Getting Up Off of the Floor: Floor to Stand Transfer for Unilateral Amputees-Prosthetic Training:Ep8

Summary

In this instructional video, David Lawrence demonstrates safe methods for individuals with a unilateral prosthetic limb to get down to and rise from the floor. He covers proper techniques for kneeling, rolling, sitting up, and standing, emphasizing the importance of checking the prosthetic's positioning and stability before attempting to stand. The video also advises on seeking assistance from others without relying on them for support, ensuring safety and independence for prosthetic users.

Takeaways

• 🧍‍♂️ Safety First: When using a prosthetic limb, it's crucial to learn how to get down and up from the floor safely to prevent injury.
• 🛑 Proper Positioning: To get down on the floor, a patient should scoot forward, tuck the prosthetic limb underneath, and lean over to kneel on it.
• 💡 Weight Distribution: Kneeling on a prosthetic limb is safe as the pressure in the socket is no different from standing, allowing for weight distribution.
• 🔄 Transition to Laying Down: After kneeling, the patient should roll over to lay flat on their back, ensuring they are in a stable position on the floor.
• 🚫 Avoid Rushing: When getting up from the floor, it's important not to rush as it can be physically demanding and potentially dangerous.
• 👀 Check Prosthetic: Before standing, the patient should check that the prosthetic foot is facing the ceiling and is still donned correctly.
• 🔄 Rolling and Scooching: To get up, the patient should roll over and scoot away from the starting position, crossing the prosthetic leg over the other to facilitate the movement.
• 🦿 Crawling to Stability: From hands and knees, the patient can crawl towards a higher surface, then kneel on both knees and bring the right leg forward for stability.
• 💪 Pressing Up: Leaning forward and pressing the knee fully straight underneath the body helps the patient to stand up from a kneeling position.
• 👥 Assistance with Direction: If help is available, the patient should direct the helper to stay still and not pull, allowing the patient to control the lift.
• 🤝 Holding On: After standing, the helper should continue to hold on until the patient feels steady and ready to let go, ensuring stability and support.

Q & A

Who is the presenter in the video?

The presenter is David Lawrence.

What is the main focus of the video?

The video focuses on how to safely get down to and up off the floor with a prosthetic limb.

What is the first step in getting down to the floor with a prosthetic limb?

The first step is to have the patient scoot forward on the mat and tuck the prosthetic back underneath a little bit, then lean over with a hand on the mat until kneeling on the prosthetic.

What should a patient do immediately after a fall before trying to get up?

The patient should sit up, look at the prosthetic leg to ensure the foot is facing the ceiling, and make sure the prosthetic is donned correctly and not broken.

What should the patient do if the prosthetic leg is not donned correctly after a fall?

If the prosthetic leg is not donned correctly, the patient needs to re-donn it before attempting to stand up.

What is the recommended action if the prosthetic leg is broken after a fall?

If the prosthetic leg is broken, the patient should seek help and will likely need a wheelchair.

How should a patient position themselves to get up from the floor if there is nothing to hold onto?

The patient should bring the right foot forward into a stable position, press into the hands, bring the leg underneath, and then press up into a standing position.

What should a patient do after standing up following a fall?

The patient should find a place to sit, collect their thoughts, and ensure they feel stable before moving.

How can a helper assist a patient getting up from the floor without pulling on them?

The helper should be statuesque, provide stability, and let the patient control the lift while keeping a supportive hold until the patient feels steady.

What is the main message to the audience at the end of the video?

The main message is to view and share other videos in the series on prosthetic interventions and to subscribe to the YouTube channel for updates.

Outlines

00:00

🛌 Safe Transfers with a Prosthetic Limb

In this video segment, David Lawrence instructs viewers on the safe methods for individuals with a unilateral prosthetic limb to get down to and up from the floor. He emphasizes the importance of doing so safely to prevent injury and to facilitate practice in transferring. The process involves scooting forward, tucking the prosthetic limb, kneeling on it, and then rolling to lay flat. When getting up, he advises against rushing and ensuring the prosthetic foot is correctly positioned before attempting to stand. He also demonstrates how to transition from a lying position to hands and knees, uncrossing the legs, and using the prosthetic leg to push up to a standing position. The segment concludes with advice on what to do if there is nothing to hold onto when getting up, highlighting the need for stability and practice.

