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I N TE RN ATI ON AL

I s0

S TAN D ARD

8548- 2
Fi rst

e d i ti o n

1 993-07-01

P ro sth eti cs

an d

d e fi ci e n ci e s

P art

orth oti cs

Li m b

-

-

2:


M e th o d

of

d e scr i bi n g

l o we r

l i rn b

am pu tati o n

stu m ps

P roth kses

P arti e

2:

m em bres

et

orth eses

M Bth o d e

de


-

M al form ati o n s

d escri pti o n

d es

d es

m em bres

m oi g n o n s

-

d ’ am pu tati o n

d es

i n fki eu rs

R e fe re n ce
I S0

n u m ber

85482: 1 993(E)



I S0

8548=2: 1 993(E)

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I S0

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fed erati on
of

of

prepari n g

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a


tech n i cal

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I S0

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th i s

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This page intentionally left blank


I N TE RN ATI ON AL

P ro s th e ti cs

P art

part

scri bi n g

of

2

of

I S0

l o wer

cord i n g

th e


d e s cri bi n g

8548

limb

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part

Li m b

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of

I S0

I S0

in

8548.


are

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i n d i cated

m ai n tai n

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3

D e fi n i ti o n s

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of

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8548-l

: 1 989,

fi ci en ci es

-

P rosth eti cs

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8548=2: 1 993(E)

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7)

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tabl es

1


m o-

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zero

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power

power

l i kel y

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to

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th e

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s o cke t

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p o we r

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th e

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pro xi m al

j oi n t

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wi th

s tan ce

wo u l d

th e


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a

ph as e .

Assessm en t

an

of

j oi n t

assessm en t

of

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th e i r

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p art

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to

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5

M eth o d

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in

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of

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1 9 64

m u scl e

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4. 2. 2

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foo t

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4. 1 . 2 . 1

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posi ti on s.

4. 3 . 3

4. 1 . 2

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of

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4. 1 . 1 . 8

n eed

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of

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Record
4. 1 . 1 . 7

j oi n t

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l o ss

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of

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m en t,
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an d

m ed i al

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of

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G en eral

Th e
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of

barefoo t.

ci rcu m feren ti al

appro pri ate
l evel

of

tabl e

am pu tati o n .

m easu re(see

tabl es

G e n e ral

D escri be
l i sted
by


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th e

in

th e
th e

u se

stu m p

appro pri ate
of

th e

u si n g

th e

tabl es

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1

to
A.

7) ,

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in

tabl e2.

u pp e r
at

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” Hip

3

sh own

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j oi n t
as

or

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to

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th e

at

th e

N OTE

6

m e n ts

tran s - fe m o ral

Th e

is

d escri pto rs

am pu tati o n


4

th e

Th e

is

th e

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sh own

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at

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re fe re n ce

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l e ve l

l eve l

in

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a ci rcu m fere n ti al

to


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a

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fl e xi o n

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5
is

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th e

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at

s tu m p.

wo u l d


be

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of

in

tabl e

5.

re fe re n ce

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at

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line

l e vel
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l e ve l

in

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th e

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u pp e r

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th e

l e n g th
cas e

l e n g th

ci rcu m fe re n ti al
th e

m e as u re -

of

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fl e xi o n

wo u l d

be

m e as u re m e n t

ce n tre l i n e

of


th e

is

(S ym e’ s )

th e

th e
is

stu m p.

d i sarti cu l ati o n

U se

th e

d escri pto rs

sh own

in

tabl e6.

h i g h est


po s s i bl e

at

N OTE

7

m e n ts

s tu m p.

is

Th e
th e
th e
l e ve l
at

u pper

m e d i al
u pper
at

ri g h t

re fe re n ce
j oi n t


line

re fe re n ce

wh i ch

a

an g l e s

to

l e ve l
bu t,
l e vel

in

fo r
th e

fo r

ci rcu m fe re n ti al
th e

ce n tre l i n e

tabl e4.


l e ve l
cas e

of

fo r
a

l e n g th
fl e xi o n

P arti al

fo o t

am pu tati o n

m e as u re d e fo rm i ty,

U se

th e

d escri ptors

l e n g th
cas e

l e n g th


d i sarti cu l ati o n

d escri ptors

th e

sh own

( be l o w- kn e e )

m e as u re d e fo rm i ty,

5. 8
N OTE

of

am pu tati o n

u pp e r

An kl e

po s s i bl e

th e

wo u l d


m e as u re m e n t

tabl e3 .

l e ve l

th e

at

h i g h est

U se

ce n tre l i n e

m ed i al

th e

d e fo rm i ty,

5. 5

l e n g th

( abo ve - kn e e )

5. 7
N OTE


th e

d e fo rm i ty,

Tran s - fe m o ral

m e n ts

th e

d escri ptors

po s s i bl e

th e

to

Tran s- ti bi a1

h i g h est

U se

fo r

th e

pro xi m al


am pu tati o n .

