Patients with thigh prosthesis can alternatively go up and down the stairs,that is a very important thing.In addition to the intelligent prosthesis can achieve this function well,the rest of the artificial limb can’t do that . However, the upstairs and downstairs training can let ordinary prosthesis go up and down the stairs, that is not as well as intelligent prostheses achieve the alternative effect of going up and down the effect. Here, MEDI-REHATEK will tell you about the upstairs and downstairs training for prosthesis rehabilitation. First, go upstairs training Going upstairs training, patient steps the sound leg on the first step firstly,then prosthesis leg steps on, that is parallel to the sound leg. This training action iscommon for unilateral thigh prostheses. The higher the boarding height is on the bus or tram, the higher the requirement is for the supportive force of the sound leg that supports the movement of weight center and the ability to maintain balance. This action progress is as same as the flexion posture to extension and standing during knee flexion and extension exercise training. If this training is successful,even initially the patient do not have support who can also maintain a certain stability.
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However, the rational use of silicone sleeve is also important.Too small size will lead to increase in residual limb movement and compression of residual limb soft tissues.When taking the cast,you ensure that the minimum carrying capacity of residual limb.Here, MEDI-REHATEK will give you to explain the maintenance and cleaning work of silicone sleeves. First of all we explain to you about the use of maintenance work of silica gel sleeve. 1. Skin care products We recommend you to buy some active skin care products, can promote skin health, reduce skin diseases and mechanical stimulation.There are several mainstream skin care products: aloe vera oil and petrolatum, menthol. Aloe vera gel can relieve skin itching, reduce friction and scar tissue.Vaseline can help maintain the proper hydration, have the formation of protective layer on the skin surface, reduce chemical allergies, and the role of menthol is mainly deodorized.
2. Cleaning method You should wash the silicone sleeve by the detergent with natural PH value.Silicone sleeve needs full rinse, can not contact with strong acid and alkali, have regular disinfection as far as possible. In the case of conventional prosthetic socket, it is found that insufficient suspension causes relative movement between the stump and the rigid socket, resulting inpiston movement.The stump is hurt and a reduction presents in the patient's experience of the prosthesis. So patients lower the use of prosthesis, or even there will have serious physical and mental harm to patients. Today, MEDI-REHATEK introduces a “fit” prosthetic socket that is special for the injured residual limb,that isto add silica gel sleeve between prosthetic socket and the stump. According to the clinical investigation, the prosthetic silicone sleeve has the function of protecting the stump skin and soft tissue, fixing the soft tissue to reduce the movement of piston. Silicone as a new material is widely used in prosthesis industry in recent years, with high strength, durability, stability,comfort. They are popular among the majority of prosthetic patients. Silicone sleeve is like a buffer devicebetween prosthetic socket and the stump, that can disperse the pressure value, absorb the shear stress of socket, provide a reliable suspension. Amputees with prostheses can not only walk on a flat surface, but also be more able to adapt to walking on the multiple terrains. But walking on the uneven ground, patients need systematic rehabilitation training. So MEDI-REHATEK today will talk about training methods on uneven road for amputees with prostheses. First,walking training on the slope When meeting uphill slope, patients lean upper body forward and move the body center of gravity forward in order to keep the stability of the knee. When meeting downhill slope, patients stride rhythmically with small steps small step, if the stride speed is too fast ,they will lose balance to fall down. Especially it is more difficult to cross the slope road is. In addition to walking onthe slope of the road , patients can walk the diagonal to the slope. Second, cross obstacles training Cross obstacle training includes the movement of the sewer channel and the movement from the lane to the footpath. After the completion of the training, the thigh amputation patients can cross 1500px to 1750px.When the height is1m,patients can jump over. In the progress of training, the patient is required to undergo walking training with a walking stick initially.In the beginning patient crosses over a barrier with height of 750px to 1250px.Trainer slowly increases the height of the obstacle. After the patient was acclimatized, the width of the obstacle could also be increased, depending on the patient's condition and training. Medi-Rehatek will introduce How many types amputation includes. (1)Minor amputation: The ankle joint and its following part are cut off (2)Major amputation: Ankle joint and it above parts are cut off. Major amputation is divided into low site amputation and high site amputation.Low site amputation is general cut off from 10 cm below knee.And high site amputation is required to cut off from the thigh amputation. And patients with high site amputation have high mortality rate of more than 50% after two years , mortality rate of more than 80% within 5 years. Becausethe basic disease of these patients are very serious , who do not need the high site amputation, low site amputation can reduce death rate. Relative blog: What is the treatment of diabetic foot ulcers? Choosing A Reasonably Priced Thigh Prosthesis Medi-Rehatek will introduce Why some diabetic foot patients need amputation. Amputation is required when the diabetic foot develops into a progressive aggravated ischemic necrosis or severe resting pain, or a serious diabetic foot that can not be