ORI1300 Transtibial and Transfemoral Prostheses Course description

This course is based on the clinical work processes covered in ORI1000 and is the first of four courses in orthopaedic technology. Knowledge acquired in the courses in anatomy and biomechanics will be used. The focus is on users with lower limb amputations, especially at transtibial (below the knee) or transfemoral (above the knee) level. These two levels account for a high proportion of prosthetic technology work. The course also provides an introduction to ankle and knee disarticulation, which is an amputation level that is rarer than the other two.

Prosthetists work with patients in all age groups and life situations. It is therefore important that they have good communication skills and basic skills in observing and talking to children and adolescents to understand their lives, and how work with children can be carried out in an interprofessional person-centred and family-centred manner. This topic is highlighted in the interdisciplinary teaching activity INTER1100 The Same Child - Different Arenas, 1.5 credits.

The student must have been admitted to the study programme.

After completing the course and INTER1100, the student should have the following learning outcomes defined in terms of knowledge, skills and general competence (INTER1100 addresses the learning outcomes marked with an asterisk (*)):

Knowledge

The student

• can explain children and adolescents’ process of growing up in a society characterised by social and cultural diversity*
• can explain the medical reasons for lower-limb amputation
• can refer to anatomical landmarks/structures that are significant to the adaptation of lower limb prostheses
• is familiar with amputation surgery at the transtibial, transfemoral, ankle and knee articulation level
• can explain pain and other consequential conditions after an amputation, and psychosocial aspects of amputations and the use of prostheses
• is familiar with symptoms of cognitive deficits and the consequences of this when communicating about the use of prostheses
• can describe key terms in socket technology, alignment and biomechanics in connection with adaptation of transtibial and transfemoral prostheses and of ankle and knee disarticulation prostheses
• can give an account of materials used in prosthetic liners, such as silicone, elastomers and foam materials

Skills

The student

• can cooperate with students from other programmes of professional study about relevant challenges in the everyday lives of children and adolescents*
• can discuss and reflect on their own future professional role in interprofessional cooperation with children, adolescents and their parents/guardians*
• can conduct a visual gait analysis and correct gait deviations
• can use functional tests, make plaster moulds, take measurements and use 3D scanning and modelling
• can carry out clinical processes following amputations at transtibial and transfemoral level
• can explain choices of components and materials based on patient history and functional assessment
• can apply outcome measures and ICF and use the information in patient records and to define goals
• can write patient records
• can prepare work descriptions and carry out technical production procedures in the production of transtibial and transfemoral prostheses
• can search for, summarise and reference research articles

General competence

The student

• has an understanding of interprofessional cooperation with children, young people and their families*
• can apply fundamental clinical reasoning to become familiar with the needs of the users
• can conduct him/herself in a professional manner and take care of users in clinical settings
• can communicate both orally and in writing with users, fellow students and staff in clinical and technical situations

The work and teaching methods used vary between seminars, skills training, a clinical and technical module, lectures, digital learning resources, student cooperation and self-study.

The following coursework requirements must be met before the student can take the exam:

• minimum attendance of 80% at seminars and skills training
• two individual process descriptions (clinical/technical) of 1,500 words (+/- 5%) based on the learning outcomes listed under ‘Skills’.

Coursework requirements for INTER1100‘The Same Child - Different Arenas’

Students must submit an individual log. Scope: 500 words (+/- 10%). In order to write the log, the student must first participate in a two-day seminar.

Individual clinical and oral exam, over the course of one day.

Clinical equipment.

Grade scale A-F

One internal and one external examiner are used to grade the clinical and the oral exam.

• 10 credits overlap with the course ORTO1300 Transtibial and Transfemoral Prostheses