5. 4

l e vel

a ci rcu m fe re n ti al

d i sarti cu l ati o n

U se
N OTE

wh i ch

1 .

5. 6
U se

re fe re n ce

l e ve l

8548=2: 1 993 (E)

sh own

in


tabl e7.

of

m e as u re a

wo u l d

fl e xi o n
be

m e as u re m e n t
of

th e

s tu m p.

th e
is


I S0

8548-2:

1 993(E)

Tabl e


1

-

D escri ptors

for

tran s-pel vi c

D e s cri pto r

S tate m en ts

M e as u re m e n ts

N ot

S tu m p

th e

th e

co n tral ate ral

limb

is


th e

s i te

of

an

H e al e d /u n h e al e d

s car

S ki n

G e n e ral

b arri e r

S e n s ati o n

No

i n tact/s ki n

b arri e r

n o rm al /s e n s ati o n

ad d i ti o n al


not

i n tact

i m pai re d

s carri n g /ad d i ti o n al

s carri n g

C i rcu l ati o n

N o n e /pre s e n t/e xce s s i ve

Oe d e m a

ti s s u es

of

th e

s tu m p

Am o u n t

Ad e q u ate /i n ad e q u ate /e xce s s i ve

C o n s i s te n cy


N o rm al /fl abby/i n d u rate d

S i g n i fi can t

p ai n

S po n tan e o u s

p ai n

N o /ye s

Te n d e rn e s s

N o /ye s

P ai n fu l

N o /ye s

n e u ro m a

P h an to m

4

an n ex

A)


re l e van t

M o bi l e /ad h e re n t

P ai n

an d

re co rd e d

s tu m p

Am pu tati o n

S o ft

5. 2

Abs e n t/pre s e n t

re m n an t

If

of

be

(see


s h ape

P el vi c

S ki n

to

am pu tati o n s

afte r

p ai n

e xe rci s e

N o /ye s

N o /ye s

( g e n e ral i z e d ) /ye s

( l o cal i z e d )

am pu tati o n ,

s tate

th e


l eve l


I S0

Tabl e

2

-

D escri pto rs

fo r

D e s cri p to r

S tatem e n ts

M e as u re m e n ts

N ot

Stu m p

to

d i sarti cu l ati o n s


be

(see

5. 3

an d

an n ex

A)

re co rd e d

re l e van t

s h ap e

U pper

fe m o ral

re m n an t

Abs e n t/pre s e n t

If

S ki n


hip

8548=2: 1 993(E)

of

th e

th e

bu t

co n tral ate ral

not

limb

pro m i n e n t/pre s e n t

is

th e

si te

of

an


an d

pro m i n e n t

am pu tati o n ,

s tate

th e

l e ve l

s tu m p

Am pu tati o n

H e al e d /u n h e al e d

s car

M o bi l e /ad h e re n t

S ki n

G e n e ral

barri e r

S e n s ati o n


No

i n tact/s ki n

b arri e r

n o rm al /s e n s ati o n

ad d i ti o n al

n ot

i n tact

i m pai re d

s carri n g /ad d i ti o n al

s carri n g

C i rcu l ati o n
N o n e /pre s e n t/e xce s s i ve

Oed em a

S o ft

ti s s u e s

of


th e

s tu m p

Am o u n t

Ad e q u ate /i n ad e q u ate /e xce s s i ve

C o n s i s te n cy

N o rm al /fl abby/i n d u rate d

S i g n i fi can t

pai n

S p o n tan e o u s

pai n

N o /ye s

Te n d e rn e s s

N o /ye s

P ai n fu l

N o /ye s


n e u ro m a

P h an to m

P ai n

afte r

pai n

e xe rci s e

( g e n e ral i z e d ) /ye s

( l o cal i z e d )

N o /ye s

N o /ye s

5


I S0

8 5 48 - 2 : 1 9 9 3 ( E )

