The Process
Measurements & Casting
* Limb Length and Circumference of both Residual and Sound Limbs
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* Casting of Residual Limb
Molding
* Can use Plaster, Alginate, Silicone, or Fiberglass
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* Replicates the Intricate Details of Residual Limb
Check Socket
* Preparatory Step
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* Diagnostic Socket for Assessment of Fit, Comfort, and Pressure
(Blij, 2019)
Preparatory Prosthesis
* Patient Wears Prosthesis to Determine Fit and Comfort
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* Necessary Modifications are Made
Final Fabrication
* Definitive Socket (unless Residual Limb Volume or Activity Level Changes)
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* Aesthetic Aspects are Added & Final Modifications are Made
(Latour, 2015)
Collaboration
Success is dependent upon collaboration and agreement between the patient, therapists, prosthetists, and doctors.
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- Education is key to effective decision making and teamwork
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- If possible, perform sessions that include multiple healthcare professionals, so everyone is communicating in real-time
(Latour, 2015; Odum, n.d.)
Influential Factors
When choosing a prosthesis, the patient, therapists, prosthetists, and doctors must consider the following:
- Weight of Prosthesis
- Cosmesis
- Harnessing/Suspension
- Sensory Feedback
- Dexterity
- Durability
- Stability
- Repairs/Replacement
- Costs and Payment Sources
- New Developments/Software Updates
(Latour, 2015)
REFERENCES
Blij, M. (2019). Advantages of using a thermoplastic check socket. [Check socket] [Photograph]. Orfit. https://www.orfit.com/blog/advantages-of-using-a-thermoplastic-check-socket/
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Latour, D. (2015, May 4). Series: Upper Limb Prosthetics. [On-Demand Webinar]. OccupationalTherapy.com https://www.occupationaltherapy.com/ot-ceus/course/upper-limb-prosthetic-series-2441
Hanger Clinic. (n.d.). Sockets, liners, & accessories. https://hangerclinic.com/prosthetics/sockets-liners-accessories/
Odum, T. (n.d.) Rehabilitation of the amputee. [Allied Health On-Demand Webinar]. Allied Health Education. https://alliedhealthed.com/product/rehabilitation-of-the-amputee-3/?term_id=27