1 International Committee of the Red Cross Polypropylene Technology Manufacture of Lower Limb...
45
1 International International Committee Committee of the Red Cross of the Red Cross Polypropylene Technology Polypropylene Technology Manufacture of Lower Limb Prostheses in PP Manufacture of Lower Limb Prostheses in PP TF STATIC ALIGNMENT TF STATIC ALIGNMENT
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Transcript of 1 International Committee of the Red Cross Polypropylene Technology Manufacture of Lower Limb...
11
International Committee International Committee of the Red Crossof the Red Cross
Polypropylene TechnologyPolypropylene Technology
Manufacture of Lower Limb Prostheses in PPManufacture of Lower Limb Prostheses in PP
TF STATIC ALIGNMENTTF STATIC ALIGNMENT
22
33
44
SWING PHASE: OSCILLATION OF THE SHIN
VISIBLE INTERNAL OR EXTERNAL ROTATION OF KNEE
MID SWING PHASE
55
- INCORRECT INITIAL KNEE ROTATION
- INCORRECT SOCKET FITTING
- INCORRECT SOCKET ALIGNMENT
- INSUFFICIENT SUSPENSION OR INCORRECT LOCATION OF THE SILESIAN BELT
PROSTHESIS
SWING PHASE: OSCILLATION OF THE SHIN
VISIBLE INTERNAL OR EXTERNAL ROTATION OF KNEE
MID SWING PHASE
66
- WEAK AND FLABBY STUMP
PATIENT
SWING PHASE: OSCILLATION OF THE SHIN
VISIBLE INTERNAL OR EXTERNAL ROTATION OF KNEE
MID SWING PHASE
77 WALKING BASE IS TOO WIDE
SWING PHASE: ABDUCTED GAIT
88
- PROSTHESIS IS TOO LONG
- INSUFFICIENT SOCKET ABDUCTION - INSUFFICIENT LATERAL FEMORAL SUPPORT - MEDIAL SHELF IS TOO HIGH
- EXCESSIVE SUSPENSION OR INCORRECT LOCATION OF THE SILESIAN BELT
PROSTHESIS
WALKING BASE IS TOO WIDE
SWING PHASE: ABDUCTED GAIT
99
- SHORT STUMP
- ABDUCTORS CONTRACTURE - PAIN IN PERINEAL AREA
- INSECURE BALANCE
- BAD GAIT HABIT
PATIENT
WALKING BASE IS TOO WIDE
SWING PHASE: ABDUCTED GAIT
1010
PROSTHESIS CURVES LATERALLY
SWING PHASE: CIRCUMDUCTION
1111
- PROSTHESIS IS TOO LONG
- EXCESSIVE PLANTAR FLEXION
- INSUFFICIENT SUSPENSION (PISTONING)
- INCORRECT SOCKET FITTING
- EXCESSIVE SUSPENSION OR INCORRECT
LOCATION OF THE SILESIAN BELT
- INSUFFICIENT ABDUCTION OF THE SOCKET
- MEDIAL SHELF IS TOO HIGH
- ANTERIOR DISPLACEMENT OF THE SOCKET
- EXCESSIVE KNEE AXIS FRICTION
- EXCESSIVE STRENGTH OF THE EXTENSION AID
PROSTHESIS
PROSTHESIS CURVES LATERALLY
SWING PHASE: CIRCUMDUCTION
1212
PROSTHESIS CURVES LATERALLY
SWING PHASE: CIRCUMDUCTION
- ABDUCTORS CONTRACTURE
- INSUFFICIENT HIP FLEXION
- WEAK QUADRICEPS
- FEAR OF TOUCHING THE GROUND
- PAIN IN PERINEAL AREA
- BAD GAIT HABIT
PATIENT
1313
EXCESSIVE ELEVATION OF PELVIS AND SHOULDERON THE PROSTHETIC SIDE
SWING PHASE: ELEVATION OF THE PELVIS
1414
- PROTHESIS IS TOO LONG