Tabl e


3

-

D escri ptors

fo r

tran s-fem o ral

tran sco n d yl ar

(above- kn ee)

am pu tati on s)

am pu tati on s

(see

be

fi g u re

1

(i n cl u d i n g

an d


an n ex

D e s cri pto r

S tatem en ts

M e as u re m e n ts

R e co rd

th e

-

th e

l e n g th

fro m

th e

cro tch

-

th e

l e n g th


fro m

th e

“fal l - away”

-

th e

l e n g th

of

th e

co n tral ate ral

limb

fro m

th e

th e

l e n g th

of


th e

co n tral ate ral

limb

fro m

th e

-

to

5. 4,

su pracon d yl ar

re co rd e d

fo l l o wi n g

m e as u re m e n ts ? )

to

th e

s tu m p


to

th e

en d ,

s tu m p

I,

en d,

cro tch

m ed i al

Z2

to

th e

j oi n t

g ro u n d ,

line

to


-

th e

ci rcu m fe re n ce

at

th e

cro tch ,

-

th e

ci rcu m fe re n ce

at

th e

“fal l - away”,

S tu m p

Ski n

co n tral ate ral


limb

is

th e

si te

C,

of

an

C2

am pu tati o n ,

s tate

th e

l e ve l

s h ap e

C yl i n d ri cal /co n i cal /bu l bo u s

G e n e ral
End


th e

of

of

N ot

fe m u r

th e

pro m i n e n t/pro m i n e n t

s tu m p

Am pu tati o n

H e al e d /u n h e al e d

s car

M o bi l e /ad h e re n t
S ki n

G e n e ral

barri e r


S e n s ati o n
No

i n tact/s ki n

b arri e r

n o rm al /s e n s ati o n

ad d i ti o n al

n ot

i n tact

i m pai re d

s carri n g /ad d i ti o n al

s carri n g

Ci rcu l ati o n

Col ou r

of

N o rm al /cyan o ti c/o th e r

ski n


Te m pe ratu re

( to

th e

e xam i n i n g

h an d )

So ft

d i s co l o rati o n

Warm /co l d
N o n e /pre s e n t/e xce s s i ve

Oed em a

ti s s u e s

of

th e

s tu m p

Am o u n t


Ad e q u ate /i n ad e q u ate /e xce s s i ve

C o n s i s te n cy

N o rm al /fl abby/i n d u rate d

Si g n i fi can t

pai n

S po n tan e o u s

N o /ye s

pai n

Te n d e rn e s s

N o /ye s

P ai n fu l

N o /ye s

n e u ro m a

P h an to m
P ai n

J oi n t


( l o cal i z e d )

N o /ye s

pai n

afte r

( g e n e ral i z e d ) /ye s

N o /ye s

e xe rci s e

fu n cti o n

Hip

R an g e
M u scl e

1 )

of

N o rm al /abn o rm al

m o vem e n ts


No

p o we r

s i g n i fi can t

S tabi l i ty

N o rm al /i m pai re d

P ai n

N o /ye s

If

th e

s tu m p

was

m e as u re d

wi th

th e

p ati e n t


in

an y

( S pe ci fy:

fl e xi o n /e xte n s i o n

re d u cti o n /s i g n i fi can t

po s i ti o n

o th e r

th an

or

ab d u cti o n /ad d u cti o n )

re d u cti o n

s tan d i n g ,

s tate

th e

p ati e n t’ s


Z3

th e

4

If

an d

A)

p o s tu re .

g ro u n d ,


I S0

Cro tch

Fal l - away

S tu m p

en d

l e ve l

8548=2: 1 993 (E)


-

LeveL

l e ve l

- M e d i al

j oi n t

line

,
-

Fi g u re

1

-

Referen ce

l evel s

an d

m easu rem en ts


fo r

tran s- fem o ral

G rou n d

Level

am pu tati o n s

l e ve l


I S0

8 5 48 - 2 :

Tabl e

1 993(E)

-

4

D escri pto rs

fo r

kn ee


d i sarti cu l ati on s

am pu tati o n s)

