1. Prosthetics and Orthosis

2. Awesomeness of prosthetics https://www.youtube.com/watch?v=9NOn cx2jU0Q https://www.youtube.com/watch?v=9NOn cx2jU0Q

3. What are… Prosthetics? Orthosis?

7. Using Orthosis In which disease/condition you might need orthotics?

8. Multiple Sclerosis (MS) Demyelinating disease! Idiopathic! What could be some signs and symptoms?

10. Main symptoms “MS is a SIN” Scanning Speech Incontinence Nystagmus

11. Foot Drop Inability or weakness in DORSIFLEXION Due to damage to common fibular nerve

13. Prosthetics Why do you lose your arm/leg?

14. Circulatory disorders Diabetic infection Gangrene necrosis (usually from trauma)

16. Deformities Proximal femoral focal deficiency Polydactyl

17. Proximal femoral focal deficiency Birth defect of unknown cause Missing knee cap and considerably shorter femur/tibia Can be both or one of the legs

18. Polydactyl

19. Other reasons Neoplasms=cancer Trauma Frostbite Body integrity identity disorder Athletic performance?

20. Classifying amputations Below knee amputation Above knee amputation

21. Phantom pain Perception/feeling of limb that has been amputated Describes as burning pain Neurological and psychological Uses mirror box therapy for tx

23. Let’s talk about prosthetics No more gross pictures…or is it?

24. Different types of prosthetics Cosmetic Body powered I Limb Athletic “Blades”

25. Cosmetic No real function Designed to look like real body parts

26. Body powered “Captain hook” Hook spreads as it moves away, vice versa Strong pincer grip

27. I Limb Looks and moves like a natural hand Allows the user to increase the strength of their grip around an object Very useful in situations where a firmer grasp is required, such as tying shoelaces tightly or opening a tightly closed jar of food.

28. Controlling I Limb https://www.youtube.com/watch?v=Hlm0 xpLPqp0 https://www.youtube.com/watch?v=Hlm0 xpLPqp0

29. Blades Athletic purposes only Not compatible with daily lives Usually made of carbon fiber Expensive

30. Cost of prosthetics Guess the price

31. Cost of prosthetics Anywhere from $15,000 to $90,000 Patients will pay anywhere from 15~50%

32. Prosthetic vs. natural limb https://www.youtube.com/watch?v=a2z8C E2vomY https://www.youtube.com/watch?v=a2z8C E2vomY

33. Remember… Different patient has different needs Not everyone needs the most functional prosthetics Always consider the balance of costs and benefits

34. “Disabled” guys can be tough… https://www.youtu be.com/watch?v=_ kaT5dDiISw https://www.youtu be.com/watch?v=_ kaT5dDiISw

35. Amputation in action https://www.youtube.com/watch?v=dAOa 6ZGOvYU https://www.youtube.com/watch?v=dAOa 6ZGOvYU