jlabbadiadc
1 post
Mar 07, 2010
4:51 PM
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I have a patient with a below the knee prosthetic. Unfortunately he has several different ones for different activities so his body is always being knocked out of balance. How would you do TMR with a patient like this? Should I just do the arm raise, trunk twist and leg raise and just try and keep them balanced? He is unable to do sit to stand or toe reach. Thanks for any input.
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Dr. Joe Labbadia
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Tom Dalonzo-Baker
152 posts
Mar 08, 2010
4:39 AM
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Joe - Those three are a beginning point. And should do quite well for them. Seeing it is a below the knee amputee then there should be functional activities you can test even with the prosthetic - Can they go up/down steps with it, modified one leg squat, etc. Find those activities and test left to right. You may be surprised that the amputated side is the stronger side. Hope that helps - if not call me 919 749 2106
Tom
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jlabbadiadc
2 posts
Mar 10, 2010
6:10 PM
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Thanks Tom,
I will give it a try and let you know how it goes. As I understand it, any movement that gives the patient relief can be used for TMR. If I find a move that gives relief then I can give resistance to them against that motion to accentuate it, is that correct? Have a great night!
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Dr. Joe Labbadia
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Tom Dalonzo-Baker
155 posts
Mar 19, 2010
6:39 AM
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Yes that is correct.
Tom
Last Edited on 19-Mar-2010 6:39 AM
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