Lesson 1Residual limb examination: skin integrity, scars, neuroma signs, swelling, limb volume variability and measurement techniquesDis part go focus on checking di residual limb, stressing inspection of skin, mobility of scars, signs of neuroma, swelling, changes in limb volume, and standard ways to measure to support safe loading, decisions for socket fit, and long-term health of tissue.
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 2Functional mobility testing: timed up-and-go (TUG), 6-minute walk test, stair assessment, sit-to-stand measuresDis part go outline testing for functional mobility for transtibial users, including TUG, 6-minute walk, climbing stairs, and sit-to-stand measures, wid guidance on setting up tests, safety, understanding results, and recording changes in rehabilitation.
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 proprioception testing: clinical tests (Berg Balance Scale items, single-leg stance, Limits of Stability) and instrumented measuresDis part go explain testing for balance and proprioception, covering clinical tools like Berg items, single-leg stance, and Limits of Stability, plus optional instrumented measures, to measure risk of falling and guide targeted training for balance.
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: surgical history, prosthetic history, pain characteristics, activity goals, and psychosocial factorsDis part go explain how to collect focused history for transtibial prosthesis users, covering details of surgery, use of prosthetic, patterns of pain, daily activities, goals for participation, and psychosocial aspects wey affect outcomes and following di 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 range of motion and muscle length testing relevant to transtibial amputees (hip, knee, ankle/gastroc-soleus length)Dis part go review testing for joint range of motion and muscle length relevant to transtibial amputees, stressing hip, knee, and gastrocnemius–soleus length, risk of contracture, positions for testing, and implications for 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 device and environmental assessment: cane/walker use, workplace demands, uneven terrain challengesDis part go address assessment of assistive devices and environments, including fit of cane or walker, demands of home and workplace, community terrain, and needs for transportation, to ensure safe mobility and realistic planning for rehabilitation.
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 postural assessment with prosthesis on and off (pelvic alignment, limb length, contractures)Dis part go cover systematic visual assessment wid and without di prosthesis, focusing on overall posture, pelvic alignment, limb length, contractures, curves of spine, and compensatory strategies wey fit affect comfort, efficiency of walking, and long-term health of joints.
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 testing protocols for hip abductors/extensors, knee extensors, core and contralateral limbDis part go detail protocols for testing muscle strength for key groups, including hip abductors and extensors, knee extensors, core stabilizers, and di opposite limb, using manual testing and dynamometry to guide prescribing exercises.
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: observational checklist (stance/swing symmetry, step length, stance time, foot clearance), identifying prosthetic-related deviationsDis part go present structured framework for analyzing walking, using checklists for observation of stance and swing, step length, stance time, and foot clearance, and link common deviations to possible causes from prosthetic or body and priorities for treatment.
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 assessment, suspension performance, pressure mapping basics, alignment cues, prosthetic foot response, socks/liner fit and volume managementDis part go detail checks specific to prosthetic, including fit of socket, function of suspension, distribution of pressure, cues for alignment, behavior of foot, and management of socks or liners, to separate issues from prosthetic from physical impairments in assessment.
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