(see

(n o t
5. 5,

D e s cri pto r

S tate m e n ts

to

M eas u re m en ts

R e co rd

th e

-

th e

l e n g th

fro m


-

th e

l e n g th

of

-

th e

l e n g th

an d

su praco n d yl ar

A)

of

cro tch

to

th e

co n tral ate ral


th e

s tu m p

limb

co n tral ate ral

fro m

limb

en d ,

th e

I,

cro tch

fro m

th e

to

th e

m ed i al


g ro u n d ,

j oi n t

Zd

ci rcu m fe re n ce

-

th e

minimum

-

th e

ci rcu m fe re n ce

at

th e

cro tch ,

ci rcu m fe re n ce

co n tral ate ral


of

limb

th e

is

C,

of

th e

fe m o ral

th e

s i te

of

s tu m p,

co n d yl e s ,

an

C4


C T3

am pu tati o n ,

s tate

th e

l e vel

s h ape

C yl i n d ri cal /bu l bo u s /co n i cal

G e n e ral

Ski n

th e

th e

th e

tran sco n d yl ar
an n ex

m e as u re m e n ts : l )

th e


-

If

an d

re co rd e d

fo l l o wi n g

g ro u n d ,

Stu m p

be

i n cl u d i n g

fi g u re2

of

th e

stu m p

Am pu tati o n

H e al e d /u n h e al e d


s car

M o bi l e /ad h e re n t
S ki n

G e n e ral

b arri e r

S e n s ati o n
No

i n tact/s ki n

barri e r

n o rm al /s e n s ati o n

ad d i ti o n al

n ot

i n tact

i m pai re d

s carri n g /ad d i ti o n al

s carri n g


C i rcu l ati o n

Col ou r

of

N o rm al /cyan o ti c/o th e r

s ki n

Te m pe ratu re

( to

th e

e xam i n i n g

h an d )

N o n e /pre s e n t/e xce s s i ve

Oe d e m a

S o ft

d i s co l o rati o n

Warm /co l d


ti s s u es

of

th e

s tu m p

Am o u n t

Ad e q u ate /i n ad e q u ate /e xce s s i ve

C o n s i s te n cy

N o rm al /fl abby/i n d u rate d

S i g n i fi can t

p ai n

S po n tan e o u s

N o /ye s

pai n

Te n d e rn e s s

N o /ye s


P ai n fu l

N o /ye s

n e u ro m a

P h an to m
P ai n

J oi n t

( l o cal i z e d )

N o /ye s

pai n

afte r

( g e n e ral i z e d ) /ye s

N o /ye s

e xe rci s e

fu n cti o n

Hip


R an g e
M u s cl e

1 )

of

N o rm al /abn o rm al

m o ve m en ts

No

p o we r

s i g n i fi can t

S tabi l i ty

N o rm al /i m pai red

P ai n

N o /ye s

If

th e

stu m p


was

m e as u re d

wi th

th e

pati e n t

in

an y

( S peci fy:

fl e xi o n /e xte n s i o n

re d u cti o n /s i g n i fi can t

po s i ti o n

o th e r

th an

or

abd u cti o n /ad d u cti o n )


re d u cti o n

s tan d i n g ,

s tate

th e

pati e n t’ s

po s tu re .

5

line

to

th e


I S0

Crotch

M i n i m u m ci rcu m fe re n ce

Fe m o ral


co n d yl ar

Stu m p

en d

l e ve l

8548-2:

-

l e ve l

l e ve l

-

l e vel

M e d i al j o i n t

M
U

-

Fi g u re

1 993(E)


2

-

Referen ce

l evel s

an d

m easu rem en ts

for

kn ee

G rou n d

d i sarti cu l ati o n s

l e ve l

line

l e ve l


I S0


8548-2: 1 993(E )

Tabl e

-

5

D escri ptors

fo r

tran s-ti bi a1

(bel o w-kn ee)

to

D e s cri pto r

S tate m en ts

M e as u re m e n ts

R e co rd

th e

-


th e

l e n g th

fro m

th e

cro tch

-

th e

l e n g th

fro m

th e

m ed i al

-

th e

l e n g th

fro m


th e

“fal l - away”

