Gait initiation in lower limb amputees

Vrieling, Aline H.; Keeken, van Helco; Schoppen, Tanneke; Otten, Egbert; Halbertsma, Jan P.K.; Hof, At L.; Postema, Klaas

doi:10.1016/j.gaitpost.2007.05.013

Cited by 78 publications

(71 citation statements)

References 34 publications

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“…Safe walking and fear of falling are important issues for a majority of patients with lower-limb amputations [45][46]. Because of the loss of the knee joint, patients with TFA need strategies to maintain balance and to overcome limitations in function of the prosthesis [31][32]. A safe and secure gait and confidence in walking can partly be achieved by training and adequate prosthetic fit and suspension.…”

Section: Discussionmentioning

confidence: 99%

“…In patients with transfemoral amputation (TFA), testing sensation in terms of vibration seems to be one natural choice since vibration is one type of stimuli the patient hypothetically can experience when the prosthetic foot strikes the ground. At heel strike, the prosthetic knee joint should be in an extended position to make it safe to move the nondisabled limb forward [31][32][33]. Improved ability to detect vibration at heel strike could therefore mean safer walking for this group of patients.…”

Section: Introductionmentioning

confidence: 99%

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Vibrotactile evaluation: Osseointegrated versus socket-suspended transfemoral prostheses

Häggström

Hagberg²,

Rydevik³

et al. 2013

J Rehabil Res Dev

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Abstract-This study investigated detection thresholds of vibrometric stimuli in patients with transfemoral amputation supplied with osseointegrated (OI) and socket-suspended prostheses. It included 17 patients tested preoperatively with socket-suspended prostheses and after 2 yr with OI prostheses and a control group (n = 17) using socket-suspended prostheses, evaluated once. Assessments on the prosthetic and intact feet were conducted at six frequencies (8,16,32, 64, 125, and 250 Hz). Furthermore, measurements were conducted to investigate how vibrometric signals are transmitted through a test prosthesis. The results showed that the OI group had improved ability to detect vibrations through the prosthesis at 125 Hz (p = 0.01) at follow-up compared with the preoperative measurement. Compared with the control group, the OI group at follow-up had better ability to detect high frequency vibrations through the prosthesis (125 Hz, p = 0.02; 250 Hz, p = 0.03). The vibrometric signal transmitted through the test prosthesis was reduced at 8, 125, and 250 Hz but was amplified at 16, 32, and 64 Hz. Differences between the OI and the control groups were found in the highest frequencies in which the test prosthesis showed reduction of the vibrometric signal. The study provides insight into the mechanisms of vibration transmission between the exterior and bone-anchored as well as socketsuspended amputation prostheses.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Vibrotactile evaluation: Osseointegrated versus socket-suspended transfemoral prostheses

Häggström

Hagberg²,

Rydevik³

et al. 2013

J Rehabil Res Dev

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“…The study was focused on neuro-rehabilitation, quantifying the efficacy of Neuromuscular Taping as a treatment method combined with physical therapy rehabilitation as a means of reducing pain symptoms in post amputation of lower limb subjects. Amputation of lower limb causes a series of changes and concomitant adjustments which are related not only to the mutilated limb but also to the entire body [13][14][15][16]. Phantom pain senNeuro Muscular Taping (NMT) is a biomechanical therapy method using decompressive and compressive stimuli to obtain positive effects in the musculoskeletal, vascular, lymphatic and neurological systems.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Neuromuscular Taping Along With Conventional Physical Therapy in Post Amputation Phantom Pain Management: An Experimental Study

Kutty¹,

Gebremichael²

2017

IJPR

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Background: Neuro Muscular Taping (NMT) is a biomechanical therapy method using decompressive and compressive stimuli to obtain positive effects in the musculoskeletal, vascular, lymphatic and neurological systems. Application of an elastic tape on the skin will evoke direct therapeutic effect both local and distant by reflex. The application of NMT with an eccentric and decompressive technique rises the skin and dilates the interstitial spaces and consequently improves circulation and absorption of liquids reduces subcutaneous pressure. The aim of this study is to assess the efficacy of Neuromuscular taping on the treatment of Phantom pain in post amputation subjects in Mekelle ortho-physiotherapy centre, Physiotherapy Department, Tigray region, Northern Ethiopia, 2015-16. Materials and Methods:The study population consisted of 32 subjects between 10 and 80 years of age. Subjects who underwent lower limb amputation and having phantom pain syndrome in Mekelle-ortho physiotherapy center, Mekelle and meeting the inclusion criteria were included in the study. The 32 subjects were allocated in to two groups of which, one is experimental group (16 subjects who were treated with neuromuscular taping treatment along with conventional physiotherapy) and second control group (16 subjects who were treated with conventional physiotherapy alone). Results:To check the effectiveness of neuromuscular taping, the results of both groups were compared with each other i.e. between the groups it revealed a statistical association, i.e. (df =16, p=0.005 level, group A= 0.059 & group B =0.501). These finding clearly suggested that for lower limb amputation patient conventional physiotherapy is effective in reduction of pain but along with neuromuscular taping it stands to very effective in reducing phantom pain in post amputation subjects and VAS scale parameters reduction resulted in 6-7 treatment sessions that is less than in 8-10 treatment sessions when compared to control group. Conclusion:To conclude the results using the conventional physiotherapy with neuromuscular taping in the management of phantom pain in lower limb amputation subjects were found to be very effective than conventional physiotherapy alone. Hence, it is highly recommended that neuro muscular taping can be included in the treatment protocol for lower limb amputation subjects having phantom pain syndrome along with conventional physiotherapy.

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“…Despite the current technological advances in prosthetics, lower limb amputees still suffer from noticeable gait asymmetry [9][10][11] and high metabolic energy costs [12] in comparison to healthy subjects. This gait asymmetry pattern occurs due to the inertia asymmetry between the intact and the prosthetic leg [13] and other factors.…”

Section: Introductionmentioning

confidence: 99%