Kinematic patterns of participants with a below-knee prosthesis stepping over obstacles of various heights during locomotion

Hill, Samantha; Patla, Aftab E.; Ishac, Milad G.; Adkin, Allan L.; Supan, Terry J.; Barth, Daryl G.

doi:10.1016/s0966-6362(97)01120-x

Cited by 27 publications

(55 citation statements)

References 9 publications

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“…34 In papers that reported kinematic data, all but three reported sagittal plane motion. 60,66,70 Coronal plane motion was reported in 13 studies 4,16,28,30,32,35,37,48,55,64,66,72,74 and three papers 16,70,72 reported motion in the transverse plane. The distribution of planar motion reporting may be largely explained by the biomechanical models used in the reviewed papers (Table 2).…”

Section: Dependent Variablesmentioning

confidence: 99%

“…Hip joint kinematics was investigated in 21 studies, while just five papers reported kinematics associated with the upper body. 16,62,64,66,70 A total of 14 papers collected kinematic data only as a means of further calculating variables that included kinetics, such as joint power and work, and did not report the kinematic results at all. 8,40,48,53,55,61,65,76 Others used them to define temporospatial parameters, 59,68 joint moments, 36,47 zero moment point 14 and symmetry.…”

Section: Dependent Variablesmentioning

confidence: 99%

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Motion-analysis studies of transtibial prosthesis users

Rusaw

Ramstrand

2011

Prosthetics &Amp; Orthotics International

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Background: Three-dimensional motion analysis has been used since the beginning of the 1980s to evaluate many aspects of physical function of transtibial amputees. Despite its common use for clinical research, there is large variability in methods of capturing three-dimensional data, description of these methods, reporting of joint kinematics and interpretation of research findings. Objectives: The aim of the following review is to critically examine the specific methodologies used by researchers when collecting three-dimensional kinematic data on transtibial amputees and to provide an overview of the methods used. Study design: Systematic review. Methods: A systematic review of the literature between January 1984 and June 2009 was conducted. A total of 68 papers were identified for review based on the following criteria: experimental research design, collection of three-dimensional kinematic data of lower-extremity joints, and inclusion of transtibial amputees as experimental subjects. Results: A number of methodological shortcomings were identified in the papers reviewed. Conclusions: The authors recommend that future studies more appropriately address the product name and number of prosthetic components used; how the position of reflective markers on the prosthesis is defined; presentation of data from both sound and affected sides; and definition of the neutral position of the ankle when reporting kinematic data. Where possible, the authors recommend use of a control group. Clinical relevanceThis paper has identified numerous sources of discrepancy and potential error in kinematic data collected on trans-tibial amputees. Clinicians and researchers should make themselves aware of these issues when collecting and interpreting gait data.

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Section: Dependent Variablesmentioning

confidence: 99%

Section: Dependent Variablesmentioning

confidence: 99%

Motion-analysis studies of transtibial prosthesis users

Rusaw

Ramstrand

2011

Prosthetics &Amp; Orthotics International

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“…Experienced transtibial prosthesis users are able to complete activities of daily living (ADLs) effectively, and the successful completion of these tasks is an integral part of regaining an independent lifestyle [1][2][3][4][5]. However, psychological issues, such as how an amputee feels about his or her amputation and prostheses, are also important factors.…”

Section: Introductionmentioning

confidence: 99%

Temporal adaptations in generic and population-specific quality of life and falls efficacy in men with recent lower-limb amputations

Barnett¹,

Vanicek²,

Polman³

2013

JRRD

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Abstract-This study examined the longitudinal changes in generic health-related quality of life (QOL), prosthesis-related QOL, falls efficacy, and walking speed in men with lower-limb amputations up to 6 months following discharge from rehabilitation. Seven male unilateral transtibial amputees completed the Medical Outcomes Study 36-Item Short Form Health Survey, the Prosthesis Evaluation Questionnaire, and the Modified Falls Efficacy Scale at 1, 3, and 6 months postdischarge from rehabilitation. Walking speed was also recorded to objectively assess participants' mobility. Health-related QOL measures displayed increases, resulting in large effect sizes though not reaching statistical significance. Prosthesis-related QOL measures indicated that scales relating to the participants' prostheses improved and the support of significant others was the most positively scored variable. Walking speed increased by 0.12 m/ s, although it was not significantly related to indices of QOL or falls efficacy. Falls efficacy did not improve significantly during the study period, although it was strongly related to QOL (p < 0.05). These results provide a novel insight into how QOL and falls efficacy develop in people with lower-limb amputations, alongside changes in mobility, after discharge from rehabilitation. Further improvements in physical health following discharge may be required to elicit subsequent increases in overall QOL and concurrent improvements in falls efficacy.

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“…Nine studies reported verification of prosthetic alignment by a certified prosthetist [8,28,[31][32][33][34]40,[46][47]. Optimal prosthetic alignment is important for maintaining adequate socket comfort and functioning with a prosthesis [14].…”

Section: Methodological Considerationsmentioning

confidence: 99%

Spinal, pelvic, and hip movement asymmetries in people with lower-limb amputation: Systematic review

et al. 2015

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Abstract-Following amputation, people with transfemoral amputation (TFA) and transtibial amputation (TTA) adapt with asymmetrical movements in the spinal and lower-limb joints. The aim of this review is to describe the trunk, lumbopelvic, and hip joint movement asymmetries of the amputated limb of people with TFA and TTA during functional tasks as compared with the intact leg and/or referent leg of nondisabled controls. Electronic databases were searched from inception to February 2014. Studies with kinematic data comparing (1) amputated and intact leg and (2) amputated and referent leg of nondisabled controls were included (26 articles). Considerable heterogeneity in the studies precluded data pooling. During stance phase of walking in participants with TFA, there is moderate evidence for increased trunk lateral flexion toward the amputated limb as compared with the intact leg and increased anterior pelvic tilt as compared with nondisabled controls. None of the studies investigated spinal kinematics during other functional tasks such as running, ramp walking, stair climbing, or obstacle crossing in participants with TFA or TTA. Overall, persons with TFA adapt with trunk and pelvic movement asymmetries at the amputated limb to facilitate weight transfer during walking. Among participants with TTA, there is limited evidence of spinal and pelvic asymmetries during walking.

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Kinematic patterns of participants with a below-knee prosthesis stepping over obstacles of various heights during locomotion

Cited by 27 publications

References 9 publications

Motion-analysis studies of transtibial prosthesis users

Motion-analysis studies of transtibial prosthesis users

Temporal adaptations in generic and population-specific quality of life and falls efficacy in men with recent lower-limb amputations

Spinal, pelvic, and hip movement asymmetries in people with lower-limb amputation: Systematic review

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