-

th e

l e n g th

of

-

th e

l e n g th

th e
of

to

th e

j oi n t

to

po i n t


co n tral ate ral

th e

m e d i al
line

limb

co n tral ate ral

j oi n t
th e

to

fro m
limb

fi g u re3

an d

an n ex

l i n e,

stu m p


I,

th e

s tu m p

en d ,

th e

cro tch

to

fro m

th e

l2

th e

m e d i al

g ro u n d ,
j oi n t

th e

ci rcu m fe re n ce


at

th e

l e ve l

th e

ci rcu m fe re n ce

at

th e

“fal l - away”,

co n tral ate ral

limb

is

th e

of

s i te

of


th e

an

m ed i al

j oi n t

l i n e,

C,

C2

am pu tati o n ,

s tate

th e

l eve l

s h ap e
C yl i n d ri cal /co n i cal /bu l bo u s

G e n e ral
En d

of


ti bi a

N ot

pro m i n e n t/pro m i n e n t

En d

of

fi bu l a

N ot

pro m i n e n t/pro m i n e n t

of

th e

s tu m p

Am pu tati o n

H e al e d /u n h e al e d

s car

M o bi l e /ad h e re n t

S ki n

G e n e ral

barri e r

S e n s ati o n
No

i n tact/s ki n

b arri e r

n o rm al /s e n s ati o n

ad d i ti o n al

not

i n tact

i m pai re d

s carri n g /ad d i ti o n al

s carri n g

C i rcu l ati o n

Col ou r


of

N o rm al /cyan o ti c/o th e r

s ki n

Te m pe ratu re

( to

th e

e xam i n i n g

h an d )

S o ft

d i s co l o rati o n

Warm /co l d
N o n e /p re s e n t/e xce s s i ve

Oe d e m a

ti ss u e s

of


th e

s tu m p

Am o u n t

Ad e q u ate /i n ad e q u ate /e xce s s i ve

C o n s i s te n cy

N o rm al /fl abby/i n d u rate d

S i g n i fi can t

pai n

S po n tan e o u s

N o /ye s

pai n

Te n d e rn e s s

N o /ye s

P ai n fu l

N o /ye s


n e u ro m a

P h an to m
P ai n

J oi n t

( g e n e ral i z e d ) /ye s

( l o cal i z e d )

N o /ye s

pai n

afte r

N o /ye s

e xe rci s e

fu n cti o n

Hip

R an g e
M u scl e

of


N o rm al /abn o rm al

m o ve m en ts

No

po we r

s i g n i fi can t

( S pe ci fy:

fl e xi o n /e xte n s i o n

re d u cti o n /s i g n i fi can t

or

ab d u cti o n /ad d u cti o n )

re d u cti o n

N o rm al /i m pai re d

S tabi l i ty

Kn e e

R an g e
M u scl e


of

m o ve m en ts

N o rm al /abn o rm al

po we r

No

S tabi l i ty

P ai n

1 )

1 0

in

I f th e

s i g n i fi can t

( S pe ci fy:

fl e xi o n /e xte n s i o n )

re d u cti o n /s i g n i fi can t


re d u cti o n

N o rm al /i m pai re d

pro xi m al

stu m p

j o i n ts

was

m easu red

N o /ye s

wi th

th e

pati e n t

in

an y

A)

Z5

en d ,

Z4

-

th e

5. 6,

m e as u re m e n ts ? )

-

If

S ki n

(see

re co rd e d

fo l l o wi n g

g ro u n d ,

S tu m p

be


am pu tati o n s

po s i ti o n

o th e r

th an

s tan d i n g ,

s tate

th e

pati e n t’ s

p o s tu re .

Z3
line

to

th e


I S0

8 5 48 - 2 : 1 9 9 3 ( E )


C ro tch

- M e d i al j o i n t

line

l e ve l

Fal l - away

S tu m p e n d

- G ro u n d l e ve l

Fi g u re

3

-

Referen ce

l evel s

an d

m easu rem en ts

for


tran s- ti bi a1

am pu tati on s

1 1


I S0

8 5 48 = 2 : 1 9 9 3 ( E )

Tabl e

-

6

D escri ptors

for

an kl e

(Sym e’ s)

to

d i sarti cu l ati on s

I e s cri pto r


S tatem e n ts

Vl e as u re m e n ts

R e co rd

th e

-

th e

l e n g th

fro m

th e

cro tch

-

th e

l e n g th

fro m

th e


m ed i al

-

th e

l e n g th

of

-

th e

l e n g th

of

fi g u re4

an d

an n ex

A)

to

th e


j oi n t

co n tral ate ral

th e

m ed i al
line

limb

co n tral ate ral

to

j oi n t
th e

fro m

th e

limb

l i n e,

s tu m p
cro tch


fro m

Z5
en d ,

th e

to

Z6
th e

m e d i al

g ro u n d ,
j oi n t

Z4

th e

ci rcu m fe re n ce

th e

minimum

-

th e


m axi m u m

at

th e

m ed i al

ci rcu m fe re n ce
d i stal

co n tral ate ral

limb

of

j oi n t
th e

ci rcu m fe re n ce

is

th e

si te

of


l i n e,

of

an

C,

stu m p,
th e

C4
s tu m p,

am pu tati o n ,

Cs

s tate

th e

l e ve l

s h ap e

G e n e ral

C yl i n d ri cal /bu l bo u s


Bon e

N ot

Ski n

th e

-

th e

5. 7,

m e as u re m e n ts ? )