controlled by other procedures and drugs for other reasons. What is the control goal for diabetic foot blood glucose? According to their condition of diabetic foot patients ,we choose a different hypoglycemic program, but for those with ulcers, it is recommended to use insulin to lower blood sugar. Control targets are fasting glucose <7.0 mmol / L, 2-hour postprandial blood glucose <10 mmol / L, and glycosylated hemoglobin <7.0%. What is the amputation treatment for diabetic foot ? Amputation is the removal of repeated foot ulceration of the site, to create a functional remnants of the foot, that is easy to install prostheses to adapt to the general shoes or improved therapeutic shoes. The purpose of amputation is to remove gangrene and infected tissue to control and prevent the spread of infection. Medi-Rehatek will introduce which diabetic foot patients need hospitalization. Diabetic foot patients with severe infections, moderate infection but the situation is complex, such as severe vascular disease of lower limb, patients can not be treated at home.Due to physical or other reasons patients can not complete out-patient treatment, and out-patient treatment does not improve the condition. Diagnosis and classification of diabetes foot with infection ? (1)Non-infection: Wound without ulcers, tissue without swelling, fever, pain and induration, edema. (2)Mild infection: Inflammation around the ulcer tissue is less than 2 cm, infection is limited to the skin and epidermal tissue. (3)Moderate infection: Inflammation around the ulcer tissue is greater than 2 cm, subcutaneous tissue isinvolved and deep abscess is formed, lymph node inflammation, gangrene, infection involving muscles, bones, joints and ligaments. (4)Serious infection: The whole body has symptoms of poisoning, metabolic instability and so on. ItIncludes rapid progression of inflammation, massive tissue induration, abnormal color (black), gangrene and necrosis, ecchymosis and petechiae; patients with feverand chills, blood pressure reduction, confusion, vomiting, acidosis, severe elevated blood sugar. Relative blog: How to wash diabetic foot
Medi-Rehatek will introduce how to choose socks for diabetic feet. (1)The best choice of socks that are absorbent, made from soft, breathable cotton or pure wool. (2)Select the appropriate light-colored socks. Because diabetic patients with vascular disease leads to acral ischemia and patients with peripheral neuropathy causes loss of feeling. Patients often have no sense of foot injury or bleeding. The choice of light-colored socks, abnormal color or bleeding can be found in time.Early treatment can reduce the harm . (3)Socks neck needs to loose, so as not to squeeze the legs.You shouldn’t wear too tight or too loose socks. (4)It is best to wear seamless socks, reducing the chance of wearing foot. (5)If the sock is damaged, needs replacing. (6)Don’t wear above-knee socks (7)Socks should be cleaned and changed every day to keep clean and dry. What are the incentives for diabetic foot? (1) Shoes are too tight. (2) Trauma: such as toes crush injury, crash injury, feet scald injury, improperly trim toenails and so on. (3) Tinea pedis / athlete's foot. (4)Skin blisters. (5)Vascular obstruction. (6)Corn (meat thorns). (7) Callus (calluses). Relative blog: Calluses leads to diabetic foot
Medi-Rehatek will introduce how to choose the right shoes for diabetic feet. (1)The right shoes should have wide toe box that do not squeeze the toes.The shoe is breathable, and can be tied with lace in flat heel style. (2)The best time to buy shoes is in the afternoon or evening. (3)Trying to wear shoes, you should wear socks with both feet.The feet must be easy, comfortable.Any part of the foot should be no grinding feet or pinch feeling. (4)Wearing new shoes,you should be particularly careful.Initially you should have a short try on, let the feet slowly adapt to new shoes. and you should carefully checkon the skin redness, abrasions at any time. (5)Do not wear high heels or pointed shoes. Because high heels and pointed shoesare easy to squeeze the toes to deformation, and as the heel is getting higher, forcepoint moves forward. Most of the body weight are concentrated on the forefoot. This long-term pressure is easy to generate calluses, causing foot deformation, and even fractures. Why is the best time to buy shoes in the afternoon, and try to wear with two feet? Walking or standing after a day,person’s feet will have some swelling, so the foot of the afternoon will be slightly larger than the morning. So the best time to buy shoesis 2 to 4 pm in the afternoon . At this time the foot has been swollen, the foot is fully extended.Then the shoe ensures the most comfortable to wear. People's feet are generally not the same big. When you try to buy shoes, try to choose the size of the shoe is based on the bigger size of the foot. Relative blog: What is diabetic foot neuropathy?
Medi-Rehatek will introduce who has high-risk rate of foot ulcers among diabetic foot patients as below: (1) Patients with diabetic complications, such as diabetes with neuropathy, diabetic vascular disease, diabetic nephropathy and other chronic complications. (2) With a history of foot ulcers. (3) Foot deformity: such as bow foot (claw-shaped feet, high arch feet) mainlymanifest that sole of foot curves in front and back direction, the arch is high, the middle sole of foot still can not touch the ground. (4) With a callus (calluses) or "corns" (foot skin hyperkeratosis limitations, the middle has the inverted cone horny plug whose shape like a chick's eyes, known as the corns or meat thorns). (5) Presbyopia, cataracts, glaucoma, etc., which cause blindness or severe vision loss. (6) Combined renal disease, especially those with chronic renal failure. (7) The elderly or those who can not observe their feet, especially those are living alone. (8)Sensory loss, especially the foot can not perceive pain (9)Lack of knowledge of diabetes (10) Long-term smokers Relative blog: Why diabetic foot is difficult to heal
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