The Relationship Between Lumbar Spine Kinematics during Gait and Low-Back Pain in Transfemoral Amputees

Morgenroth, David C.; Orendurff, Michael S.; Shakir, Ali; Segal, Ava D.; Shofer, Jane B.; Czerniecki, Joseph M.

doi:10.1097/phm.0b013e3181e71d90

Cited by 76 publications

(78 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…* Potential biomechanical contributing factors for ongoing LBP in this population include proximal movement asymmetries at the trunk and lumbopelvic segments secondary to walking with a prosthesis [12]. Increased lumbar transverse rotation has been reported during walking in persons with TFA and LBP as compared with persons with TFA without LBP (p < 0.05, effect size 1.03) [18]. Despite the cross-sectional study design, the result provides initial evidence for proximal movement asymmetries associated with LBP in people with lower-limb amputation.…”

Section: Introductionmentioning

confidence: 99%

“…After title, abstract, and full-text screening, 21 articles were included for the final review [6][7]9,[28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45]. Five additional articles were included by searching the references of included articles (n = 3) [8,18,46] and from our recent electronic search in February 2014 (n = 2) [47][48]. No additional articles satisfying the inclusion criteria were retrieved from the electronic alerts.…”

Section: Study Selectionmentioning

confidence: 99%

“…Most of the included studies (n = 23) adopted a crosssectional study design, with the exception of three studies that had a case series design [7,9,30]. Most of the included studies (n = 17) recruited a minimum of 10 participants for the study [8][9]18,28,[31][32][33][34][35]37,[40][41][42][43][46][47][48]. The majority (82%) of amputations were due to either trauma or tumors.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…No additional articles satisfying the inclusion criteria were retrieved from the electronic alerts. Of the final 26 articles, 9 investigated kinematics in persons with TFA [8][9]18,[29][30]35,[38][39][40] and 12 in persons with TTA [6,28,[31][32][33][34]36,[41][42][45][46][47]; 5 investigated both persons with TFA and TTA [7,37,[43][44]48].…”

Section: Study Selectionmentioning

confidence: 99%

“…Overall, 16 studies investigated kinematics during walking [6][7][8][9]18,29,[32][33]35,[38][39][40][41]45,[47][48] and 4 studies investigated kinematics of stair climbing [28,34,37,42], with few studies investigating the kinematics of other functional tasks, i.e., obstacle crossing (n = 2) [43,46], ramp walking (n = 2) [31,44], and running (n = 2) [30,36]. During walking, overall 11 studies investigated pelvis (n = 7) [7][8]29,35,[38][39][40], lumbar spine (n = 1) [18], and trunk (n = 4) [8][9]40,48] kinematics in participants with TFA.…”

Section: Outcome Variablesmentioning

confidence: 99%

See 4 more Smart Citations

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

et al. 2015

View full text Add to dashboard Cite

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.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Study Selectionmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Selectionmentioning

confidence: 99%

Section: Outcome Variablesmentioning

confidence: 99%

See 3 more Smart Citations

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

et al. 2015

View full text Add to dashboard Cite

show abstract

Phantom radiculopathy: An electrodiagnostic challenge

De La Rosa‐Cabral,

Bonilla‐Durango,

Torres‐Rivera

et al. 2024

Muscle and Nerve

View full text Add to dashboard Cite

show abstract

Low Back Pain in Adults With Transfemoral Amputation: A Retrospective Population‐Based Study

Luetmer

Mundell

Kremers

et al. 2019

PM&R

View full text Add to dashboard Cite

Background Low back pain (LBP) is common among individuals with transfemoral amputation (TFA) and has a negative impact on quality of life. Little is known about health care utilization for LBP in this population and whether utilization varies by amputation etiology. Objective To determine if individuals with TFA have an increased likelihood of seeking care or reporting symptoms of acute or chronic LBP during physician visits after amputation compared with matched individuals without amputation. Design Retrospective cohort. Setting Olmsted County, Minnesota (2010 population: 144 248). Participants All individuals with incident TFA (N = 96), knee disarticulation, and transfemoral amputation residing in Olmsted County between 1987 and 2014. Each was matched (1:10 ratio) with non‐TFA adults on age, sex, and duration of residency. Individuals were divided by etiology of amputation: dysvascular and trauma/cancer. Interventions Not applicable. Main Outcome Measurements Death and presentation for evaluation of LBP (LBP event) while residing in Olmsted County. LBP events were identified using validated International Classification of Diseases, Ninth Revision (ICD‐9) codes and corresponding Berkson, Hospital International Classification of Diseases Adapted (HICDA), and ICD‐10 diagnostic codes. Hurdle and competing‐risk Cox proportional hazard models were used. Results Having a TFA of either etiology did appear to correlate with increased frequency of LBP events, although this association was only statistically significant within the dysvascular TFA cohort (dysvascular TFA cohort: relative risk [RR] 1.80, 95% confidence interval [CI] 1.07‐3.03, median follow‐up 0.78 years; trauma/cancer TFA cohort: RR 1.14, 95% CI 0.58‐2.22, median follow‐up 7.95 years). In time to event analysis, dysvascular TFA had an increased risk of death and event. Obesity did not significantly correlate with increased frequency of LBP events or time to event for either cohort. At any given point in time, individuals with TFA of either etiology who had phantom limb pain were 90% more likely to have an LBP event (hazard ratio [HR] 1.91, 95% CI 1.11‐3.31). Conditional on not dying and no LBP event within the first 2.5 years, individuals with prosthesis had a decreased risk of LBP events in subsequent years. Conclusions Risk of LBP events appears to vary by TFA etiology. Obesity did not correlate significantly with increased frequency of LBP event or time to event. Phantom limb pain correlated with decreased time to LBP event after amputation. The association between prosthesis receipt and LBP events is ambiguous. Level of Evidence III.

show abstract

The Relationship Between Lumbar Spine Kinematics during Gait and Low-Back Pain in Transfemoral Amputees

Cited by 76 publications

References 39 publications

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

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

Phantom radiculopathy: An electrodiagnostic challenge

Low Back Pain in Adults With Transfemoral Amputation: A Retrospective Population‐Based Study

Contact Info

Product

Resources

About