05:02

📺 Engaging with Mission Gait's Prosthetic Intervention Series

The second paragraph serves as a call to action for viewers to engage with the rest of the video series on prosthetic interventions provided by Mission Gait. It encourages viewers to visit their YouTube channel and to subscribe for updates on new content. The paragraph also prompts viewers to interact with the video by liking, commenting, and sharing it, fostering a community around the educational material. The series covers a range of topics from post-amputation limb management to running with a prosthesis, aiming to be a comprehensive resource for individuals with prosthetics.

Keywords

💡Prosthetic Limb

A prosthetic limb is an artificial replacement for a missing body part, in this case, a leg. It is a crucial element in the video's theme as it is the focus of the techniques being demonstrated for getting down to and up off the floor. The script describes the process of safely kneeling and laying down on the floor with a prosthetic and then getting back up, which is essential for individuals with unilateral prosthetic devices.

💡Transferring

Transferring refers to the act of moving from one position or location to another, which is a key aspect of the video. It is particularly important for individuals with prosthetic limbs to learn how to transfer safely, such as from a standing position to the floor and vice versa. The script provides step-by-step instructions on how to perform these transfers with a prosthetic limb.

💡Safety

Safety is a fundamental concept in the script, emphasizing the importance of performing movements without risking injury. When getting down to the floor or standing up with a prosthetic limb, the script advises on the correct techniques to ensure safety, such as checking the prosthetic foot orientation and ensuring it is donned correctly before attempting to stand.

💡Socket

The socket is the part of a prosthetic limb that encloses the residual limb. It is mentioned in the script to highlight that the pressure in the socket when kneeling on the prosthetic is no different than when standing, indicating that weight can be safely placed on the prosthetic in various positions.

💡Kneeling

Kneeling is a position where one kneels on their knees, and it is a significant part of the process described in the script. It is used as an intermediate step when getting down to the floor with a prosthetic limb and as a stable position from which to stand up.

💡Rolling

Rolling is the action of moving by turning over and over on the floor, as mentioned in the script when instructing how to safely lay out on the mat. It is part of the process of getting down to the floor and is also used as a method to reposition oneself when getting up.

💡Prosthetic Foot

The prosthetic foot is the lower part of the prosthetic limb that comes in contact with the ground. The script emphasizes checking the orientation of the prosthetic foot to ensure it is facing the ceiling before attempting to stand up, which is crucial for a successful and safe transition from the floor.

💡Hands and Knees

Being on hands and knees is a position that provides stability and is used in the script as a preparatory step for getting up from the floor. It is a position of power from which one can push up and regain a standing position with the help of the prosthetic limb.

💡Crawling

Crawling is the act of moving on hands and knees, and in the context of the video, it is suggested as a method to move towards a higher position or object that can aid in standing up. The script describes crawling over to a mat to get into a kneeling position, which is a step towards standing up.

💡Pressing Up

Pressing up refers to the action of pushing oneself up from a lower position to a standing position. The script details the technique of pressing up from a hands and knees position, using the knee and hands for leverage to stand up with a prosthetic limb.

💡Assistance

Assistance in the script refers to the help provided by another person when an individual with a prosthetic limb needs to get up from the floor without anything to hold onto. The script explains how a helper should remain stationary and allow the individual to control the lift, ensuring safety and support during the process.

Highlights

David Lawrence demonstrates how to safely get down to and up off the floor with a prosthetic limb.

The importance of scooting forward and kneeling on the prosthetic limb for safe transfer.

Laying flat on the ground as a safe position in case of a fall.

The process of sitting up before attempting to stand after a fall.

Checking the prosthetic foot orientation before attempting to stand up.

The correct method to re-donn a prosthetic if it's not properly on.

Instructions on how to use the prosthetic leg to roll over and get into a crawling position.

The technique of crossing legs before rolling over to prevent feet from getting crossed.

Advising on crawling towards a higher surface to facilitate standing up.

The method of getting into a kneeling position and then moving into a foot position to stand up.

Recommendation to sit down after standing up to collect thoughts and calm the heart rate.

Guidance on what to do if there's nothing to hold onto when trying to stand up in the middle of the floor.

The process of pressing into hands and legs to achieve a stable standing position.

The role of a helper in providing support without pulling during the standing process.

Emphasizing the importance of maintaining contact with the helper until the patient feels steady.

The video is part of a series on prosthetic interventions with a range of topics from managing residual limbs to running with a prosthesis.

Invitation to subscribe to the YouTube channel for more content on prosthetic interventions.

Transcripts

Hi,

I'm David Lawrence and in this video I'm going to talk about and show you how to

get down to and up off the floor with a prosthetic limb.

