Contralateral lower extremity evaluation with a lower limb prosthesis

Mussman, Martin; Altwerger, W; Eisenstein, J; Turturro, A; Glockenberg, A; Bubbers, L

doi:10.7547/87507315-73-7-344

Cited by 24 publications

(17 citation statements)

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“…Mussman et al reported that 23 percent of veterans with amputation experienced contralateral hip pain [41]. The authors found a higher incidence of hip pain among the veterans with transtibial amputation (29%) than the veterans with transfemoral amputation (19%).…”

Section: Hipmentioning

confidence: 83%

“…Differences between levels of amputation showed that 46 percent of people with transtibial amputation compared with 75 percent of people with transfemoral amputation had knee pain symptoms. Body weight is a concern with osteoarthritis, but Mussman et al did not report a remarkable difference in knee pain between those subjects who had either gained or lost body weight [41].…”

Section: Kneementioning

confidence: 99%

“…For example, people with amputation use the intact limb to compensate for the amputated limb, resulting in an increased load through the knee joint during gait. Mussman et al interviewed and examined 47 veterans who were a mean 51 years old, had worn a prosthesis for an average of 24 years, and typically had service-connected amputations [41]. Of these veterans with amputation, 64 percent reported that they depended more on their intact limb during activity.…”

Section: Kneementioning

confidence: 99%

See 2 more Smart Citations

Review of secondary physical conditions associated with lower-limb amputation and long-term prosthesis use

Gailey

Allen

Castles

et al. 2008

JRRD

630

411

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Abstract-Musculoskeletal imbalances or pathologies often develop into secondary physical conditions or complications that may affect the mobility and quality of life of people with lowerlimb amputation. Using one or more prostheses causes people with amputation to alter the biomechanics of their movement. For example, people with lower-limb amputation often favor and stress their intact lower limb more during everyday activities. This can lead to degenerative changes such as osteoarthritis of the knee and/or hip joints of the intact limb. Since people with amputation spend less time on their residual limb, osteopenia and subsequent osteoporosis often occur secondary to insufficient loading through the long bones of the lower limb. A proper prosthetic fit increases the probability of equal force distribution across the intact and prosthetic limbs during ambulation, thus decreasing the risk of osteoarthritis. People with limb loss commonly complain of back pain, which is linked to poor prosthetic fit and alignment, postural changes, leg-length discrepancy, amputation level, and general deconditioning. We review the literature on secondary complications among people with lowerlimb loss who are long-term prosthesis wearers.

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Section: Hipmentioning

confidence: 83%

Section: Kneementioning

confidence: 99%

Section: Kneementioning

confidence: 99%

See 1 more Smart Citation

Review of secondary physical conditions associated with lower-limb amputation and long-term prosthesis use

Gailey

Allen

Castles

et al. 2008

JRRD

630

411

View full text Add to dashboard Cite

show abstract

“…In the amputee population, knee pain is common in the intact limb. In a group of 47 lower extremity amputees who were long-time prosthetic users, 55% had a chief complaint of knee pain in their intact limb [25]. Lower extremity amputees have also been shown to have an increased prevalence of clinical and radiographic evidence of knee OA in their intact limb when compared with their amputated limb [15].…”

Section: Prevalence Of Knee Oa In the Amputee Populationmentioning

confidence: 99%

Osteoarthritis in the Disabled Population: A Mechanical Perspective

Morgenroth¹,

Gellhorn²,

Suri³

2012

PM&R

107

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Primary disabling conditions, such as amputation, not only limit mobility, but also predispose individuals to secondary musculoskeletal impairments, such as osteoarthritis (OA) of the intact limb joints, that can result in additive disability. Altered gait biomechanics that cause increased loading of the intact limb have been suggested as a cause of the increased prevalence of intact limb knee and hip osteoarthritis in this population. Optimizing socket fit and prosthetic alignment, as well as developing and prescribing prosthetic feet with improved push-off characteristics, can lead to reduced asymmetric loading of the intact limb and therefore are potential strategies to prevent and treat osteoarthritis in the amputee population. Research on disabled populations associated with altered biomechanics offers an opportunity to focus on the mechanical risk factors associated with this condition. Continued research into the causes of secondary disability and the development of preventive strategies are critical to enable optimal rehabilitation practices to maximize function and quality of life in patients with disabilities.

