Adaptation Strategies of the Lower Extremities of Patients With a Transtibial or Transfemoral Amputation During Level Walking: A Systematic Review

Prinsen, Erik C.; Nederhand, Marcus Johannes; Rietman, Johan Swanik

doi:10.1016/j.apmr.2011.01.017

Cited by 89 publications

(71 citation statements)

References 75 publications

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“…Initially, it would seem unlikely that the motion about the prosthetic ankle would be strongly related to prosthetic preference given the historical perspective that the performance of the five remaining biological joints are strongly affected and need to compensate [38][39][40][41][42][43]. However, these studies largely focus on energy generation and absorption.…”

Section: Discussionmentioning

confidence: 99%

Prosthesis preference is related to stride-to-stride fluctuations at the prosthetic ankle

Wurdeman

Myers

Jacobsen³

et al. 2013

JRRD

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Abstract-The purpose of this study was to determine the relationship between stride-to-stride fluctuations and prosthesis preference. Thirteen individuals with unilateral, transtibial amputation consented to participate. Individuals walked on a treadmill for 3 min with their prescribed and an alternate prosthesis. Stride-to-stride fluctuations were quantified with the largest Lyapunov exponent (LyE) of each joint flexion/extension time series. The change in the LyE was calculated for each major lower-limb joint for both conditions. Participants indicated preference between the prostheses on a continuous visual analog scale. The change in the LyE was correlated with the degree of preference between the two prostheses at the prosthetic ankle. The change in the LyE of the prosthetic ankle was strongly related to the degree of preference (r = 0.629, p = 0.02). Thus, stride-to-stride fluctuations, quantified by the LyE, are strongly related to the patient's perception of the prosthesis. As a result, the LyE is the first objective measure to detect changes in gait that relate to the patient's perception of the prosthesis. The LyE should be further examined as a potentially effective prescriptive and outcome measure in prosthetic rehabilitation.

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Section: Discussionmentioning

confidence: 99%

Prosthesis preference is related to stride-to-stride fluctuations at the prosthetic ankle

Wurdeman

Myers

Jacobsen³

et al. 2013

JRRD

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“…To overcome physical challenges that are commonly attributed to individuals with lower limb loss, such as balance control [12], proximal and contralateral joint compensations [13], and difficulty adapting to uneven terrain [14][15], clinical practice has historically focused on the design and function of the prosthesis, rather than on learning how to use it. Compared with other domains of physical rehabilitation [16][17], the field of prosthetics has paid little attention to the translation of well-established motor learning strategies [18][19][20].…”

Section: Introductionmentioning

confidence: 99%

Traumatic amputation: Psychosocial adjustment of six Army women to loss of one or more limbs

Cater¹

2012

JRRD

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Abstract-Relatively little attention has been given to the use of well-established motor learning strategies to enable individuals with lower limb loss to effectively and safely learn to walk with their prostheses in the home and community. Traditionally, such outcomes have been pursued by focusing on the design and function of a patient's prosthesis, rather than on how he or she should learn to use it. The use of motor learning strategies may enhance physical rehabilitation outcomes among individuals with lower limb loss. This review explores these motor learning strategies and ways in which they can be applied to the physical rehabilitation of individuals with lower limb loss and highlights some of the challenges to their implementation, as well as unanswered research questions.

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“…These patients are often referred to physical therapy in order to address their physical impairments and to obtain independence with prosthetic use during ambulation. During rehabilitation, an amputee learns how to compensate for deterioration of sensorimotor function in both the intact leg and residual limb [8].…”

Section: Introductionmentioning

confidence: 99%

Effect of Free Swing Gait Training on Back Pain in a Patient with Bilateral Lower Extremity Amputations: A Case Report

Duff¹,

Flores²

2017

Physiother Rehabil

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Introduction: Back pain is a common occurrence in persons with a lower extremity amputation, and can cause a chronic disability. Early physical therapy interventions of gait training with prosthesis could prevent amputees from becoming disabled by chronic back pain. Free swing gait training is sometimes utilized in physical therapy with transfemoral amputees learning to use prosthesis. However, there is a lack of evidence for the benefits of free swing gait training on decreasing back pain.

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Adaptation Strategies of the Lower Extremities of Patients With a Transtibial or Transfemoral Amputation During Level Walking: A Systematic Review

Cited by 89 publications

References 75 publications

Prosthesis preference is related to stride-to-stride fluctuations at the prosthetic ankle

Prosthesis preference is related to stride-to-stride fluctuations at the prosthetic ankle

Traumatic amputation: Psychosocial adjustment of six Army women to loss of one or more limbs

Effect of Free Swing Gait Training on Back Pain in a Patient with Bilateral Lower Extremity Amputations: A Case Report

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