1. A Whole New METS 4.

BKA & AKA Gait Deviations

1.0 Lying For BKA (Stance Phase)
1.2 – 1.6 ay sitting Increase Knee Decrease Knee
1.9 – 2.2 sitting with writing Flexion at HS Flexion at HS
Standing 1.4 – 2.0 - ↑ DF - ↑ PF
Wash shave 2.5 – 2.6 - Too stiff heel - Too soft heel
Dress & Undress 2.3 – 3.3 cushion or PF cushion or PF
Walking 1 (mile) – 2.3 Bumper Bumper
2 (miles) – 3.1 - Excessive Ant. - Excessive Post.
3 (miles) – 4.3 Tilt Tilt
Run 7.4 - Knee ✓
contracture
Wheelchair to drive – 2.0 lang siya Forward Bending
Stair descent 5.2 Cause: Pain at the end of (sa) residual
Ascending 9 limb
2 step climb 5.7 Lateral Thrust
Eating 1.5 Cause: Too much inset, Socket Abducted
Washing face 2.0
“Opposite
Shower 3.5
Early Knee Flexion Delayed”
Bed pan ay 4
at Push-Off Delayed Knee
Sex with wife 5
- Excessive (↑) Flexion at Push-Off
Extramarital 8
DF of foot - Excessive PF of
Light Household 1.7
- Too soft DF foot
Heavy 3–6
bumper - Too stiff DF
Office work 1.3 – 2.3
- Excessive Ant. bumper
Tilt - Excessive Post.
Tilt
2. AVN (Avascular Necrosis)
Calve - vertebral Bodies
Scheuermann - spine SWING PHASE (AKA)
Panner’s - capitulum Cause: Vaulting
Keinbock’s - Lunate (MC wrist) Prosthesis too long Circumduction at
Preisser’s - Scaphoid Hip Hiking
Navicular - Kohler’s Uneven Heel Rise
2nd MTT - Freiberg’s a. Excessive Forceful hip ✓
Talus - Diez
Insufficient knee ✓
Burn’s - distal Ulnar
Too loose ⁄ aid
Osgood Sclatter - (T.T.) Tibial
Tuberosity b. Insufficient Excessive knee
friction
Too tight ⁄ aid
3. Back & Spine (Anatomy) Manual lock
Terminal Impact Insufficient knee
Pag CERVICAL ay LARGEST, TRIANGULAR friction
Pag THORACIC ay SMALLEST & CIRCULAR Too tight ⁄ aid
Pag LUMBAR SPINE naman ay TRIANGULAR Wornout ⁄ stop
Yan ang Spinal Canal Fear of Buckling

Atlas Occiput “YES Jt.” AO! For AKA (Stance Phase)

Atlas at Axis “NO Jt.” AA! Foot Rotation at HS
Cause: Too stiff heel cushion or PF
C1 - No body! No Spinous Process! Bumper

C3 – C6 typical (“Too Soft sa SLAP”)

T5 – T8 typical Foot slap
L1 – L4 typical Cause: Too soft PF Bumper
Typical Vertebrae
 Lateral Trunk Wide Base Walking 7. Capsular Payphone
Bending TMJ limit mouth opening
Socket Abducted AO extend = side flexion
Hip Abduction Contracture GH ERABIR minsan ERABFIR
Too short Too long Prosthesis SC AC at exteme motion
Prosthesis High Medial wall Ulno humeral ay flex extend
Insufficient Knee, IP, MCP ay ganun din
support of lat. wall HIP ay IRFAB ankle greater PF
Uneven Step Length Sa Wrist FLEX EXTEND equal limited
Cause: Hip flexion contracture Ang capsular pattern...
Insufficient knee friction
Swing Phase Whip
8. Cardiac Cycle
Medial - ↑ ER of prosthesis knee
DIASTOLE Rapid Filling
Lateral - ↑ IR of prosthesis knee
Middle
Last Third
ISOVOLUMETRIC CONTRACTION
5. Borg Scale Ventricles are filling
0 nothing at all Blood ay Free Flow
0.5 very very weak SYSTOLE Rapid Ejection
1 very weak Slow Ejection
2 weak ISOVOLUMETRIC RELAXATION
3 moderate Ventricles are pumping
4 somewhat strong Blood Ejected
5 strong
7 very strong
10 very very strong
9. Cervical & Cervicothoracic Orthoses
Modified...
ORTHOSES F E L R
7 very very light
Collar FE ✓ ✓
9 very light
SOMI FER ✓ ✓ ✓
11 fairly light
13 somewhat hard Poster Appliance FELR ✓ ✓ ✓ ✓
Custom (Cuirass
15 hard FELR ✓ ✓ ✓ ✓
17 very hard /Minerva)
19 very very hard Halo FELR ✓ ✓ ✓ ✓

