Lesson 1Thorough residual limb check: skin condition, scar mapping, limb volume changes, and soft tissue movementFocuses on detailed inspection of the residual limb, including skin health, scars, bony parts, swelling, and soft tissue flexibility. Guides identifying risk spots that could impact socket fit, suspension, and long-term skin health.
Skin integrity, color, and temperature checksScar location, adhesion, and sensitivity mappingIdentifying bony prominences and pressure risksAssessing edema and limb volume fluctuationSoft-tissue mobility and pinch testingLesson 2Outcome measures and records: standard forms, photo guidelines, and consent for picturesExplains using standard outcome forms, photography, and patient feedback tools to record initial status. Covers consent for images, data protection, and regular follow-up checks to monitor cosmetic and functional satisfaction.
Selecting standardized assessment formsBaseline and follow-up photography protocolObtaining and recording image consentClient-reported satisfaction questionnairesSecure storage and data organizationLesson 3Interpreting measurements for socket design and part selection: allowances, gaps, and load sharingShows how to convert measurements into socket shape, edges, and part choices. Discusses gaps, allowances, load distribution, and suspension choices to balance comfort, strength, and looks.
Relating limb data to socket dimensionsSetting trimlines for comfort and coveragePlanning clearances and mechanical tolerancesLoad distribution and pressure managementSelecting components for cosmetic goalsLesson 4Measurement tools and methods: casting supplies, calipers, tapes, angle measures, and digital scan basicsCovers choosing and safely using casting materials, calipers, tapes, angle measures, and simple digital scanning. Stresses precision, consistency, hygiene control, and readying the limb and area for dependable measurements.
Choosing appropriate casting materialsUsing calipers and tape for limb dimensionsGoniometer setup and alignment basicsDigital scanning prerequisites and setupHygiene, safety, and tool maintenanceLesson 5Psychological and lifestyle evaluation: looks priorities, daily wear time (8–10 hours), sweat/job factorsExplores how looks preferences, routines, and work or hobbies shape prosthesis design. Addresses wear duration, sweat, surroundings, and adjustment methods to match cosmetic aims with real use and upkeep.
Exploring body image and appearance prioritiesDaily wearing schedule and tolerance planningWork, hobbies, and environmental exposuresSweat, skin issues, and hygiene strategiesSocial participation and stigma concernsLesson 6Joint movement and assessment: elbow bend/straighten, rotate forearm, shoulder and neck checkDetails checking elbow, forearm, shoulder, and neck movements for transradial prostheses. Includes active and passive range, end feel, pain, and adjustment patterns affecting control and looks alignment.
Elbow flexion and extension measurementForearm pronation and supination testingShoulder screening for compensationsNeck posture and mobility observationPain, end-feel, and movement qualityLesson 7Functional needs study: job tasks (typing, meetings, handling items) and daily activitiesStudies how job tasks and daily chores shape prosthetic needs. Looks at typing, driving, carrying, self-care to decide strength, grip choices, detailing, and form-function balances.
Task inventory for work and home rolesFine motor needs, typing, and device useObject carrying, lifting, and stabilizationSelf-care, dressing, and grooming tasksPrioritizing form versus function trade-offsLesson 8Aesthetic wishes discussion: skin shade mapping, feel, nail choices, hair, veins, tattoos, social notice issuesGuides planned talks on skin shade, texture, nails, hair, veins, tattoos. Tackles visibility at work/social spots, cultural aspects, and ways to set real hopes on realism, wear, upkeep of finishes.
Skin tone mapping and color matchingSurface texture, gloss, and finish choicesNail length, color, and style preferencesHair, veins, and tattoo replication optionsVisibility, disclosure, and social comfortLesson 9Precise body measurements: limb length, girth at levels, end shape, elbow-to-stump lengthsDescribes getting exact limb length, girths, end shape data. Stresses fixed points, side comparisons, noting elbow-to-stump lengths for socket design and looks match.
Selecting and marking bony landmarksMeasuring limb length and segment ratiosCircumference mapping at key levelsDocumenting distal end shape and volumeElbow-to-stump distance and symmetry