- EXCESSIVE PLANTAR FLEXION
- ANTERIOR DISPLACEMENT OF THE FOOT
- INSUFFICIENT SUSPENSION (PISTONING)
- INCORRECT SOCKET FITTING
- ANTERIOR DISPLACEMENT OF THE SOCKET
- EXCESSIVE KNEE AXIS FRICTION
- EXCESSIVE STRENGTH OF THE EXTENSION AID
PROSTHESIS
EXCESSIVE ELEVATION OF PELVIS AND SHOULDER
ON THE PROSTHETIC SIDE
SWING PHASE: ELEVATION OF THE PELVIS
1515
- INSUFFICIENT HIP FLEXION
- WEAK QUADRICEPS MUSCLES
- FEAR OF TOUCHING THE GROUND
- BAD GAIT HABIT
PATIENT
SWING PHASE: ELEVATION OF THE PELVIS
EXCESSIVE ELEVATION OF PELVIS AND SHOULDER
ON THE PROSTHETIC SIDE
1616
LATERAL INCLINATION OF THE TRUNKON THE PROSTHETIC SIDE
SWING PHASE: LATERAL TRUNK BENDING
1717
- PROSTHESIS IS TOO SHORT
- EXCESSIVE ABDUCTION OF THE SOCKET
- INSUFFICIENT LATERAL FEMORAL
SUPPORT
- MEDIAL SHELF IS TOO HIGH
PROSTHESIS
LATERAL INCLINATION OF THE TRUNKON THE PROSTHETIC SIDE
SWING PHASE: LATERAL TRUNK BENDING
1818
- WEAK ABDUCTOR MUSCLES
(TRENDELENBURG SYNDROME) OR
ABDUCTORS CONTRACTURE
- SHORT STUMP
- HYPER SENSITIVE STUMP
- INSUFFICIENT BALANCE
- BAD GAIT HABIT
PATIENT
SWING PHASE: LATERAL TRUNK BENDING
LATERAL INCLINATION OF THE TRUNKON THE PROSTHETIC SIDE
1919
HEEL CONTACT: OSCILLATION OF THE FOOT
VISIBLE OSCILLATION OF THE FOREFOOT
2020
HEEL CONTACT: OSCILLATION OF THE FOOT
- HARD HEEL CUSHION
- EXCESSIVE EXTERNAL FOOT ROTATION
- INCORRECT SOCKET ALIGNMENT
PROSTHESIS
VISIBLE OSCILLATION OF THE FOREFOOT
2121
HEEL CONTACT: OSCILLATION OF THE FOOT
- SHORT STUMP
- WEAK AND FLABBY STUMP
- EXCESSIVE HEEL STRIKE
PATIENT
VISIBLE OSCILLATION OF THE FOREFOOT
2222
HEEL CONTACT WITH THE GROUND IS TOO SHORT
HEEL CONTACT: EARLY HEEL ROLLOVER
2323
- ANTERIOR DISPLACEMENT OF THE SOCKET
- INSUFFICIENT FLEXION OF THE SOCKET
- EXCESSIVE DORSAL FLEXION
- HARD HEEL CUSHION
PROSTHESIS
HEEL CONTACT WITH THE GROUND IS TOO SHORT
HEEL CONTACT: EARLY HEEL ROLLOVER
2424
- WEAK GLUTEAL MUSCLES
PATIENT
HEEL CONTACT: EARLY HEEL ROLLOVER
HEEL CONTACT WITH THE GROUND IS TOO SHORT
2525
SLAP OF THE FOREFOOT ON THE GROUND
HEEL CONTACT: FOOT SLAP
2626
- SOFT HEEL CUSHION
- EXCESSIVE PLANTAR FLEXION
PROSTHESIS
SLAP OF THE FOREFOOT ON THE GROUND
HEEL CONTACT: FOOT SLAP
2727
- WEAK HIP EXTENSORS, NOT PROVIDING SUFFICIENT ANTERIOR KNEE STABILITY
PATIENT
HEEL CONTACT: FOOT SLAP
SLAP OF THE FOREFOOT ON THE GROUND
2828
DECELERATION PHASE: TERMINAL IMPACT
VISIBLE KNEE SHOCK
2929
DECELERATION PHASE: TERMINAL IMPACT
- INSUFFICIENT FRICTION OF KNEE AXIS
- EXCESSIVE STRENGTH OF THE EXTENSION AID
- EXTENSION BUFFER IS TOO HARD
PROSTHESIS
VISIBLE KNEE SHOCK
3030
DECELERATION PHASE: TERMINAL IMPACT
- EXCESSIVE ACCELERATION FORCE
- BAD GAIT HABIT
PATIENT