Original Borg scale

10. Closed Packed – Fireworks

6. Brunnstrom Stages of Recovery
I – Flaccidity ; No Movement
II – Spasticity begins to develop
III – Peak of spasticity
Semivoluntary stage
IV – Mov’t Combi(nation)
Spasticity declines
V – More difficult mov’t combi(nation)
VI – Independent jt. Mov’t (possible)
Coordination ( approaches normal)
VII – Normal
TMJ clenched teeth
SH ay ABER
Trunk Facet elbow ay naka full extend
90⁰ Abduction yan ang sa AC
Maximum elevate para sa SC
Proximal Distal 5⁰ Supinate
Hip ay EXABIR
Wrist Extend at may Radial Deviate
Pag sa Knee ay EXTEND c ER of Tibia
Pag sa ANKLE ay MAXIMUM DF
11. COG 15. DIENCEPHALON - TITANIUM
Head – // Spenoid Sinus // Hypothalamus
Neck – // Basioccipital // Lateral posterior ay sympa, preoptic ante
Trunk – ant to T11 parasympa
UE – just above the elbow Heat loss sa ante, heat production ay nasa
Arm – medial head of the triceps poste
FA – // pronator teres // Circadian sa suprachiasma
Hand – // 3rd MCP //
LE – just above the knee jt. Supraoptic vasopressin, oxytocin
Thigh – adductor brevis paraventricular
Leg – popliteus Ventromedial satiety, hunger at thirst sa
Foot – 2nd MTT lateral
Thalamus, Lat Gen. Vision, Medial sa audition
VPM sa face at taste
12. Cranial Nerves Affected VPL sensation, sa body sensation
AICA 5 6 7
POLIO, POLIO 9 10 Epi, may habenular, melatonin for sleep ka sa
MS 2 5 7 8 MOBIUS 7 6 pineal
SJOGREN 7 9 Subthalamus sa motor control
7 3 1 TBI
MLLARD-GUBLER 7 6
Lahat sa LOCKED in 16. Dyspnea, DTR, Angina, Pulse
Wallenburg 5 10 Ohoh ohoh (means a grade of 0)
3 6 DM 1 2 3 4 :Dyspnea, DTR, Angina, Pulse +
CN 3 7 9 ang nasa PD come on
Chorus:
Ang CRANIAL NERVE, Dyspnea
CRANIAL NERVE GBS 7 9 10
Grade Description
MYASTHENIA Cranial Nerves 3 4 6
0 No
We-we-we-weber
BENEDICT Cranial Nerve 3 1 Mild, noticed
2 Mild, with some difficulty
3 Moderate, kaya pa
13. Crutch Muscles 4 is Severe, ayoko na
Scapular Depressors
Lats Dorsi, Pecs Minor, Lower Trapezius DTR (Deep Tendon Reflex)- ADAEC
Shoulder Adductors Grade Description
Pecs Major, Lats Dorsi 0 Absent
Flexors, Extensors, 1 Diminished
Abductors sa Shoulder Deltoids 2 Average (Normal)
Elbow Extensors
3 Exaggerated
Triceps Anconeus
4 Clonus
Wrist Extensors (2x)
Angina
ECRL, ECU, ECRB
Finger Thumb Flexors Grade Description
FDS, FDP, FDL, FDB 0 No
1 Light
2 Mod
14. Deformities of Spina Bifida (Pedia) 3 Grabe! (very uncomfy)
T6 T12 : Kyphoscoliosis 4 Grabe! (cannot continue)
L1 L2 L3 : Severe hip, severe hip d/L
L4 L5 : mild hip d/L, CALCANEOVALGUS (Pulse) No Ba D E V (2x)
S1 : CALCANEOVARUS
S2 : Claw Toes
S3 S4 : Sphincter Control
 20. Especially for TENS
Grade Description
Pulse duration (Usec)
0 No perceptible pulse
Conventional 50 to 100
1 Barely perceptible
Acupuncture 150 to 300
2 Difficult to palpate Burst 50 - 200
3 Easy to palpate Brief Intense 50 – 250
4 Very strong Point Stimulation 150 to 300 milliseconds
Accommodation varies in duration