-

If

(see

re co rd e d

fo l l o wi n g

g ro u n d ,

Stu m p


be

of

th e

pro m i n e n t/pro m i n e n t

s tu m p

Am pu tati o n

H e al e d /u n h e al e d

s car

M o bi l e /ad h e re n t
S ki n

G e n e ral

barri e r

S e n s ati o n
No

i n tact/s ki n

b arri e r


n o rm al /s e n s ati o n

ad d i ti o n al

n ot

i n tact

i m pai re d

s carri n g /ad d i ti o n al

s carri n g

Ci rcu l ati o n

Col ou r

of

N o rm al /cyan o ti c/o th e r

s ki n

Te m pe ratu re

( to

th e


e xam i n i n g

h an d )

N o n e /pre s e n t/e xce s s i ve

Oed em a

So ft

d i s co l o rati o n

Warm /co l d

ti s s u e s

of

th e

s tu m p

Am o u n t

Ad e q u ate /i n ad e q u ate /e xce s s i ve

C o n s i s te n cy

N o rm al /fl abby/i n d u rate d


Si g n i fi can t

pai n

S po n tan e o u s

N o /ye s

pai n

Te n d e rn e s s

N o /ye s

P ai n fu l

N o /ye s

n e u ro m a

P h an to m
P ai n

J oi n t

( l o cal i z e d )

N o /ye s


pai n

afte r

( g e n e ral i z e d ) /ye s

N o /ye s

e xe rci s e

fu n cti o n

Hip

R an g e
M u scl e

of

N o rm al /abn o rm al

m o ve m e n ts

No

po we r

s i g n i fi can t

( S pe ci fy:


fl e xi o n /e xte n s i o n

re d u cti o n /s i g n i fi can t

or

ab d u cti o n /ad d u cti o n )

re d u cti o n

N o rm al /i m pai re d

S tabi l i ty

Kn e e

R an g e
M u scl e

of

N o rm al /abn o rm al

m o vem e n ts

No

p o we r


1 )

1 2

If

in

th e

( S pe ci fy:

fl e xi o n /e xte n s i o n )

re d u cti o n /s i g n i fi can t

re d u cti o n

N o rm al /i m pai re d

S tabi l i ty

P ai n

s i g n i fi can t

pro xi m al

stu m p


N o /ye s

j o i n ts

was

m e as u re d

wi th

th e

p ati e n t

in

an y

po s i ti o n

o th e r

th an

s tan d i n g ,

s tate

th e


pati e n t’ s

po s tu re .

Z3
line

to

th e


Cl
i

Cro tch

l e ve l

I /-- -- - -

-

- M e d i al

M n i m u m ci rcu m fe re n ce

M axi m u m d i s tal

l e vel


en d

-

l e vel

.

- G rou n d

Fi g u re

4

1 i n e l e ve l

l e ve l -

ci rcu m fe re n ce
Stu m p

j oi n t

-

Referen ce

l evel s


an d

m easu rem en ts

for

an kl e

l e ve l

d i sarti cu l ati o n s

1 3


I S0

8548-2:

1 993(E)

Tabl e

7

-

D escri pto rs

fo r


parti al

U l e as u re m e n ts

R e co rd

th e

-

th e

l e n g th

fro m

th e

h eel

-

th e

l e n g th

fro m

th e


an te ri o r

-

th e

l e n g th

of

S tu m p

fo l l o wi n g

an y

(see

fi g u re

5)

re co rd e d

m e as u re m e n ts:

th e

pl an e


co n tral ate ral

s i g n i fi can t

an d

co n tral ate ral

N ot

pro m i n e n t/pro m i n e n t

l e n g th

to

ti bi a1

th e

s tu m p

p l an e

fo o t

fro m

d i s cre p an cy


to

en d

th e

th e

h eel

b e twe e n

pl an e ,

stu m p

pl an e

th e

Z8

en d
to

pl an e ,
th e

s e g m e n ts


l i m bs

s h ap e

Bon es

S ki n

be

am pu tati on s

l e s cri pto r

R e co rd

to

fo ot

S tatem e n ts

of

th e

s tu m p

Am pu tati o n


H e al e d /u n h e al e d

s car

M o bi l e /ad h e re n t
S ki n

G e n e ral

barri e r

S e n s ati o n
No

i n tact/s ki n

b arri e r

n o rm al /s e n s ati o n

ad d i ti o n al

n ot

i n tact

i m pai re d

s carri n g /ad d i ti o n al


s carri n g

Zi rcu l ati o n

Col ou r

of

N o rm al /cyan o ti c/o th e r

s ki n

Te m pe ratu re

( to

th e

e xam i n i n g

d i s co l o rati o n

Warm /co l d
N o n e /p re s e n t/e xce s s i ve

Oed em a

S o ft


h an d )

