Stairs and Ramps For Amputees - Prosthetic Training: Episode 13

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Instructional video for lower limb amputees on navigating stairs and ramps with a prosthetic device.

Navigating Stairs:
- Above Knee Amputee: 0:19
- Below Knee Amputee: 3:49
- Bilateral Below Knee Amputee: 6:33

Navigating Ramps:
- Above Knee Amputee: 7:57
- Below Knee Amputee: 11:19
- Bilateral Below Knee Amputee: 13:50

Notes:
- Above knee amputees utilizing a mechanical knee, and not a computerized knee, must keep the prosthetic knee locked at all times when descending stairs and ramps. If the knee is unlocked under load, it will collapse and may result in significant bodily injury. This is best accomplished by tightening the buttock, or gluteal muscles, and pressing into the back of the socket. This will prevent the prosthetic knee from buckling on stairs and declines of a lower grade. Taller grades of ramp may require walking down sideways as demonstrated in this video.
- Always practice with the support of both hands and with supervision while learning how to navigate stairs and ramps. They are a challenging and potentially dangerous obstacle if safety is not the priority.

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This is the thirteenth episode of our Prosthetic Training video series which covers the spectrum of amputee rehabilitation from immediately post-amputation through running with a prosthesis. They are intended for clinicians and patients and are a great resource for rehabilitation professionals working with lower limb amputees.

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If you have questions relating to this topic or notice other questions similar to yours, check out our You Asked Series, where we answer patient questions in short digestible videos.

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Instructor: David Lawrence, MSPT, AT-Ret
David is an internationally renowned rehabilitation professional and educator. In addition to treating patients, he delivers courses in the USA and abroad on knee, hip and foot pathologies, rehabilitation following limb amputation, and disabled sports and recreation. He is founder of The Gait Center, a walking focused physical therapy clinic located in Richmond, VA, USA, as well as the founder and Chief Executive Officer for Mission Gait.

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Social Media:

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Video production by Will Riddick, PT, DPT for Mission Gait.
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Love how you teach everything so well you are great person how to you your legs I have past it on to other friends that I have that have lossed legs so glade you are here on YouTube show how to use my legs great job brother from Canada Toronto Ontario ❤🇨🇦🐐🍺🍺🍺🍺🍺🍺

johnantonis
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excellent visual training for amputees, and great for confidence building too. Thank you very much for creating these videoes . it is very valuable for all amputees.

sammirison
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This is a great video, I gotta watch it again!!!😊

tommyshearer
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I'm a RBKA as of 8/23. Just got my prosthetic 2 wks ago. This is very informative. I'll be going to PT again in 2 wks. Thank you!

brendabates
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I would love to see a version of all sections of this video, along with several others, focusing on BTK amputees.

mermeridian
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It's about self confidence practice and learning on your own.

gregwilliams
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Thank you for the video it helps people a lot whom suffering with this problem God bless you but would you pls inform where can people can get the joint

desalegnebiso
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I have the Helix hip, and would love to see videos using it.

alricburleson
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I have bi lateral above knee amputation. Passive artificial legs. Any chance of having a video of doing the stairs.

andrewbakewell
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Crossing fingers this helps. My first try, well I got there but in no way resembeled that and my knee always feels like its going to let go.

tinastrout
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I needed a K3 but was given a K2 ..don't let that happen to you..will set you up for failure and limit your progess!

gregwilliams
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con you pl post a vedio of training with mauch knee

sudhirpandey
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How can i get these, i live in Nigeria

sirwhite
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How long has Keith had his prosthetic for? How long has he been practicing using stairs?

brendabates
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Sir I'm from india i want this type lags ...i have a vary poor quality ..so how mush is this lamb ... And im also belongs a poor family 😀

musicup
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Can you show this with a double above knee?

mariannethompson
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What if your like me a bilateral below knee amputee?

rotax
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Sorry about that. Can you show me some videos of teaching how to use the Otto Bock 3R80 Knee? Because I wear the Otto Bock 3R80 Knee. Thanks so much.

MinHsienLee-AKAmputee
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Living in poor family in Nepal . I Think I cannot walk in the joint prosthetic legs . Alas! Hoping good . Have a marvelous da ahead.

bhawanamajhi-levc
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Price of joint and in which country you are??

mankaransingh