17. Empire State of Deformities Pulse Rate (PPS)

CLAVICLE – CLEIDOCRANIAL DYSOSTOSIS 50 to 80 ang frequency ng High Rate
SPRENGEL’S DEFORMITY di pantay ang scapula 1 to 5 ang Low Rate
(undescended scapula) Pulse train 50 to 100
KLIPELL FEIL SYNDROME ay fusion of CERVICAL Brief 80 150
VERTEBRAE Hyperstimulation 1 to 5
MCL – SWIMMER’S, PELLEGRINI (knee: Pelligrini Frequency varies in modulation
Steida

21. Extensor Tunnel / Dorsal Wrist

18. Energy Expenditure Compartment
Wheelchair Ambulation 9% (Lat – Medial)
Crutch Walking 60 %
Single BKA c prosthesis 10 – 40 % I – APL / EPB
Double BKA c prosthesis is 41 % II – ECRL / ECRB
Single AKA c prosthesis is 65 % III – ay EPL
Double AKA c prosthesis is 110 % IV – ED – last muscle innervated by radial n.
Single BKA and AKA c prosthesis is 75 % V – EDM
VI - ECU

19. Erik Erickson Stages

Trust Mistrust
A Shame and Doubt
Init Guilty
Industry Inferior
Identity Role Confusion
Intimate Isolate
Gen Stag
In Des
Stages
Trust vs. Mistrust
Autonomy vs. Shame
Initiative vs. Guilt
Industry vs. Inferiority
Identity vs. Role Confusion
Intimacy vs. Isolation
Generativity vs. Stagnation
Integrity vs. Despair
22. F4 Cations
Magnesium, Calcium- spasm
Hydrocortisone ‘yan ay for inflammation
Cu SO4 ay fungal ‘yan
Vinca Alkaloid for Neuropraxia (Trigeminal
Neuralgia)
Rennotin ay for adhesion
Mga -caine para pain
Zinc Sulfate hay fever, allergic rhinitis at ulcer
Age (years old) Hyaluronidase edema
0-1
1-3
3-5 23. Felty’s Syndrome
5-12 Felty ang, RA leukopenia
12-20 Splenomegaly ang triad
20-40 Lymphadenopathy, Leg ulcer
40-60 Thrombocyto, Neutropenia
> 60 .... At meron ding Anemia

