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11 Cards in this Set
- Front
- Back
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Pediatric Considerations
Prosthetics Overall PT Goals: Facilitate normal development Prevent secondary impairments and functional limitations: Contractures Weakness Dependence in self-care |
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Limb Deficiency = congenital or acquired limb absence
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Energy Demands
Using a prosthesis increases energy demand Need for physical conditioning Play and games to increase strength and coordination Need to participate in active sports—swimming is good |
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Need for Frequent Prosthetic Changes
Pre-school child may need new prosthesis yearly ___ prosthesis facilitates easier lengthening Girth changes accommodated with socks and flexible sockets with rigid frames |
Endoskeletal prosthesis facilitates easier lengthening
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Postop Care
Children heal more rapidly than adults and with little edema May have phantom sensation/pain |
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Children with UE limb loss
Born without either UE-learn to use feet to play and use feet as hands Born with one UE-learn to use it as dominant and other as assist Prosthetic use and training should complement development Prosthesis usually not fitted until at least ___ months Fitting before the age of 2 years reduces likelihood of rejection by child |
Prosthesis usually not fitted until at least 6 months
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Babies usually fitted with passive prosthesis –no cable
Terminal device either hook or mitt Babies may ignore because lost sense of touch |
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Children play in dirt and sand
May damage prosthesis May cause skin breakdown Need to inspect skin daily |
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Children with LE Limb Loss
Child not fitted with a LE prosthesis until developmentally ready for it—usually when pulling to stand--about 7 months old. If child had a TF amputation, usually not given a knee joint until about 3 years of age—Usually start with a manual lock and unlock as child gains control. Usually get SACH foot or multi-axial foot initially |
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Child will grow and will need revisions often
Children often play through pain—need to watch skin, etc. May get SACH foot initially or a multi-axial foot, but need an active foot when they are active—Springlite or Flex or other dynamic response foot. Parents often want cosmesis over function |
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Therapy
Developmental activities through play and games for strengthening and coordination and use of the prosthesis Maintain ROM-Prevent contractures! Teach family ed-skin, etc and signs of needing revision of prosthesis |
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