VISIBLE KNEE SHOCK
3131
HEEL RAISE PHASE: LUMBAR HYPER LORDOSIS
VISIBLE ANTERIOR LUMBAR BEND
3232
HEEL RAISE PHASE: LUMBAR HYPER LORDOSIS
- INSUFFICIENT FLEXION OF THE SOCKET
- PROSTHESIS IS TOO LONG
- ISCHIAL SEAT IS TOO HIGH OR ANTERIORLY INCLINED
PROSTHESIS
VISIBLE ANTERIOR LUMBAR BEND
3333
HEEL RAISE PHASE: LUMBAR HYPER LORDOSIS
- HIP FLEXORS CONTRACTURE
- ISCHIUM PAIN
- POSTURAL PROBLEM
- BAD GAIT HABIT
PATIENT
VISIBLE ANTERIOR LUMBAR BEND
3434
MID SWING PHASE: VAULTING
RAISE OF THE BODY BY EARLY EXCESSIVE PLANTAR FLEXION ON THE SOUND SIDE
3535
MID SWING PHASE: VAULTING
- PROSTHESIS IS TOO LONG
- EXCESSIVE PLANTAR FLEXION
- INSUFFICIENT SUSPENSION (PISTONING)
- INCORRECT SOCKET FITTING
- MEDIAL SHELF IS TOO HIGH
- ANTERIOR DISPLACEMENT OF THE SOCKET
- EXCESSIVE FRICTION IN KNEE AXIS
- EXCESSIVE STRENGTH OF THE EXTENSION AID
PROSTHESIS
RAISE OF THE BODY BY EARLY EXCESSIVE PLANTAR FLEXION
ON THE SOUND SIDE
3636
MID SWING PHASE: VAULTING
- FEAR OF TOUCHING GROUND
- VERY SENSITIVE OR PAINFUL STUMP
- BAD GAIT HABIT
PATIENT
RAISE OF THE BODY BY EARLY EXCESSIVE PLANTAR FLEXION
ON THE SOUND SIDE
3737
ACCELERATION PHASE: UNEVEN AND RAPID HEEL RAISE
EXCESSIVE AND RAPID ELEVATION OF THE HEEL
3838
ACCELERATION PHASE: UNEVEN AND RAPID HEEL RAISE
- INSUFICIENT FRICTION OF THE KNEE AXIS
- INSUFFICIENT STRENGTH OF THE EXTENSION AID
- POSTERIOR DISPLACEMENT OF THE SOCKET
PROSTHESIS
EXCESSIVE AND RAPID ELEVATION OF THE HEEL
3939
ACCELERATION PHASE: UNEVEN AND RAPID HEEL RAISE
- GAIT IS TOO FAST
- EXCESSIVE HIP FLEXION - BAD GAIT HABIT
PATIENT
EXCESSIVE AND RAPID ELEVATION OF THE HEEL
4040
TRANSVERSAL VIEW: UNEVEN STEP LENGTH
SHORT STEP ON PROSTHETIC SIDE
4141
TRANSVERSAL VIEW: UNEVEN STEP LENGTH
- ANTERIOR DISPLACEMENT OF THE SOCKET
- EXCESSIVE FLEXION OF THE SOCKET
- PISTONING ACTION
- EXCESSIVE FRICTION OF THE KNEE AXIS
- EXCESSIVE STRENGTH OF THE EXTENSION AID
PROSTHESIS
SHORT STEP ON PROSTHETIC SIDE
4242
TRANSVERSAL VIEW: UNEVEN STEP LENGTH
- SHORT, WEAK OR PAINFUL STUMP
- GAIT FEAR
- LIMITED HIP FLEXION -EXTENSION
- WEAK QUADRICEPS MUSCLES
PATIENT
SHORT STEP ON PROSTHETIC SIDE
4343SHORT STEP ON SOUND SIDE
TRANSVERSAL VIEW: UNEVEN STEP LENGTH
4444
- INSUFFICIENT FLEXION OF THE SOCKET
- EXCESSIVE PLANTAR FLEXION
- INSUFFICIENT FLEXION OF THE KNEE
- EXCESSIVE STRENGTH OF THE EXTENSION AID
PROSTHESIS
SHORT STEP ON SOUND SIDE
TRANSVERSAL VIEW: UNEVEN STEP LENGTH
4545
- SHORT, WEAK OR PAINFUL STUMP
- HIP EXTENSORS CONTRACTURE
- LIMITED HIP FLEXION - EXTENSION
- INSUFFICIENT STABILITY
- PROBLEMS WITH SOUND LEG
PATIENT
TRANSVERSAL VIEW: UNEVEN STEP LENGTH
SHORT STEP ON SOUND SIDE