24. Fever Types

Intermittent- fever and normal
Remittent- fluctuates above normal
Relapse/ Recur (Relapsing or Recurrent)- fever
one day normal
Constant- constantly elevated
Types of Fever
 25. Fibromyalgia 28. Gait (Traditional)
Fibromyalgia for 3 months ang muscle pain Heel Strike- beginning
Females 10-45 years old meron nito Foot Flat- sole contacts
Midstance- over same limb
Fibromyalgia i-palpate mo body ko Heel off- same limb leaves ground
11 of 18 ang tender points sa body ko Toe off- same toe contacts
Acceleration- under the body
*Occiput Midswing- below body
Low cervicals Deceleration- decelerating
2nd rib at
Trapezius
Supraspin (Supraspinatus) 29. Get Over TBI
Lat Epicon (Lateral Epicondyle) EYE MOTOR SPEECH
Gluteals 4 Spontaneous 6 follows 5 oriented
Greater Troch (Greater Trochanter) at 3 upon 5 locallized 4 disoriented
Knees* *(2x) command 4 withdraws 3 inappropriate
2 pain 3 decorticate 2
Ang tender points 1 wala 2 decerebrate incomprehensible
1 wala 1 wala na
naman
26. Foot Muscles Compartment

DORSAL EDB
GCS LOC
P Abd. Hallucis PORTA SEVERE 3-8 > 6-8 hrs
L PEDIS* MODERATE 9-12 <6
A Flexor DB MINOR/ MILD 13-15 < 20 mins
N Abd. Digiti Minimi
T
A 30. Happy Healing (Fx)
R Lumbricals FDL Tendon
2 weeks blood vessels
Quadratus Plantae FHL Tendon 3-4 weeks ang nerve
6 weeks tendon, ligaments
Flexor Hallucis Brevis 3-5 weeks fx ... of hand!
Add Hallucis
Flexor D.M.B
31. HNBS Special Tests
PAD T.P Tendon
SPURLING Lat flexion at iCOMPRESS
(Plantar)
Interossei JACKSON Rotation at iCOMPRESS
DAB P.L Tendon Maximum ito’y Combined
(Dorsal) At meron na naman itong compression
ADSON Extension to the same side
Kay HALSTEAD to the other side
Pag kay ALLEN, elbow mo ay Flex
27. Foramen: Blood Vessel Exits Pag kay WRIGHT, Shoulder mo ay iABDUCT
Spinosum - middle meningeal
Lacerum -ICA ROOS hands up
Magnum - Vertebral Vessel
Cecum - Emissary Vein ULTT 1 MAIN ‘yan (median , ain)
ULTT 2 MAM ‘yan ( median, axillary, musculo)
ULTT 3 R ‘yan (radial)
ULTT 4 U ‘yan - Bikele’s sign (ulnar)
32. Hot n Cold Fibers 36. LE Angle Values
A Alpha EXTRA, A Gamma INTRA Pelvic Inclination – 50 – 60⁰
B Pregang autonomic, C Postgang Sympha Center Edge (Wihberg) – > 25⁰
1A annulospiral, 1B GTO Neck Shaft Angle – 125⁰
II Flower Spray, Discriminative touch! Anteversion – 13 – 15⁰
Q Angle – 13 – 18⁰
III and IV temperature , crude touch Knee Valgum – 6⁰
III fast pain, slow pain IV, OH! Hallux Valgus – < 15⁰
TibioFemoral Shaft – 170⁰
IA IB A alpha, II A beta gamma
III A delta at C equals IV
37. Leron Leron Brodmann
Frontal puro Motor, 4 Prima, 6 Premotor
Medial ng 6 supplementary, at 8 Frontal eye
33. Innervated Structures of the Spine field
Ano ano ang innervated structures of the spine 9 10 11 12 Prefrontal Cortex ito
- Z. Jt. 44 Broca’s Area, Prima Motor Speech Area
- Jt. Capsule
- Outer of Annulus Parietal mo may Skill, Sensory at Perception
- ALL, PLL, Interspinous Ligament 3 , 1 , 2 Primary, Pati Vestib Integration
- Erector Spinae, Multifidi 5 , 7 Association, 43 Gustatory
- Periosteum of Vertebral Bone! 39 ay Angular, Supramarginal 40

