Lesson 1Residual Limb Check: Skin Health, Scars, Neuroma Signs, Swelling, Limb Volume Change and Measure WaysDis part focus on residual limb check, stressing skin look, scar movement, neuroma signs, swelling, limb volume change, and standard measure ways to support safe loading, socket fit choices, and long-term tissue health.
Skin color, integrity, and breakdown riskScar location, adherence, and mobility testsPalpation for neuroma and nerve tendernessEdema patterns and soft tissue consistencyCircumference and length measurement methodsMonitoring limb volume changes over timeLesson 2Function Mobility Tests: Timed Up-and-Go (TUG), 6-Minute Walk Test, Stair Check, Sit-to-Stand MeasuresDis part outline function mobility tests for transtibial users, including TUG, 6-minute walk, stair handling, and sit-to-stand measures, with guide on setup, safety, understanding, and noting changes in rehab.
Timed Up and Go test setup and scoringSix-Minute Walk Test proceduresStair ascent and descent performanceSit-to-stand and transfer assessmentsUse of assistive devices during testsLesson 3Balance and Body Sense Tests: Clinical Tests (Berg Balance Scale Items, Single-Leg Stand, Limits of Stability) and Tool MeasuresDis part explain balance and body sense tests, covering clinical tools like Berg items, single-leg stand, and Limits of Stability, plus optional tool measures, to measure fall risk and guide targeted balance training.
Static standing balance observationsBerg Balance Scale item selectionSingle-leg stance and tandem stance testsLimits of Stability and weight shiftingInstrumented balance and sway measuresLesson 4Structured History Taking: Surgery History, Prosthetic History, Pain Types, Activity Goals, and Mind FactorsDis part explain how to gather focused history for transtibial prosthesis users, covering surgery details, prosthetic use, pain patterns, daily activities, participation goals, and mind aspects dat affect rehab results and sticking to plan.
Key surgical details and amputation etiologyPrevious prosthetic use and device changesPain type, intensity, triggers, and patternsActivity level, vocational and sport goalsPsychosocial context, mood, and supportLesson 5Joint Movement Range and Muscle Length Tests for Transtibial Amputees (Hip, Knee, Ankle/Calf Length)Dis part review joint movement range and muscle length tests for transtibial amputees, stressing hip, knee, and calf length, contracture risk, test positions, and effects on walking and prosthetic alignment.
Hip flexion, extension, and rotation rangeKnee flexion and extension measurementGastrocnemius–soleus length assessmentStandardized goniometry positioningImpact of contractures on gait and fitLesson 6Assistive Tool and Surroundings Check: Cane/Walker Use, Work Demands, Uneven Ground ChallengesDis part address check of assistive tools and surroundings, including cane or walker fit, home and work demands, community ground, and transport needs, to ensure safe movement and real rehab planning.
Cane and walker selection and fittingHome layout, hazards, and accessibilityWorkplace physical demands and tasksCommunity terrain and outdoor challengesTransportation and public transit accessLesson 7Observation and Static Posture Check with Prosthesis On and Off (Pelvic Alignment, Limb Length, Contractures)Dis part cover systematic visual check with and without prosthesis, focusing on overall posture, pelvic alignment, limb length, contractures, spine curves, and body adjustments dat may affect comfort, walking efficiency, and long-term joint health.
Posture with prosthesis donned and doffedPelvic tilt, obliquity, and rotation checksApparent and true limb length comparisonDetection of hip and knee flexion contracturesSpinal alignment and compensatory posturesLesson 8Muscle Strength Test Protocols for Hip Side/Back Muscles, Knee Straighteners, Core and Other LimbDis part detail muscle strength test protocols for key groups, including hip side and back muscles, knee straighteners, core stabilizers, and the other limb, using hand tests and machines to guide exercise plans.
Hip abductor strength testing methodsHip extensor and gluteal strength checksKnee extensor and quadriceps assessmentCore stability and trunk strength testsContralateral limb strength comparisonLesson 9Gait Analysis Framework: Observation List (Stance/Swing Balance, Step Length, Stance Time, Foot Clearance), Finding Prosthetic-Related IssuesDis part present a structured gait analysis framework, using observation lists for stance and swing, step length, stance time, and foot clearance, and link common issues to possible prosthetic or body causes and treatment priorities.
Standardized observational gait checklistStance phase symmetry and stabilitySwing phase, foot clearance, and timingStep length and cadence comparisonsCommon transtibial gait deviationsLinking deviations to likely prosthetic causesLesson 10Prosthetic-Specific Checks: Socket Fit Check, Suspension Work, Pressure Mapping Basics, Alignment Signs, Prosthetic Foot Response, Socks/Liner Fit and Volume ControlDis part detail prosthetic-specific checks, including socket fit, suspension function, pressure spread, alignment signs, foot behavior, and sock or liner management, to tell prosthetic problems from body issues during check.
Static and dynamic socket fit assessmentSuspension system function and pistoningPressure-sensitive and tolerant area reviewVisual and functional alignment indicatorsFoot rollover, heel response, and stabilitySock ply, liner fit, and volume strategies
