showers & Strunck, n.d.).
b) Orthosis for post-poliomyelitis patients
Orthosis for post-poliomyelitis patients shows figure 2, because of weak ankle, PTB (patella tibial bearings) provide unloading, PTB is supported with two pylons, lateral and medial, they connect foot with PTB. Foot plate takes over load of PTB. To provide knee stability needs two bandages on thigh to correct A/P instability of knee. Knee joint provides flexion and extension stability and prevent hyperextension of knee and fall caused by Knee extensor weakness (Lusardi, et al., 2013). Figure 2, Orthosis for Polio, & Post-Polio
DOI: 12/13/2012. This is a case of a 63-year-old male security officer who sustained a work-related injury to the right knee when he missed a step and fell down the stairs. As per Omni, the patient had a right knee meniscus tear. The patient had right knee replacement on 11/19/14.
Clinical Orthopaedics and Related Research®, 471(4),
Instrumental activity of daily living (IADLS) that affected are driving and community mobility, meal preparation and care of others may also be affected. Rest and sleep may also be affected if the client is in pain and their limited mobility keeps them from become comfortable enough for sleep. Education, work, play, leisure, as well as social participation will be affected by the prosthetic (AOTA,
With the increase in age, it is normal to find older people with reduced range in motion of the joints (Kruse). But again, candidates for the anterior approach must have flexible joints. Even if patients were younger, many would still be rejected because of their weight. In the United States, “68.8% of adults are either obese or overweight” (Overweight and Obesity Statistics). The current society demands a procedure to fulfil their needs, and the anterior approach hip replacement is just not the
A buyer comments that this bed leg lifter helps him to relax his leg and to move it around with minimal efforts. The reviewer recommends it to anyone with hip problems and advises that you should practice with the lifter before your surgery. A happy user mentions that it’s a piece of cake to slip your foot in the strap and that this is the best leg lifter available. The reviewer also states the leg lifter is long, comfortable and well-made and that even though he uses it daily, the leg lifting strap doesn’t show signs of wearing out. However, some customers have complained that this leg lifter strap is flimsy and that the stitching is poorly done.
The knee joint is one of the strongest and most important joints in the human body. It allows the lower leg to move relative to the thigh while supporting the body’s weight (Taylor, n.d.) as knee joint is one of the major weights bearing joint in the body. Knee joint plays an important role in our daily lives such as walking, running, sitting and standing. It allows physiological movement such as flexion and extension.
One of the main improvements that are helping many physically disabled people is the transition between basic prosthetics to bionics. Prosthetics deals with artificial limbs that allow for partial regaining of movement for the physically disabled. On the other hand, bionics refers to a more advanced type of prosthetics, which mimics an actual limb, bringing back full functionality. The transition to bionics was successful as it prevented any of the issues that the users of prosthetics had faced. Instead of providing aid, prosthetics prevented the disabled from participating in sport because according to the article “Artificial Limb Transitions Between Prosthetics and Bionics” the writer Bob Michaels states, “ Prosthetic legs, for example, are often so heavy that their use exhausts amputees, making walking burdensome and unpleasant exercise”.
For example, the non-operated leg is used for weight bearing during sitting and standing from the chair to the commode. The height and angle can be adjusted so that the front legs are one notch lower than the back legs so that the precautionary hip angle of flexion is not exceeded. It is important to instruct the client to perform toilet hygiene while seated while using caution to avoid forward flexion or rotation of the hip. The client should also stand and step to turn to face the toilet when flushing so as to avoid hip rotation (Pendleton & Schultz-Krohn,
In our laboratory, Eguchi et al. have also developed a standing mobility vehicle with passive exoskeleton assisting voluntary posture control \cite{Eguchi}. The standing mobility vehicle is capable of assisting voluntary sitting-standing posture transition in addition to high mobility with upright posture. % The passive exoskeleton using gas springs makes use of a user's center of gravity transition while user's natural sitting and standing posture transition. The sit-to-stand and stand-to-sit transition is an asymmetric motion, which the load moment by the user's weight around the ankle and knee joints are also asymmetric.
Breakey (1997) stated that after amputation that cause the triple loss of ability, perception and physical performance, is not only just a misplacement of a physical limb. Individual who undergo lower limb amputation would need a walking aid, such as a walking stick, a crutch, a wheelchair or a prosthesis to mobilize (Breakey, 1997). Fortunately, there are a few cases that some of the amputees still remain their independence in their daily routine by utilizing their prosthesis, even though massive of obstacles faced by them following low limb amputation (Mac Neill, Pauley, Yudin, 2008). Amputees’ participation in their social activity has a significant change from before as they suffer from the difficulty to walk independently post amputation. Because of this obstacle, people with lower limb amputation often suffer from mentally side effect, for examples, stress, anxiety and depression (Breakey, 1997).
This following project deals with the analysis of roll over shapes of three different prosthetic feet, namely the Sach foot, Ranger foot and the Jaipur foot using a self-designed inverted-pendulum like apparatus .Further it was verified as to which of the three widely used prosthetic feet is a better one. Roll over shapes are the result of transformation of centre of pressure (CoP) of the contact forces from laboratory-based coordinates into shank-based coordinates. It can be represented as an arc of a circle, and the radius is expressed as a percentage of body height. Analysis of roll over shapes gives a promising and product oriented output.
The foot (plural feet) is an anatomical structure found in many vertebrates. It is the terminal segment of a limb which supports weights and allows dislocation. In many animals with feet, the foot is a anatomize organ at the terminal part of the leg made up of one or more segments or bones, normally including claws or nails. The human foot is a strong and complex mechanical structure containing 26 bones, 33 joints (20 of which are actively articulated), and more than a hundred muscles, tendons, and ligaments (Kelikian AS et al., 2011). The joints of the foot are the ankle and subtalar joint and the interphalangeal connections of the foot.
Walking is a complex dynamic activity that is fast, animate, irreversible and also rigid. Many components of the body are involved in moving and interact mutually with each other
Ways to Correct Overpronation Foot Issues\Flat Feet A fast secure commonly recommended for overpronation is to purchase orthotic inserts that offer steady arch assistance. These are offered nonprescription, or can be personalized by a podiatric doctor to fit the specific your arch shape. There’s much argument concerning orthotics, with some professionals promoting them as safe and reliable, and some others declaring they cause in additional degeneration down the line as they supply stable assistance in an arena indicated to be vigorously versatile.
However, in the case of over pronation, the foot of the walker revolves internally more than the ideal 15 percent, which means that the ankle and the foot will have problems in stabilizing the body, and the shock is not absorbed as resourcefully as in the normal pronation. At the end of the walk or run cycle, the front part of the foot leaves the ground using the big toe largely and leaves the second toe to do all the work. How a Chiropractor can resolve the over pronation problem An experienced and board-certified Chiropractor can provide orthotic services specialize in offering custom orthotic tools, such as braces or orthoses for those with orthopaedic and neurological conditions. These devices offer the required support and control to ease the desired movement for enhanced function in everyday activities.