Transradial Project Self-Critique Form
| Criteria | Comments | ||
| 1. | Function
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Functional goal(s):
Method to evaluate goal(s): |
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| 2. | Professionalism
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| 3. | Safety and Universal Precautions
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| 4. | Bench test
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Operation and setup of housing and cable
Efficiency = |
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| 5. | Socket Fit | ||
| 5a. | CHECK Condition of residual limb before casting or fitting socket!
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| 5b. | TISSUE FIT
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5c. |
TRIMLINES AND ROM
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Elbow flexion ROM =
Elbow extension ROM = Transverse rotation ROM = Trimline location |
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| 5d. | STABILITY/LOAD TESTS
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Elbow extension
Elbow flexion Transverse rotation Axial Compression Axial load <1” (2.5cm) |
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| 5e. | OVERALL SOCKET FIT
· I have identified areas of high pressure. |
Distributed pressures |
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| · I used the socket comfort scale to assess socket comfort from the patient’s perspective. | Socket Comfort Score = |
| Comments | |||
| 6. | Joint axis location
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Joint axis: | |
| 7. | Length of the prosthesis
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Length: | |
| 8. | Alignment
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Appropriate alignment:
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| 9. | Harness critique
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Suspension:
Comfort (and cuff): Operation: |
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| 10. | Technical Operation of TD
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Elbow at 90`
TD at waist TD at mouth |
mechanical range = |
| 11. | Technical quality
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| 12. | Comprehension
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