Rehabilitation & Outcomes Flashcards

Patient-reported outcome measures (PROMs) in O&P are important because they:

Answer: Capture the patient's own perspective on function, pain, and quality of life

PROMs document outcomes that matter to patients — satisfaction, pain, activity levels, and quality of life — which may not be captured by clinical performance tests.

The Prosthesis Evaluation Questionnaire (PEQ) is a PROM that specifically evaluates:

Answer: Prosthesis utility, residual limb health, and psychosocial adjustment

The PEQ assesses prosthetic user experience across domains including mobility, utility, residual limb health, and well-being through patient self-report.

Which of the following is a key predictor of successful prosthetic rehabilitation in elderly dysvascular amputees?

Answer: Adequate cardiovascular fitness and cognitive function

Cardiovascular fitness (to sustain the increased energy cost of prosthetic gait) and cognitive function (for motor learning) are the strongest predictors of success in elderly dysvascular patients.

In pediatric O&P, which principle guides decisions about prescribing the most technologically advanced prosthetic components for children?

Answer: Match the component to the child's current and anticipated functional level, prioritizing simplicity and durability

Pediatric prosthetic prescription balances functional needs, durability for active play, and realistic activity demands, often favoring simpler robust designs over complex electronics.

The energy cost of ambulation for a transfemoral prosthetic user compared to a non-amputee is approximately:

Answer: 65–100% higher, requiring significantly greater cardiovascular demand

Transfemoral amputees expend roughly 65–100% more energy per unit distance during prosthetic ambulation compared to non-amputees, explaining slower self-selected walking speed.

Which rehabilitation approach helps prevent the development of a plantar flexion contracture in a patient with a spastic equinus deformity requiring an AFO?

Answer: Regular sustained stretching, serial casting, and correct AFO positioning in neutral or slight dorsiflexion

Sustained stretching, progressive serial casting, and maintaining the foot near neutral in the AFO counteract spastic plantarflexors and prevent fixed contracture.