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Techniques for Walking After the Installation of a Prosthetic Limb
We list the essentials for those adjusting to a new prosthesis:
1) The patient should stand up straight, and their waist and knee should be straight. Patient should not have the sensation of leaning forward or backward.
2) The origin of force on the supporting body should be evenly distributed. This means that after putting on the prosthesis, the area of the knee at the mouth of the prosthetic socket, including the lower part of the prosthesis, should not have obvious pain in any area, even if it is rubbed red, Even if there is. a small amount of pain, it must be evenly distributed.
3) Testing the side of the ankle: Rock back and forth several times, standing with the prosthesis stable as a pillar. If it has free movement forward, this is essential for going up and down stairs as well as going up and down.
4) Walking depends mainly on the knee. However, if the residual limb is long, it swings together with the prosthesis, This will make its step more stable and natural.
5) Pay attention to the level of the heel. When changing shoes, the patient should try to maintain the initial height of the prosthetic device. If you have not mastered the techniques of self-adjustment to your artificial limb, do not easily change the level of the heel.
Visual methods: After putting on shoes, patient stands at a 90-degree angle. The prosthesis must be extended slightly forward, that is, the degree between the leg and foot must be about 80 degrees. This is more suitable for starting to walk.
Heel adjustment method: if the heel is low, the body will always feel that it is moving backwards. Walking and standing for a long time overstretches the knee, and it will feel pain after walking for a long distance. At this time, it is convenient to thicken the heel with a little thick mole (cut it into semicircles about the size of half the heel. You can use AB glue to make sure it sticks firmly and effectively). If the heel is high, then the center of gravity of the body will always involuntarily move forward. The knee obviously cannot stand straight. At this time, the patient should replace his shoes for those with a lower heel.
In addition, the first suggestion is to choose a slightly larger shoe that is easy to put on and take off. The second is that you should put more emphasis on choosing a shoe with a firm and resistant sole. The part of a prosthetic limb most sensitive to wear is the sole of its shoe, while the shoe sole is very durable.
All new prostheses are like when you buy new shoes. They are initially very hard, not particularly soft, and require breaking in. When you change into a new prosthesis, you obviously feel that the old one is better and easy to take off and put on. Therefore please remember:
Do not wear a new prosthesis for travel (except for those new to prosthetic limbs, of course). This is because the residual limb will change slightly over several years (artificial limbs have a life cycle). The old and new prosthesis will have a certain degree of difference. Therefore, you cannot immediately adapt to the new prosthesis. After you leave your house, when you feel that there is some discomfort (like painful rubbing), there is no way to avoid it, You will have to live with this pain until your remaining limb adjusts to the new prosthesis.
After the installation of the initial prosthesis, the remaining limb will atrophy quite quickly (especially if it is a recent amputation). Therefore, the patient must replace the first prosthesis within one or two years. It will reduce the economic burden of the patient if, installing the second prosthesis, they can consider replacing only the upper half of the prosthetic socket. This will help preserve as much of the parts as possible except for the prosthetic socket. This will save a lot of money.
Three years later, the residual limb will become essentially fixed and unchangeable. The progression of atrophy will also become relatively slow, while the stump will change only slightly.
Adults with moderate daily activity (except growing children and teenagers along with strong workers) can wear a prosthesis for 3-5 years without a problem.
In general, after the initial stage of adjustment, the patient has already become accustomed to the prosthesis. There should not be any pain or discomfort during a long walk. Therefore, it is possible to naturally maintain a correct gait. In other words, the best situation is if the body vibrates as little as possible while the patient is walking.
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#Techniques #Walking #Installation #Prosthetic #Limb