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Transradial Project Self-Critique Form

Criteria  Comments
1. Function

·       I identified the patient-centered functional needs and considered methods to assess the prosthesis function/usefulness.

 

Functional goal(s):

 

Method to evaluate goal(s):

2. Professionalism

·       I have been prepared for class and provided gentle treatment of the patient.

·       My words, actions, appearance, and body language have been professional.

 
3. Safety and Universal Precautions

·       I used universal precautions and have been aware and taken action to reduce risk of injury to myself and others

 
4. Bench test

·       I performed the bench test and calculated the control system efficiency.

Control system efficiency >80%   F TD/Harness

·       I checked the operation of the housing and cable while off the patient.

Operation and setup of housing and cable

Efficiency =

* CHECK Condition of residual limb before casting or fitting socket!
5. Socket Fit
ANATOMICAL LANDMARKS

·       I can properly locate all anatomical landmarks: medial and lateral epicondyles, olecranon, distal end of radius and ulna, biceps tendon

Located?
TISSUE FIT

·       I recognize how tissue fits within the socket.

 
 

 

TRIMLINES AND ROM

·       I measured the ROM with and without the socket.

·       I know the proper location of the trimlines.

·       I can explain the reasoning for the location of the trimlines.

Elbow flexion ROM =

Elbow extension ROM =

Transverse rotation ROM =

Trimline location

STABILITY/LOAD TESTS

·       I performed all the stability and load tests.

·       I can describe the locations of anticipated pressures.

 

 

Elbow extension

Elbow flexion

Transverse rotation

Axial Compression

Axial load <1” (2.5cm)

OVERALL SOCKET FIT

·       I have identified areas of high pressure.

 

Distributed pressures

·       I used the socket comfort scale to assess socket comfort from the patient’s perspective. Socket Comfort Score =
  Comments
6. Joint axis location

·       I can locate the joint axis.

·       The hinges fall through joint center through ROM

Joint axis:
7. Length of the prosthesis

·       Length reference is marked on socket.

Length:
8. Alignment

·       Forearm section aligned in the proper pre-flexion angle and palmer and radial cant.

Appropriate alignment:

 

9. Harness critique

·       Prosthesis suspends through the anterior strap.

·       Harness and cuff adjusted to achieve as much comfort as possible.

·       All harness standards have been met.

·       Double check static (standing) and dynamic (walking) alignments.

Suspension:

Comfort (and cuff):

Operation:

10. Technical Operation of TD

·       I checked and measured the patient’s ability to open and close the TD.

Elbow at 90`

TD at waist

TD at mouth

mechanical range =
11. Technical quality

·       I fabricated the prosthesis with these qualities: Plastic pulled with good suction, no defects in plastic, smooth and even edges/trimlines, rivets smooth with no sharp edges, straps, and materials clean, pads placed securely

 
12. Comprehension

·       I understand the concepts and can explain the fit of function as well as how to solve problems easily and clearly.

·       I can explain the fit and operation of the prosthesis.

 

License

Upper Limb Prosthetics: Techniques Copyright © by Sue Spaulding. All Rights Reserved.