Occipital naman, Visual ang main function

34. Knee Orthoses 17 ay primary , Striate Cortex din iyun
18 19 Association, Para at Peristriate
Patello-Femoral D/O Knee Orthosis Ang Occipital Eye Field dito rin sa Extrastriate
- Palumbo
- Patello Femoral Temporal auditory, HESCHL prima 41 42
Gnostic at association, ito’y Wernickes 22
For Control of Knee in Frontal Plane & Sagittal Primary Olfactory ay nasa pre piriform
Plane At Periamygdaloid, 28 Secondary
- Swedish Knee (for genu recurvatum /
knee hyperextension)
- Three – way knee (for genu recurvatum / 38. LS & TLS Orthoses
knee hyperextension)
- Typical Knee F E L R
- Miami William ⁄ ⁄ EL
- C.A.R.S - U.B.C Knee Orthosis Chairback ⁄ ⁄ FE
(for genu valgum/varum control) Knight ⁄ ⁄ ⁄ FEL
- Supracondylar Knee Orthosis (for genu Taylor ⁄ ⁄ FE
recurvatum) Knight Taylor ⁄ ⁄ ⁄ FEL
For control of knee in frontal plane pati Cowhorn ⁄ ⁄ ⁄ FLR
na rin sagittla plane Plastic Body Jacket ⁄ ⁄ ⁄ ⁄ FELR
Jewett ⁄ Flex
Cruciform ⁄ Flex
35. Lamina Lobo
Sa sampung Lamina
Name please wag manghula

MARGINALIS una,
2 GELATINOSA
3 and 4 PROPRIUS,
7 CLARKE’s DORSAL NUCLEUS
9 ANTERIOR HORN CELL
10 CENTRAL GREY COMMISURE
39. Meteor Anions 42. Obstetric Exercise Sequence
NaCl ay for adhesion 1 Warm-up activities
Salicylic pain and inflammation 2 Gentle – Selective stretching
Acetic Acid ay for Calcium deposits 3 Cardiovascular Training ( 15 min or less)
Iodide ay for wounds and keloids 4 Upper / Lower ex strengthening
Dexamethasone ay for inflammation 5 Cool – down activities
6 Abdominal exercise
Lahat sila ay merong negative poles 7 Pelvic Floor exercise
8 Relaxation technique
H2O naman for hyperhidrosis 9 Patient Educ(ation)
Brass naman ay metal poisoning 10 Home exercise program

40. MPN (Medial Plantar Nerve) Innervation 43. Ottawa Knee Rules
Oh, ang MPN ay Ottawa Criteria for Knee X- ray
FHB , FDB Ottawa for Knee X- ray
Abd. Hallucis, 1st Lumbrical
Una kung ikaw ay 55 years old
Masakit ang patella at fibular head
41. Numbers na Naman ‘Di na maka-weight bear ng 4 na hakbang
Numbers na naman LOM of knee flexion more than 90o
Temp of my HMP is 70-80
He took the towel to decrease to 44 Ottawa Criteria for Knee X- ray
Oh but Paraffin is 52 Ottawa for Knee X- ray
Self sterilizing 80
Lahat ay Celcius
44. Patellofemoral Pain Syndrome
pd (pulse duration) ay .02- 1 ms, short DIC 50 1 nag Broad Pelvis
Ito naman 1-800, Long rectangle 5-10 2 ↑ ang anteversion
Super taas up to 2000, that’s EPC 5-10 3 ↑ ang Q angle
ang 4 Genu Valgum
*At meron pang alternating current 5 nag Patella Alta
Isulat mo like FUSE 6 External Tibial Torsion
pd ay 1 & 10 7 Subtalar Pronation
Frequency nila 50* * (2x) Patello Femoral Pain Syndrome
Ayoko na! Nananananana

