When accepting the network consultation, I received the reaction of some patients with prosthetic care in china from all over the country. They said that after assembling the prosthesis, they felt uncomfortable or even felt pain. So why do these things happen?

Through detailed communication with those patients, I learned that most of the patients with discomfort and pain were not prepared well before the assembly of the thigh prosthesis. Now, I'd like to introduce some preparation work before the assembly of the thigh prosthesis. I hope these materials can help the patients who prepare to assemble the thigh prosthesis.

1. Posture

According to the following posture, you can get full movement of your stump and keep the elastic bandage in the correct position.

(1) Supine:

This position should be used whenever you are lying on your back:

Lying on a hard bed, don't put pillows under the stump. Keep the stump flat on the bed. Keep the legs together.

(2) Prone position:

When you lie prone, take the following position: use a hard board bed, keep your hips flat on the bed and your legs together.

(3) Seats:

Avoid prolonged sitting. Pay attention to the following items when sitting:

Sit in a hard chair, body straight, center of gravity between the two hips. Legs together.

2. Exercise

In order to maintain or enhance the strength and elasticity of muscles, the residual limb exercise should be carried out under the guidance of a physical therapist. It is very important to remove the elastic bandage and keep breathing normally during exercise.

(1) Hip flexion:

Lift the stump towards the chest and keep the healthy side flat on the bed.

Keep the stump as close to the chest as possible, breathe 5 times as normal, and then rest. Repeat the exercise again.

(2) Hip extension:

First bend your legs to your chest. Hold the healthy side of the leg with your hand and press it to the chest. Lay the stump side flat and press it to the bed board. Hold this position for five times and breathe normally, then rest. Repeat the exercise again.

(3) Isotension hip:

Place a small towel roll under the stump and press the towel down until the buttocks are off the bed. Hold this position, inhale and exhale five times, then rest. Repeat the exercise.

(4) Isometric hip abduction adduction:

Place a small towel roll in the middle of your thigh and tie your legs together with a cloth strap at least two inches wide. Try to separate your legs to both sides and hold this position for 5 breaths.

Squeeze the towel between your legs, hold this position for five times, then rest. Repeat the exercise again.

(5) Adduction hip abduction:

Place a small towel roll between your thighs. Make the stump move as far as possible to the outside, and then retract the stump to squeeze the towel roll. Repeat this five times. Then rest.

(6) Gluteus training:

Tighten your hips, hold this position for five times, then relax and repeat the drill several times.

(7) Hip extension exercise:

Lie prone on the bed, lift the stump toward the roof, and do not move the hip toward the back. Hold this position for five times, then relax. Repeat the exercise again.

(8) Hip abduction:

In the side lying position, lift the residual limb to the roof, do not move the hip forward or backward. Keep this position for 5 times, then relax and repeat the exercise again.

(9) Hip extension:

Force the stump to extend backward to avoid the hip joint moving forward or backward. Hold this position for 5 times, then relax and repeat the exercise.

3. Walking

Exercise as much as possible, which will help to maintain your muscle strength and fatigue resistance. Keep elastic bandage when walking.

(1) If using a walker:

Check your walker to make sure it is safe to use. The legs of the walker should be at the same height. Keep the stump close to the healthy leg and perpendicular to the ground. Do not rest the stump on the walking aid bar.

(2) If walking with crutches:

Check your crutches to make sure they are safe to use and check for wear on the top of your crutches. The handrail of crutches should be firm and there should be no loose screws on the crutches. Keep the stump close to the healthy leg and perpendicular to the ground. Don't rest on crutches.