Prosthetic Wearing Schedules - Prosthetic Training: Episode 2
Вставка
- Опубліковано 1 жов 2024
- David Lawrence instructs on Prosthetic Wearing Schedules and Limb Care, for both the residual limb as well as the opposite limb. Topics include progressive wearing schedule, limb care, orthotics and braces for the opposite limb, and topical agents (lotion, antiperspirants...).
This is the second episode of our Prosthetic Training video series which covers the spectrum of amputee rehabilitation from immediately post-amputation through running with a prosthesis. They are intended for clinicians and patients and are a great resource for rehabilitation professionals working with lower limb amputees.
View the entire series here: • Prosthetic Training Se...
------------------------------------------------------------------------------------
If you have questions relating to this topic or notice other questions similar to yours, check out our You Asked Series, where we answer patient questions in short digestible videos.
• You Asked
------------------------------------------------------------------------------------
Instructor: David Lawrence, MSPT, AT-Ret
David is an internationally renowned rehabilitation professional and educator. In addition to treating patients, he delivers courses in the USA and abroad on knee, hip and foot pathologies, rehabilitation following limb amputation, and disabled sports and recreation. He is founder of The Gait Center, a walking focused physical therapy clinic located in Richmond, VA, USA, as well as the founder and Director of Operations for Mission Gait.
For more information on Mission Gait, visit our website at: www.MissionGait.org
Subscribe to our UA-cam channel at: / missiongait
This video is made possible because of our donors. Consider supporting our work at: www.missiongait.org/donate
My Prosthetic Guy is very quiet (I absolutely respect him) - but, he was a beast when he gave me a wearing schedule. Very much in line with what you stated in this video. -- you do exactly what’s on this hand out, no more no less. Good day - bad day - everyday will teach you and your brain. You’ll learn what you need too, to decide what your future will be. RBK - trauma @ 60 years old, coming up on 73, full time user. Fuss and worry over my good leg more than my amputated leg. I’m doing great.
I like how you stress taking care of the non-amputated limb.
1. Should the patient keep the shrinker on at all times outside of wearing the prosthetic? (Including bed time?). Or should a shrinker also have a don/doff schedule as well? (Some people also use a liner as a shrinker).
2. Should a patient initially avoid wearing a shrinker upon initial post op until staples are removed? Thanks in advance.
My friend got a bad case of pyomyositis.
Thank you for all the knowledge, thank you for sharing!
We're so glad you find it helpful. Thanks for the compliment!
thank you, i learned that i am doing some things wrong for my husband's limb care ..great video
We are happy to be a resource to you! Asking local health professionals, such as following up with the doctor and physical therapist, can also provide guidance for limb care.
Thank you so much for the reply
Thank you for all your help. Much appreciated. I am a bilateral amputee and you have helped me a lot.
Which is the better leg below kanee joint amputation patient...As I am a patient...I met with an Train accident previous 32 yrs back...
When that I have used kaipuke foot. So my age is 52 yrs..Weight is 75kgs
I have no sugar..
In this time everyday walk by 1 km or 2 km..
Knee edge is completely front side skin is rubbing by rough..Now I wil get pain..
So pl.suggest which is the better leg...To use everyday..
In this foot used rough and toughly, go by fucking,and walking, and bike riding with maintain thene grada honda shine..Hero glamour etc.,
You definitely want to take care of your leg as prosthetic limbs can cause significant discomfort. There is not necessarily a best prosthetic that can be suggested. It sounds like there may be a problem with the socket, where the prosthetic leg contacts your leg.
Why does my tibia hurt so bad right at the top of the bevel? I want throw my POS foot in the F’ing garbage. I am 9 weeks postop, and I can wear my foot all day as long as I don’t walk very far. If I walk half a block or down stairs or down a hill it hurts super bad. My socket is too big and my foot is a POS. I could not keep up with the grandmas power walking in the mall. I am a active 37 y/o dude. I am using sleeve suction and have a Ottobock Triton 1C61.
It is difficult to say without performance of a proper evaluation. We recommend seeing a local physical therapist in the area to evaluate potential causes of pain.
Did you ever figure it out? I'm 3 weeks postop and am having major nerve pain I'm my residual limb. I'm nervous about the future and how ill do. Thanks in advance Mark.
@@jaredcorley3481 sorry to hear you had to have an amputation. Yeah I am doing a lot better. I am about a year postop now. I’m not gonna lie, the first year is fucking rough. I ended up getting a revision because my doctor did a crappy job beveling my tibia and left my fibula an inch longer than my tibia. Anyways yeah I am doing better. I am in the process of trialing different feet. I am going to exchange my Ottobock Triton for an Ottobock Challenger. Hopefully that foot will have better energy return so I can walk faster and maybe even run. As far as uneven surfaces go prosthetics suck and we just have to deal with it. There are a few feet that have some ankle movement but nothing that comes close to a real ankle. The nerve pain will get better. Mine was super bad too. It use to keep me awake at night. Once you get to about 3 to 6 month postop it will die down quite a bit. Hang in there buddy, it will get better. Honestly I did a terrible job dealing with it. I even considered suicide for awhile. I am so glad I never acted on it. There are so many layers to amputation that people don’t understand. It can really mess with you not just physically, but also mentally, socially and spiritually. I post a lot of questions on Reddit r/amputee group. Let me know if I can help you in anyway. I am happy to answer any questions.
Thank you very much
These are very helpful.
What's this guy's name?
This is David Lawrence, the Founder of Mission Gait Foundation.
How long can I safely keep my prosthetic on? I just got over a pressure sore and am worried.
I wear a shrinker and socks on my residual BK limb.
My stump shrunk alot..2.5" so my new leg and foot are ready now.
Getting some irritation on my knee...
Thanks for reaching out. Length of time is the question that everybody asks, but unfortunately as you have probably found there isn't a clear answer. This is because it is different for everyone. We have seen people get blisters in under 10 minutes of wear and then progress to more than 12 hours a day of wear time. It ultimately comes down to the health of your skin, a good prosthetic fit utilizing socks effectively, a progressive wear schedule like talked about in the video, and a diligent effort to check your skin throughout the day. A prosthetist and a physical therapist with experience working with amputees should be able to assist you in this process. That being said, you can start addressing things with the tips in our prosthetic training series.
Where can my patient buy the carbon plate insert?
For proper application, we would recommend consulting with a prosthetist or orthotist depending on the application. An evaluation for selecting a product is crucial to success.