How to Correctly Use a Prosthesis

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1) First, how lengthy after an amputation can a prosthesis be put in?

If, when eradicating the stitches after an amputation surgical procedure, the wound heals nicely, and there's no irritation or edema, an amputee can contemplate putting in a prosthesis.

2) Second, what ought to prosthesis customers take note of?

Decrease leg amputees ought to give attention to strengthening the flexion and extension of the knee muscle tissues, and particularly the muscle energy of the extensor (quadriceps). This can assist decrease leg amputees stroll forcefully when carrying a prosthesis. Prosthesis customers ought to first do standing steadiness coaching, then step coaching, adopted by strolling coaching, ascending and descending stairs coaching, slope coaching, after which do different adaptive coaching.

For amputees who're utilizing a prosthesis after an amputation, listed here are the next suggestions:

1. Preserve a secure weight. Weight achieve or loss that exceeds a sure vary will lead to a prosthetic socket that's too tight or too unfastened.

2. Forestall muscle atrophy of the residual limb. The amputee ought to do residual limb muscle coaching based mostly on steering from a bodily therapist.

3. Hold the residual limb pores and skin and prosthetic socket clear, shield the residual limb pores and skin from irritation, folliculitis, boils, ulcers, dermatitis, allergy symptoms and so forth.

Amputees should at all times clear their stump and preserve it dry and clear.

4. Shield the prosthesis from massive exterior extrusions, collisions and excessive temperature or humidity, and so forth (apart from waterproof prostheses).

5. If you're conscious of abnormalities when carrying a prosthesis, you must instantly cease utilizing it and promptly contact a hospital. You shouldn't let any particular person deal with it or restore it your self, as this may assist keep away from accidents.

3) Third, preparation earlier than utilizing a prosthesis.

1. Bodily Preparation

(1) Enhance the motion space of the higher limb joint to (remove contracture) and enhance muscle energy.

(2) Improve the pores and skin energy of the residual limb (particularly the weight-bearing pores and skin).

(3) Get rid of edema within the residual limb.

(4) Improve the muscle energy of the wholesome decrease and higher limbs and trunk.

(5) Enhance the sensation of steadiness.

2. Psychological Preparation

(1) The amputee ought to set up the concept (motivation) of utilizing a man-made limb to stroll or retrieve objects.

(2) The amputee ought to perceive the need of and strategies for stump care (to stop contracture, swelling, scratches and an infection).

(3) The amputee ought to perceive the construction and performance of prostheses.

(4) The amputee ought to perceive the need of and strategies for prosthesis upkeep.

(5) The amputee ought to perceive the coaching procedures, content material and functions.

4) Fourth, the necessities for prosthesis meeting on the residual limb.

1. Residual limbs ought to have the suitable size to make sure that there may be adequate leverage and good muscle management power (for forearm or higher arm amputation, 1/3 of the center and decrease border is healthier; for decrease leg or higher leg amputation, 1/3 of the center and decrease border is healthier).

2. The remnant joint ought to retain as a lot of its authentic physiological perform as doable, with out exhibiting any contracture deformity.

3. The stump mustn't have tenderness, bone spurs, or neuromas.

4. The residual limbs ought to have a very good pores and skin situation that's wholesome and degree, with much less scar adhesion and no ulcers. The pores and skin additionally ought to have acceptable mobility and

flexibility.

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