Assessment of Trans-tibial Amputee
1. Demographic Data Name Age Sex Diagnosis Chief Complain 2. On Observation Whether patient came on wheel chair or with crutches or with support or in mother's lap. - Gait pattern , ambulatory or non ambulatory - Body Build _ endo , ecto , meso. - side of amputation 3. History Case History - when amputation occurred ? - cause of amputation PVD , gangrene , diabetes , trauma , burn - whether amputee is previous prosthesis user or not . Medical History - which other institutions does he visited before. - any other associated disease (diabetes or B.P. ) is present or not 4. Socio-Economic Factor - family background - occupation - financial condition 5. On Examination - range of motion of residual joint - MMT - VAS (visual analogue scale , if pain occurs ) - MAS (Modified Ashworth scale , if spasticity) - Contracture - Stump evaluation i) shape ii) size iii) scar - positioning , adherent o...