Numbers na naman 45. Pathologic Reflexes

Depth of my Hubbard Tank is 22 inches
1 end 6 ft ang Babinski Sa Lat. Sole
1 end 4 ft Chaddock Sa Lat. Mal(leollus)
STROKING
Midside 3 ft At At Ant. Med(ial)
Oppenheim Tibial
16-18 for embolus
20-30 scar tissue Gordons Squeeze calf
30-40 edema Piotrowski Percussion TA
Brudzinski Passive Flex Lower
Ex
Hoffman’s Flick sa finger
Schaefer’s Pinch(ing) Achilles
Rosolimmo’s Tapping sa plantar
46. Pressure Areas - Stiffness 1 hour
Pressure Tolerant Areas - Swelling 3 of 14
- Patellar Tendon - 1 in hand
- Pretibial ms - 2 (bilat.) symmetrical
- Postero – Distal aspect of residual - Nodule
limb - RF
- Popliteal Fossa - X-ray PA (view)
1987 (Criteria)
- Distal end
- Medial Flare
- Lateral 2010 ACR, 6-10 definite RA na ‘yan
- Tibial and Fibular Shafts

Pressure Sensitive Areas Description Max Score

- Ant. Crest of Tibia A Joint 5
- Fibular head and neck B Serology 3
- Peroneal (fibular) nerve C Reactants 1
- Ant. Tibia D Duration 1
- Hamstring Tendon
Ohohohohohohohohoh ohohoh Rheumatoid
Arthritis (2x)
47. Prosthetic Fitting in Children
Above / Below Elbow is 3 – 6 mos.
Above / Below Knee jt is 8 – 10 mos. 50. Resting Pack Position
Active Terminal Device is 2 y.o Resting ng shoulder ay 55 at 30
Elbow Unit is 2 – 3 y.o HU 70 , 10
Functional Hand is 3 y.o PRU 70, 35
Actively – Controlled Knee Jt. 3 – 4 y.o DRU 10 degrees supination

Hip FABER 30 (2x) slight

48. Pulmonary Volumes Capacities Knee 25 degrees flexion
IRV Ankle ay 10 PF
3K Wrist slight ulnar deviation
IC
VC 3500 TV
TLC 4500 500
51. SCI Always be my Baby
6K ERV
C5 – Indoor W/C in a short distance
FRC 1K
C6 – Independent// Sliding board
RV 2500 RV
C7 – ALL transfers except W/C to floor
1500 1500
Lower Ex ROM .. W/C out door use

C8 – T1 – Ambulation with assist

49. RA RA (Rheumatoid Arthritis)
T2 – T10 – ambulation without assist
RA RA RA AAA Rheuma ONADA
T11 – L2 – Household Functional Ambulation
Classification of RA Progression
L3 – S3 – //Community// Ambulation
Osteoporosis
Nodules
52. SCI na!
Atrophy
SCI na sa vertebra
Deformity
Plus 1 ito sa cervical
Ankylosis
Plus 2 naman T1 to T6
Plus 3 sa T7 T9
Stage O N A D A
1 + + L1 L2 T10 ikaw
2 + + + L3 L4 T11 yan
3 + + + + L5 ang SCI sa T12
4 + + + + + Sacral Coccyx ay sa L1
53. Sjogren 56. Temperature
AKA Miculicz, Sjogren, Gougerot o
C o
F
Sicca, Auto-exo (Autoexocrenopathy: Exocrine Very Cold 1- 13 35- 55
Gland) Cold 13-18 55- 65
Schirmer, Rose Bengal (Scirmer & Rose Bengal: Cool 18- 27 65- 80
Special Test) Tepid 27- 33.5 80- 92
KCS, Xerostomia, Arthritis, Dyspareunia Neutral 33.5- 35.5 92- 96
(Manifestations: Xerostomia, Arthritis, Warm 35.5- 36.5 96- 98
Dyspareunia: dry sex paro tiditis , KCS: Hot 36.5- 40 98- 104
Keratoconjuntivitis Sicca) Very Hot 40-60 104-115
RF, ANA, Parotid, Raynaud’s fever pa

