Patient Evaluation Flashcards

During gait analysis of a transtibial amputee, the practitioner observes lateral trunk bending toward the prosthetic side at midstance. What is the most likely cause?

Answer: Prosthetic shank that is too long

A prosthesis that is too long forces the patient to lean toward the prosthetic side to clear the floor during gait.

Which outcome measure is specifically designed to assess the functional mobility and transfer ability of prosthetic users?

Answer: Amputee Mobility Predictor (AMP)

The Amputee Mobility Predictor is validated specifically for amputees and predicts prosthetic mobility potential prior to fitting.

A patient with a transfemoral amputation reports phantom limb pain rated 7/10. Which evaluation finding would most directly guide pain management referral?

Answer: Pain character, triggers, and duration pattern

Characterizing the phantom pain's quality, frequency, and triggers guides appropriate referral to pain management specialists.

When evaluating a patient for an ankle-foot orthosis (AFO), which manual muscle test grade indicates the patient has antigravity strength with full resistance?

Answer: Grade 4

Grade 4 indicates the muscle can move through full range of motion against gravity and withstand some but not full resistance.

A practitioner is evaluating a patient with diabetic peripheral neuropathy for orthotic intervention. Which sensory test is most critical to document?

Answer: Semmes-Weinstein monofilament testing

Semmes-Weinstein monofilament testing at 10g (5.07) identifies loss of protective sensation and guides offloading orthotic prescriptions.

During upper extremity prosthetic evaluation, which finding most directly impacts the choice between body-powered and externally powered (myoelectric) control?

Answer: Residual limb length and available excursion

Residual limb length and available body excursion determine whether sufficient cable excursion exists for effective body-powered control.

A child patient's parents report the child is not wearing the prescribed TLSO. Which evaluation step should the practitioner prioritize first?

Answer: Evaluate fit, comfort, and the child's understanding of the device's purpose

Non-compliance is most commonly related to fit issues, discomfort, or lack of patient/family education about the device.