Patient Assessment & Clinical Evaluation Flashcards

The Locomotor Capabilities Index (LCI-5) outcome measure is specifically designed for:

Answer: Lower limb amputees to assess locomotor activities with and without a prosthesis

The LCI-5 is a self-report measure that evaluates a lower limb amputee's ability to perform locomotor activities both with and without their prosthesis across basic and advanced tasks.

When evaluating skin condition of a residual limb that has been using a silicone liner, the finding of folliculitis most often indicates:

Answer: Trapped heat, moisture, and bacteria under the liner causing hair follicle infection

Folliculitis in liner users results from the warm, moist environment under the silicone that promotes bacterial colonization of hair follicles.

During static alignment assessment on a parallel bars, the prosthetist observes that a transtibial amputee's prosthetic foot is positioned in excessive toe-out. The MOST likely functional consequence during gait is:

Answer: Medial whip and internal rotation stress on the residual limb during push-off

Excessive toe-out rotation misaligns the moment arm of the prosthetic foot at push-off, causing a medial whip and rotational stress transmitted through the socket to the residual limb.

When assessing cognition in a potential prosthetic candidate, the clinical team is primarily concerned with whether the patient can:

Answer: Learn and safely execute a donning/doffing routine and recognize skin warning signs

Successful prosthetic use requires sufficient cognition to learn the donning/doffing procedure, maintain a wearing schedule, and recognize skin problems requiring socket removal.

A bilateral transfemoral amputee is being evaluated for prosthetic candidacy. Compared to a unilateral amputee, the primary additional concern during assessment is:

Answer: Substantially increased energy cost of ambulation and cardiopulmonary reserve needed

Bilateral transfemoral ambulation requires up to 280% more energy than normal walking; cardiopulmonary assessment is critical to determine if the patient can physiologically sustain prosthetic ambulation.

During assessment, a patient with a transtibial amputation demonstrates a positive single-leg stance test of only 4 seconds on the sound limb. This finding suggests:

Answer: Significant balance impairment that increases fall risk and may require balance training before prosthetic discharge

Normal single-leg stance is 10 or more seconds; 4 seconds indicates significant balance deficit that raises fall risk and warrants targeted balance rehabilitation.

The OPUS (Orthotics and Prosthetics Users' Survey) Client Satisfaction Module (CSM) measures:

Answer: Patient perception of satisfaction with prosthetic services and the device itself

The OPUS CSM captures patient-reported satisfaction with both the prosthetic/orthotic device and the services received, providing outcome data from the user's perspective.