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“…TFLL, when compared with LLL at more distal levels, has also been reported to be associated with a decreased frequency of prosthetic fitting [7,[14][15] and an increased frequency of back, knee, and hip pain [16][17][18][19]; obesity [20]; and osteoarthritis [17,21].…”

Section: Introductionmentioning

confidence: 99%

Outcomes associated with the use of microprocessor-controlled prosthetic knees among individuals with unilateral transfemoral limb loss: A systematic review

Sawers¹,

Hafner²

2013

JRRD

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Abstract-Microprocessor-controlled prosthetic knees (MPKs) have been developed as an alternative to non-microprocessorcontrolled knees (NMPKs) to address challenges facing individuals with lower-limb loss. A body of scientific literature comparing MPKs and NMPKs exists but has yet to be critically appraised. Therefore, we conducted a systematic review to examine outcomes associated with the use of these interventions among individuals with transfemoral limb loss. A search of biomedical databases identified 241 publications, of which 27 met the inclusion and exclusion criteria and were reviewed for methodological quality and content. We developed 28 empirical evidence statements (EESs) in 9 outcome categories (metabolic energy expenditure, activity, cognitive demand, gait mechanics, environmental obstacle negotiation, safety, preference and satisfaction, economics, and health and quality of life) based on findings in the literature. The level of evidence supporting these EESs varied due to quantity, quality, and consistency of the results. EESs supported by a moderate level of evidence that noted significant differences between MPKs and NMPKs were derived in five of the nine outcome categories. The results from this review suggest that evidence exists to inform clinical practice and that additional research is needed to confirm existing evidence and better understand outcomes associated with the use of NMPKs and MPKs.Key words: amputation, artificial limb, function, gait, knee, microprocessor, outcome, preference, rehabilitation, safety. Abbreviations: AAOP = American Academy of Orthotists andProsthetists, ABC = Activities-specific Balance Confidence, CWS = controlled walking speed, DLW = doubly labeled water, EBP = evidence-based practice, EES = empirical evidence statement, EV = external validity, GRF = ground reaction force, HAI = Hill Assessment Index, HRQL = health-related quality of life, IV = internal validity, LLL = lower-limb loss, MFCL = Medicare Functional Classification Level, MP = microprocessor, MPC = microprocessor control, MPK = microprocessor-controlled prosthetic knee, MRPP = Montreal Rehabilitation Performance Profile, NMPK = non-microprocessor-controlled prosthetic knee, O 2 = oxygen, O&P = orthotic and prosthetic, PAEE = physical activity-related energy expenditure, PCBS = Prosthetic Cognitive Burden Scale, PCI = physiological cost index, PEQ = Prosthesis Evaluation Questionnaire, PEQ-A = PEQ Addendum, PRO = patient-reported outcome, QALY = quality adjusted life year, QOL = quality of life, RPE = rating of perceived exertion, SAI = Stair Assessment Index, SF-36 = 36-Item Short-Form Health Survey, SOT = sensory organization test, SSWS = selfselected walking speed, SSC = State of the Science Conference, TDEE = total daily energy expenditure, TFLL = transfemoral limb loss.

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Contralateral lower extremity evaluation with a lower limb prosthesis

Cited by 24 publications

References 0 publications

Review of secondary physical conditions associated with lower-limb amputation and long-term prosthesis use

Review of secondary physical conditions associated with lower-limb amputation and long-term prosthesis use

Osteoarthritis in the Disabled Population: A Mechanical Perspective

Outcomes associated with the use of microprocessor-controlled prosthetic knees among individuals with unilateral transfemoral limb loss: A systematic review

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