Does long-distance walking improve or deteriorate walking stability of transtibial amputees?

Wong, Duo Wai-Chi; Lam, Wing-Kai; Yeung, Ling-Fung; Lee, Winson C.C.

doi:10.1016/j.clinbiomech.2015.05.015

Cited by 20 publications

(25 citation statements)

References 42 publications

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“…Furthermore, the force sensors put at the left and right foot could also help distinguish the plantar force distribution of the affected and sound sides. This makes the plantar force sensors a suitable option for patients with stroke, as well as amputees [ 123 ], who commonly have different conditions regarding the sound and affected sides [ 124 ].…”

Section: Discussionmentioning

confidence: 99%

Balance Improvement Effects of Biofeedback Systems with State-of-the-Art Wearable Sensors: A Systematic Review

Zong-Hao

Wong

Lam³

et al. 2016

Sensors

103

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Falls and fall-induced injuries are major global public health problems. Balance and gait disorders have been the second leading cause of falls. Inertial motion sensors and force sensors have been widely used to monitor both static and dynamic balance performance. Based on the detected performance, instant visual, auditory, electrotactile and vibrotactile biofeedback could be provided to augment the somatosensory input and enhance balance control. This review aims to synthesize the research examining the effect of biofeedback systems, with wearable inertial motion sensors and force sensors, on balance performance. Randomized and non-randomized clinical trials were included in this review. All studies were evaluated based on the methodological quality. Sample characteristics, device design and study characteristics were summarized. Most previous studies suggested that biofeedback devices were effective in enhancing static and dynamic balance in healthy young and older adults, and patients with balance and gait disorders. Attention should be paid to the choice of appropriate types of sensors and biofeedback for different intended purposes. Maximizing the computing capacity of the micro-processer, while minimizing the size of the electronic components, appears to be the future direction of optimizing the devices. Wearable balance-improving devices have their potential of serving as balance aids in daily life, which can be used indoors and outdoors.

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Section: Discussionmentioning

confidence: 99%

Balance Improvement Effects of Biofeedback Systems with State-of-the-Art Wearable Sensors: A Systematic Review

Zong-Hao

Wong

Lam³

et al. 2016

Sensors

103

View full text Add to dashboard Cite

show abstract

“…Fatigue and learning effects were not accounted for in any included study. Tiredness is known to affect gait patterns in amputee walking [ 49 , 50 ], and the studies presented describe extensive testing procedures with multiple recorded trials and numerous perturbations of socket conditions. Although the impact is mitigated somewhat by randomising the order of induced perturbations between participants, there will still be a residual impact in the ability to acclimatise to new conditions and in the comparison to the original ‘neutral’ alignment.…”

Section: Discussion Of Study Qualitymentioning

confidence: 99%

Systematic Review of Studies Examining Transtibial Prosthetic Socket Pressures with Changes in Device Alignment

et al. 2017

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Suitable lower-limb prosthetic sockets must provide an adequate distribution of the pressures created from standing and ambulation. A systematic search for articles reporting socket pressure changes in response to device alignment perturbation was carried out, identifying 11 studies. These were then evaluated using the American Academy of Orthotists and Prosthetists guidelines for a state-of-the-science review. Each study used a design where participants acted as their own controls. Results were available for 52 individuals and five forms of alignment perturbation. Four studies were rated as having moderate internal and external validity, the remainder were considered to have low validity. Significant limitations in study design, reporting quality and in representation of results and the suitability of calculations of statistical significance were evident across articles. Despite the high inhomogeneity of study designs, moderate evidence supports repeatable changes in pressure distribution for specific induced changes in component alignment. However, there also appears to be a significant individual component to alignment responses. Future studies should aim to include greater detail in the presentation of results to better support later meta-analyses.

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“…To understand the underlying mechanism of this injury better, the application of EMG, ultrasound imaging techniques, and near-infrared spectroscopy are necessary to monitor the changes in cross-section area and activity during lunges for muscles and other soft tissue ( Chen et al, 2019a ; Guo et al, 2010 ). While muscle fatigue could implicate the risk of injury, a variability analysis on inter-limb coordination is useful to evaluate the instability induced by muscle fatigue ( Robertson et al, 2013 ; Hamill et al, 1999 ), despite the findings from some articles that the compensatory walking mechanisms against fatigue may interfere the analysis ( Wong, Lam & Lee, 2020 ; Wong et al, 2015 ). In addition, muscle fatigue could be measured by near-infrared spectroscopy studying the hemodynamic changes ( Tan et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Biomechanics of lower limb in badminton lunge: a systematic scoping review

Lam

Wong

Lee

2020

PeerJ

Self Cite

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Background Badminton is a popular sport activity in both recreational and elite levels. A lot of biomechanical studies have investigated badminton lunge, since good lunge performance may increase the chances to win the game. This review summarized the current trends, research methods, and parameters-of-interest concerning lower-extremity biomechanics in badminton lunges. Methodology Databases including Web of Science, Cochrane Library, Scopus, and PubMed were searched from the oldest available date to September 2020. Two independent authors screened all the articles and 20 articles were eligible for further review. The reviewed articles compared the differences among playing levels, footwear designs, and lunge directions/variations, using parameters including ground reaction forces, plantar pressure distribution, kinematics, and kinetics. Results Elite badminton players demonstrated higher impact attenuation capability, more aggressive knee and ankle strategy (higher mechanical moment), and higher medial plantar load than amateur players. Footwear modifications can influence comfort perception and movement mechanics, but it remains inconclusive regarding how these may link with lunging performance. Contradicting findings in kinematics is possibly due to the variations in lunge and instructions. Conclusions Playing levels and shoe designs have significant effects on biomechanics in badminton lunges. Future studies can consider to use an unanticipated testing protocol and realistic movement intensity. They can study the inter-limb coordination as well as the contributions and interactions of intrinsic and extrinsic factors to injury risk. Furthermore, current findings can stimulate further research studying whether some specific footwear materials with structural design could potentially compromise impact attenuation, proprioception, and performance.

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Does long-distance walking improve or deteriorate walking stability of transtibial amputees?

Cited by 20 publications

References 42 publications

Balance Improvement Effects of Biofeedback Systems with State-of-the-Art Wearable Sensors: A Systematic Review

Balance Improvement Effects of Biofeedback Systems with State-of-the-Art Wearable Sensors: A Systematic Review

Systematic Review of Studies Examining Transtibial Prosthetic Socket Pressures with Changes in Device Alignment

Biomechanics of lower limb in badminton lunge: a systematic scoping review

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