ti s s u e s

of

th e

s tu m p

Am o u n t

Ad e q u ate /i n ad e q u ate /e xce s s i ve

C o n s i s te n cy

N o rm al /fl abby/i n d u rate d

S i g n i fi can t

pai n

S po n tan e o u s

pai n

N o /ye s

Te n d e rn e s s


N o /ye s

P ai n fu l

N o /ye s

n e u ro m a

P h an to m
P ai n

J oi n t

( l o cal i z e d )

N o /ye s

pai n

afte r

( g e n e ral i z e d ) /ye s

e xe rci s e

N o /ye s

fu n cti o n

Hip


R an g e

of

M u scl e

m o ve m en ts

N o rm al /abn o rm al
No

po we r

s i g n i fi can t

( S pe ci fy:

fl e xi o n /e xte n s i o n

re d u cti o n /s i g n i fi can t

re d u cti o n

N o rm al /i m pai re d

S tabi l i ty

Kn e e


R an g e

of

M u scl e

m o ve m en ts

N o rm al /abn o rm al
No

po we r

s i g n i fi can t

( S pe ci fy:

fl e xi o n /e xte n s i o n )

re d u cti o n /s i g n i fi can t

re d u cti o n

N o rm al /i m pai re d

S tabi l i ty

An kl e

R an g e


of

M u scl e

m o ve m en ts

S tabi l i ty

P ai n

Fo o t

1 4

in

N o rm al /abn o rm al

N o s i g n i fi can t

po we r

( S pe ci fy:

fl e xi o n /e xte n s i o n )

re d u cti o n /s i g n i fi can t

re d u cti o n


N o rm al /i m pai red

pro xi m al

j o i n ts

N o /ye s

re m n an t

G e n e ral

Oth e rwi s e

P l an ti g rad e

N o /ye s

O th e r

N ot

d e fo rm i ti e s

n o rm al /abn o rm al

s i g n i fi can t/s i g n i fi can t

( s pe ci fy)


( s pe ci fy)

or

ab d u cti o n /ad d u cti o n )

Z,

to e

of

pl an e ,

th e

Z9

affe cte d


I S0

-H eel

8 5 48 = 2 : 1 9 9 3 ( E )

p l an e


-

An ter

i or

ti bi a1

pl an e

-

Stu m p

en d

pl an e

-

-, - -

To e pl an e

/

I
I
I
‘ \A


/
-z - -c-

1 7

(N on - am pu tated

foot)

-

-

1 9

Fi g u re

5

-

Referen ce

pl an es

an d

m easu rem en ts


fo r

parti al

foo t

am pu tati o n s

1 5


I S0

8 5 48 = 2 : 1 9 9 3 ( E )

An n e x

A

(i n fo rm ati ve)

E xpl an ato ry

Am1

Th e

n o tes

for


d escri pto rs

A. 5

G en eral

m ai n

u se d

el em en ts

in

an y

d escri pti o n

sh ou l d

facto rs

reco rd ed

a)

stu m p

m easu rem en ts;


b)

stu m p

sh ape;

d

th e

a)

tabl e s

1

to

7

C i rcu l ati o n

M an y

i n cl u d e:

in

con cern i n g


bu t

wh eth er

it

is

th e

th e

en o u g h

ski n

is

ci rcu l ati on

to

might

wel l

be

state:


n o rm al ,

cyan o ti c

or

o th erwi se

d i scol ou red ;

co n d i ti o n

of

th e

ski n

of

th e

b)

stu m p;

wh eth er

it


is

warm

to

th e

exam i n i n g

h an d

or

n ot;

an d

d)

th e

co n d i ti o n

of

th e

ci rcu l ati on


e)

th e

co n d i ti o n

of

th e

soft

f1

.
pai n I

in

th e

stu m p;
c)

ti ssu es

of

th e


wh eth er

o ed em a

E xcessi ve
force

pro xi m al

9)

j oi n t

fu n cti o n ,

to

i n cl u d e

is

presen t.

stu m p;

ran g e

of


m o ve-

th e

d ay

or

wi th

a

oed em a
pati en t

su ch

th at

is

to

seen

take

on e

o ff


to

be

th e

wou l d

th at

wh i ch

pro sth esi s

h esi tate

to

wou l d

d u ri n g

fi t

th e

th e

pati en t


prosth esi s.

m en t;

rel evan t

h)

d i m en si o n s

of

th e

co n tral ateral

Am 6

l i m b.

