Lesson 1Comprehensive residual limb inspection: skin integrity, scar mapping, limb volume fluctuation, and soft-tissue mobilityLooks at proper check of the remaining limb, including skin state, scars, bony parts, swelling, and soft tissue movement. Helps mark danger spots that can affect socket comfort, holding, and long-term skin health in our hot climate.
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 documentation: standardized forms, photography protocols, and consent for imagesShows how to use standard outcome papers, photos, and client reports to record starting point. Covers agreement for pictures, data safety, and steady follow-up checks to track looks and use 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 component selection: tolerances, clearance, and interface load distributionTeaches how to turn measurements into socket shape, edges, and part choices. Talks about spaces, allowances, load spread, and holding options to balance comfort, strength, and good 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 techniques: casting materials, calipers, tape measures, goniometers, and digital scanning prerequisitesCovers picking and safe use of casting stuff, calipers, tapes, angle measurers, and basic digital scans. Stresses exactness, repeat, germ control, and readying the limb and space for good measures.
Choosing appropriate casting materialsUsing calipers and tape for limb dimensionsGoniometer setup and alignment basicsDigital scanning prerequisites and setupHygiene, safety, and tool maintenanceLesson 5Psychosocial and lifestyle assessment: appearance priorities, wearing schedule (8–10 hours), sweat/occupation-related factorsLooks into how looks matter, daily routines, work or play affect prosthesis design. Handles wear time, sweat, weather, and coping to match look goals with real use and care in Sierra Leone.
Exploring body image and appearance prioritiesDaily wearing schedule and tolerance planningWork, hobbies, and environmental exposuresSweat, skin issues, and hygiene strategiesSocial participation and stigma concernsLesson 6Range of motion and joint assessment: elbow flexion/extension, pronation/supination, shoulder and neck screeningDetails check of elbow, forearm, shoulder, neck movement for transradial prostheses. Includes active and passive range, feel at end, pain, and side moves that affect control and look match.
Elbow flexion and extension measurementForearm pronation and supination testingShoulder screening for compensationsNeck posture and mobility observationPain, end-feel, and movement qualityLesson 7Functional needs analysis: work-related tasks (typing, client meetings, object manipulation) and activities of daily livingChecks how work jobs and daily doings shape prosthetic needs. Looks at typing, driving, carrying, self-care to pick strength, hold options, look details, and fair swaps between shape and use.
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 expectations interview: skin tone mapping, texture, nail preferences, hair, veins, tattoos, and social visibility concernsGuides talks on skin colour, feel, nails, hair, veins, tattoos. Handles see-ability in social and work, culture, and ways to set real hopes on lifelikeness, wear, and care of look 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 9Detailed anthropometric measurements: limb length, circumference at multiple levels, distal end shape, and elbow-to-stump distancesTells how to get true limb length, girths, end shape data. Stresses same marks, side compare, record elbow-to-stump for socket design and look balance.
Selecting and marking bony landmarksMeasuring limb length and segment ratiosCircumference mapping at key levelsDocumenting distal end shape and volumeElbow-to-stump distance and symmetry