Alright, when we're working on transferring with a unilateral prosthetic device,

the first thing you want to work on is getting on the floor safely so the

patient can get down and get around if they need to,

but also if they need to simply practice transferring from the floor,

they need to get down there safely.

So the easiest way to do that is have the patient scoot forward on the mat

slightly good, tuck the prosthetic back underneath her a little bit good,

and then lean over hand on the mat until she kneels on that prosthetic.

Come right down on it. Boom.

You can kneel on this prosthetic as much as you want.

The pressure in the socket is no different than if she was standing so she can

put as much weight on it if she needs to.

Now I'm going to have you come all the way down on the floor and then roll all

the way there. You go to your back and completely lay out on the mat.

So if you had the big crash, you are flat on the ground right out.

The first thing you want to do is don't rush to get up. All right.

When you get up, it's basically let your heart stop beating.

If there's people around you, let them know that, "I've got this.

Don't yank on me, don't pull on me." But the first thing you do is you sit up,

don't stand up.

So go ahead and sit up and look at your prosthetic leg and make sure the

prosthetic foot is facing the ceiling.

If it is and you know it's still donned correctly, nothing broke or shifted.

If it is completely not on you, you need to re-donn it before you stand up.

If it's broken,

you're going to need help and let people know that you're going to need help and

likely a wheelchair because there's going to be nothing to stand on when you get

up. But if we're in this position, we look pretty good.

I want you to scoot away from me just a little bit.

Cross your prosthetic over top of your other leg and then roll over onto your

hands and knees. As you do that because you started cross,

the legs will end up uncrossed. All right, simple mistake.

If you don't cross your legs first, you you roll over,

a lot of times your feet are crossed up behind you. It's very hard to get up.

From this position,

she's in a position where she could crawl to something higher at her,

which is always the thing to do. So in this case, we have a mat here,

so she's going to crawl over here towards this mat,

get herself in a position where she's kneeling on both knees,

then bring her right leg forward into a foot position.

Lean forward onto the mat and press forward as she presses that knee fully

straight underneath her. Once she's up,

always tell a patient then go ahead and turn and have a seat

if you have a place to sit, because obviously sometimes when you first get up,

your heart's still beating a little bit from the fall or if you just need to

kind of like collect your thoughts before you take off.

So if the patient has fallen and there is nothing around them to get a hold of,

then they're going to basically go from this same position,

checking their feet to make sure the prosthetic is on correctly.

Scoot a little bit away from me, cross leg over,

get onto your hands and knees so you're in a position of power.

She can press down on that knee. Now from here, if there's nothing to hold onto,

she needs to get up in the middle of the floor.

She's going to bring her right foot forward into a stable position. From there,

press into her hands,

bring her leg underneath her and then press up into a standing position.

Always wants to get herself stable. She makes that look pretty easy,

but that's something that takes a lot of practice to work on.

Coming up into that position. Okay in this scenario,

we're going to look at a patient who is again fallen.

They're looking at their feet to make sure their feet are both facing straight

up. They're going to get to the position of power.

They're going to get up with nothing to hold on to,

but they do have someone around. It can be a family member, can be a friend,

can be someone simply walking by.

The key is to as the patient to take control and direct the individual as to

what you need, which is basically you just need them to be stationary,

statuesque, and don't move.

Don't pull on me as young trying to get up so I'm going to have you cross over.

Get to your hands and knees.

I've come into a position to be able to help.

She wants to get to her hands and knees. If she can, stable,

lean into me, press up. I'm not pulling on her at all.

Now notice the other thing that's really important is I don't let go of her.

Many times people get up and we let go real quickly cause we don't want to make

too much contact when the person is still feeling unsteady from the fall.

So you always hold onto them and let them let go of you. When they feel steady,

they're going to make that. They're going to break that contact.

So you always stay close.

Stay a hold of them until they they'll they let go of you.

And I'm always in a position with my feet apart, knees bent, arms,

just strong if I may just put them together, whatever I want to do,

just be statuesque cause they need you to kind of crawl up on.

But I don't want to grab her and pull.

She's going to control the lift the entire thing herself. Once she's up,

I don't let go of her until she's ready and walks away from me.

Thanks for watching and we hope that you found this helpful.

This video is part of a series on prosthetic interventions ranging from managing

the residual limb after amputation to running with a prosthesis.

We encourage you to view our other videos in this series and to share them as

well. You can find them on our YouTube channel at YouTube.com/MissionGait .

To stay up to date on our latest content,

click the link in the corner to subscribe and be sure to like comment and share

this video.