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Jim Scharf, PTA |
The goal of "Jim's Corner" is to provide helpful information and be a resource for those helping patients fitted with prosthetics learn to use them correctly in order to enjoy a better quality of life as an amputee.
Last month's issue continued the theme of establishing good prosthetic weight bearing with a progression of the ball roll exercises. These exercises might be too aggressive for some patients. This month we will look at a set of exercises using the same principles, but with different "high tech" equipment, consisting of a paper plate, a Frisbee or a coffee filter. I have found the following exercises to be good for the patient to increase their prosthetic weight bearing and residual limb strengthening.
These exercises are also a good way to identify if they are truly bearing weight on their prosthesis; if they are putting too much weight on their prosthesis they won't be able to move the plate or Frisbee.
To perform these exercises, the patient stands evenly on both legs with a stable object for the required assistance and safety. Try to concentrate on keeping the hips even with each other, pelvis level and not leaning too much over the prosthetic limb. Maintaining a backward force within the socket will help to maintain stability.
Paper Plate/Frisbee, Forward and Backward
The patient stands on the prosthesis balancing on the prosthesis and attempts to move the plate/Frisbee in a controlled manner with the sound limb in a forward & backward direction.
Repeat 5-15 times.
Paper Plate/Frisbee, Side to Side
Same as the above, but moving the paper plate or Frisbee side to side. Repeat 5-15 times.
Paper Plate/Frisbee, Clockwise and Counterclockwise
The patient stands on the prosthesis balancing on the prosthesis and attempts to move the plate in a controlled manner with the sound limb, safely and comfortably in a circular direction; clockwise 5-15 times then counterclockwise 5-15 times.
A couple of other progressions with the above exercises would be for the patient to make figure 8s on the floor below or do a cycle of the alphabet.
Jim Scharf, PTA, Prosthetic Assistant/Gait Specialist
Jim has been a Licensed Physical Therapist Assistant since 1988. Jim has worked with lower extremity amputee patients throughout his career. He serves as a Gait Specialist and Liaison when prosthetic patients are meeting with their therapists. Feel free to contact Jim if he can assist you in any way at:jscharf@optimusprosthetics.com.