Th e

A. 2

M e as u re m e n ts

Th e
no


m easu rem en ts
speci al

m em ber
m en ts

of

th e

u sed

ad eq u ate

ch osen

is

cl i n i c
no

are

an d

m ore
of

Th e


th an
th e

n o n -i n vasi ve,

can

team .

d escri pti o n

soft

term s

eq u i pm en t,

is

be

of

n ecessary

stu m p

an d

i ts


ti ssu es

of

th e

by

an y

to

g i ve

an

proporti on s.

Am 7

bu l bo u s

of

an d

provi d ed

th e


i n terpreted
In

ad d i ti o n

is

unduly

th e

cyl i n d ri cal .
word s

too
it

sh ape

is

are

restri cted

Bu l bo u s

is


“cyl i n d ri cal ”

l i teral l y,

th ey

i m po rtan t

to

or

are

to

record

con i cal ,

sel f- evi d en t
“con i cal ”

eq u al l y

P ai n

as

an


an d ,

are

en ti ty

of

ever

so u rce,

pai n

an d

fro m

th e

wi th

th e

req u i rem en t
d etai l
h eal ed

bu t


th e

it

ski n

of

th e

g en eral

th e
ski n
to

an d

ad d i ti o n al

1 6

th e

wh eth er

wh eth er

on l y


in

si g n i fi can t

to

after

pai n fu l

exerci se

is

ph an tom

d escri be

Th e

spo n tan eo u s

ten d ern ess,

pai n

d i ffi cu l t

m easu rem en t.


pai n

fro m

n eu rom a,
to

be

sen sati on s

an d

is

presen ce

or

wh at-

ph an to m

d i sti n g u i sh ed
an d

is

to


be

record ed .

n ot

wh eth er

an y

bon e

Am 8

J oi n t

fu n cti o n

prom i n en t.

d escri bi n g

n ote

d escri bed

d escri pti ve.

S ki n


si m pl y

are

co n si sten cy.

al ways

of

co m m on

j oi n t

m en t,

po wer

is

be

to

si tu ati o n .

ski n
h as


barri er
n o rm al

d escri be

sh o u l d

be

m obi l e,

scarri n g

stu m p,

th e

is

sh o u l d

is

sen sati on .

n o ted .

is

co n cern ed


su ffi ci en t
or

n o t,

Th ere
i n ci si o n

wh eth er

oth erwi se.
be

It

i n tact

operati on

reco rd ed

or

on e

Th e

th e


fu n cti o n
an d

or

in

term s

stabi l i ty,

n oted .

con tractu res)
In

is

i n capabl e

P ro xi m al

A. 4

stu m p

an d

P ai n


l arg el y

S h ape

D escri pti on s

th e

m easu re-

absen ce

A. 3

of

am ou n t

req u i re

m ad e

n u m ber

ti s s u e s

So ft

an d


Abn o rm al i ti es
excessi ve

of

ran g e

th e

of

m o ve-

presen ce

of

of

m ovem en t

m o vem en t

pai n
(e. g .

is

al so


stu m p

can

to

be

record ed .

to
an d

is
in

no

scar

presen ce

Am 9

C o n tral ate ral

limb

an y
is

of

In

o rd er

l ated

to

th at
th e

n eed s

som e

l en g th

from

th e

d escri pti on

pati en t
m i n i m al
th e

as


of

a wh ol e,

d i m en si o n al

cro tch

to

th e

th e
th e

d escri pti on ,

g rou n d .

be

co n tral ateral
e. g .

re-

limb
th e



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I S0

8548- 2:

U DC

61 6- 0 8 9 . 28 5 9 1 . 471 . 3 73

D escri ptors:

P ri ce

1 9 93 (E )

based

m e d i ci n e ,

on


1 6

pag es

pro sth eti c

d e vi ce s,

l o wer

l i m bs,

d efects,

d e scri pti on .



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