57. TLS Landmarks

54. Stroke Syndromes T2 spine – Superior Angle
T3 spine – Scapular Spine
Syndrome Affected Structure T7 spine – Inferior Angle
Weber Medial basal midbrain T10 – Xiphoid Process
Benedikt Tegmentum of the midbrain L4 – Iliac Crest
Locked-in Bilateral basal pons L5 – Tubercle Iliac Crest
Millard Gubler Lateral pons S2 – SI / Posterior Superior Iliac Spine
Wallenburg Lateral medulla

55. Tarsal Tunnel 58. Traditional Gait Values

Flexor Retinaculum ANKLE KNEE HIP

TP Tibialis Posterior HS – FF 0 – 15 0 – 15 ✓ 30 Flexion
FDL Flexor Digitorum Longus PF
A Artery FF –MS 15 – 10 15 – 5 / 30 – 5 Neutral
Post. DF
V Vein
Tibial MS – HO 10 – 15 5–0 / Neutral
N Nerve
DF
FHL Tendon Flexor Hallucis Longus
Tendon
HO – TO 15 – 20 0 – 40 ✓ 10⁰
PF Hyperextend
Extensor Tunnel
TA Tibialis Anterior
59. Vitamin Deficiencies
EHL Extensor Hallucis
Less A nightblindness
Longus
D rickets
Ant. Tibial Ant. Tibial A.
K dugo dugo (Blood Clotting)
Artery
B1 Beri Beri yan
Vein Ant. Tibial V.
B12 Pernicious Anemia
DPN Deep Peroneal N.
EDL Extensor Digitorum Vit C Scurvy
Longus Niacin Pellagra
Peroneus Peroneus Tertius Macrocytic sa Folic
Tertius E Hemolytic Anemia, Tocopherols

Toxic Neurology
Zinc - MS
Arsenic - Dementia
Ca - Metabolic Parkinsonism
Magnesium - Toxic Parkinsonism
 60. Voltes Spine 63. Wheelsomnia
C3- Lumbar Push handles to floor is 36’’
AO AA Thoracic Arm rest to floor is 30’’
C7 Spine
Flexion 10 5 45 15 40 Total length is 46’’
Total width is 23”
Extension 25 10 45 15 25
L 15 20
Lat Flexion 5 10 30 Door Width MINIMUM 32”
R 15 20
IDEAL 36”
L 40 5
Rotation 0 45 30 Reach Forward HIGH 48”
R 40 5
LOW 15”
SIDE is 24”
61. Wagner Ulcer Classification To rotate 90⁰ you need 36”
0 1 2 3 4 5 Ulcer Classification To rotate 180 60”
360 you need 60” x 60”
Grade Description 8.3 % ramp 1 : 12
0 Intact skin
1 Local ulcer Normal Adult seat depth 16”
2 Deep Normal Adult seat width 18”
3 Deep Normal Adult seat height 20”
4 Gangrene Hemiplegic 17.5”
5 Gangrene

64. Wound Like Jagger

62. Wenger Protocol Low exudating = hydrocolloid
Dry wound = hydrgogel
1 PAPIS Mod – Heavy = Ca Alginate
2 PAPIS bedside Silver (sulfadiazine) most common
3 ASUL na commode
4 minimum resist Sulfamylon – thick eschar
5 Moderate resistance & unli sitting
6 Stand an hour, walk to bathroom Silver nitrate – Surface Bacteria
7 Walk a 100 Pag healthy anode ang gamitin
8 Walk down Pag bad naman ay cathode
9 Pacing
10 Light weights Furacin – prior to skin graft
12 2 flights down Pressure garments – hypertrophic (scar)
14 2 flights up and down Elastic garments – pambababa ng edema