Gait Analysis in Lower-Limb Amputation and Prosthetic Rehabilitation

2014 ◽  
Vol 25 (1) ◽  
pp. 153-167 ◽  
Author(s):  
Alberto Esquenazi
Keyword(s):  
Gait Analysis ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Prosthetic Rehabilitation

scholarly journals Prosthetics for Lower Limb Amputation

2021 ◽  
Author(s):  
P. Senthil Selvam ◽  
M. Sandhiya ◽  
K. Chandrasekaran ◽  
D. Hepzibah Rubella ◽  
S. Karthikeyan
Keyword(s):  
Gait Analysis ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Complete Picture ◽  
Limb Amputation ◽  
Advantages And Disadvantages ◽  
Diagrammatic Representation ◽  
Mechanical Component ◽  
Lower Limb Prosthesis ◽  
Limb Prosthesis

The Chapter will include a brief note on Amputation, Particularly Lower Limb Amputation (LLA), Levels and Causes of LLA. Importance of Prosthetics for LLA are explained in detail. The types of Prosthesis, Application (Donning & Doffing) of prosthesis are included in this chapter. Diagrammatic representation of the prosthesis are added too. Bio mechanical component is explained in detail within this chapter. The advantages and disadvantages of each and every Lower limb Prosthesis are clearly mentioned. Moreover, the Gait analysis & Training after the application of prosthesis are discussed. The reader will get a complete picture of Prosthetics for Lower limb Amputation by going through this chapter for lower limb prosthesis.

Cardiorespiratory fitness and physical strain during prosthetic rehabilitation after lower limb amputation

2019 ◽  
Vol 43 (4) ◽  
pp. 418-425
Author(s):  
Daphne Wezenberg ◽  
Rienk Dekker ◽  
Frank van Dijk ◽  
Willemijn Faber ◽  
Lucas van der Woude ◽  
...  
Keyword(s):  
Heart Rate ◽  
Cardiorespiratory Fitness ◽  
Aerobic Capacity ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Prosthetic Rehabilitation ◽  
Physical Strain ◽  
Individual Level ◽  
The Individual

Background: Sufficient cardiorespiratory fitness has been regarded a prerequisite for prosthetic walking. In order to improve cardiorespiratory fitness, adequate strain ought to be placed on the system during training. Objectives: To determine cardiorespiratory fitness at the start and end of inpatient rehabilitation after lower limb amputation and determine the physical strain experienced during conventional prosthetic rehabilitation. Study design: Multicenter prospective cohort study. Methods: Cardiorespiratory fitness was assessed using a peak one-legged cycle exercise test. Physical strain was assessed during a minimum of three full rehabilitation days using heart rate recordings. Physical strain was expressed in the time per day that heart rate exceeded 40% of heart rate reserve. Results: At the start of rehabilitation, peak aerobic capacity was on average 16.9 (SD, 6.5) mL/kg/min ( n = 33). Overall, peak aerobic capacity did not improve over the course of rehabilitation ( n = 23, p = 0.464). Fifty percent of the patients experienced a physical strain level that satisfies minimum criteria for maintaining cardiorespiratory fitness (>40% heart rate reserve for 30 min/day). Conclusion: Cardiorespiratory fitness was low and did not increase during conventional prosthetic rehabilitation. On average, the physical strain during rehabilitation was insufficient to elicit potential improvements in aerobic capacity. Results stress the need for dedicated physical training modules at the individual level. Clinical relevance This study shows that clinicians ought to be aware of the relatively low cardiorespiratory fitness of people who have undergone lower limb amputation and that improvements during rehabilitation are not always obtained. Results stress the need for physical training modules in which intensity is imposed at the individual level.

Barriers and facilitators to work participation for persons with lower limb amputations in Bangladesh following prosthetic rehabilitation

2020 ◽  
Vol 44 (5) ◽  
pp. 279-289
Author(s):  
Rwth Stuckey ◽  
Pam Draganovic ◽  
Mohammad Mosayed Ullah ◽  
Ellie Fossey ◽  
Michael P Dillon
Keyword(s):  
Gender Roles ◽  
Lower Limb ◽  
Motor Vehicle ◽  
Work Participation ◽  
Lower Limb Amputation ◽  
Barriers And Facilitators ◽  
Limb Amputation ◽  
Prosthetic Rehabilitation ◽  
Convenience Sample

Background: Lower limb amputation due to workplace injury and motor vehicle accident is common in Bangladesh. Qualitative research may extend our understanding of how physical impairment and other factors, such as cultural norms, family roles and the built environment, facilitate or hinder work participation following lower limb amputation and prosthetic rehabilitation. Objectives: The aim of this study was to explore the experience of people in Bangladesh following lower limb amputation and prosthetic rehabilitation to understand the facilitators and barriers to their work participation. Study Design: Qualitative interviews with thematic analysis. Methods: The Worker Role Interview was used to guide semi-structured interviews in a convenience sample of 10 adults living in Bangladesh following lower limb amputation and prosthetic rehabilitation. Interviews were interpreted, and the themes that emerged were evidenced with first-person quotes. Results: Barriers and facilitators to work participation were synthesised into the following themes: spirituality, attitudes, meaning of work, planning for work participation, traditional gender roles, social support, mobility aids, environmental challenges and ergonomic adaptations. Conclusion: This qualitative approach identified barriers and facilitators to work participation, such as the role of spirituality and the effect of gender roles, that have not been well researched in this population. Being aware of their effects can help clinicians reduce barriers to work participation. Clinical relevance Greater awareness of the barriers and facilitators to work participation, such as the role of spirituality or the effect of gender roles, can assist clinicians to reduce barriers and help facilitate work participation for people living in Bangladesh following lower limb amputation and prosthetic rehabilitation.

The influence of balance confidence on social activity after discharge from prosthetic rehabilitation for first lower limb amputation

2011 ◽  
Vol 35 (4) ◽  
pp. 379-385 ◽  
Author(s):  
William C Miller ◽  
A Barry Deathe
Keyword(s):  
Lower Limb ◽  
Social Activity ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Walking Ability ◽  
Prosthetic Rehabilitation ◽  
Post Discharge ◽  
Balance Confidence ◽  
Confidence Levels

Background: Community living individuals with lower limb amputation have low balance confidence but the level of balance confidence in the first six months after discharge from prosthetic rehabilitation is not known.Objectives: To determine if balance confidence levels differ after discharge from prosthetic rehabilitation and to determine if balance confidence at discharge predicts social activity at three months post-discharge while controlling for important covariates such as walking ability.Study Design: Prospective study.Methods: Subjects ( n = 65) experiencing their first unilateral transfemoral or transtibial amputation were recruited and followed-up one and three months post-discharge. Measures of balance confidence (Activities-specific Balance Confidence Scale) and walking ability (L Test) collected at discharge were used to predict social activity (Frenchay Activities Index) at follow-up.Results: Despite a 14-second mean improvement in walking ability the mean balance confidence scores did not change significantly between discharge (71.2/100) and at three-month follow-up (69.4/100). Confidence scores and basic walking ability at discharge were the two strongest predictors of three-month social activity. Multiple regression modelling indicated that balance confidence and walking ability explained 64% of the variance (standardized beta = 0.34 and -0.37 respectively) in social activity (adjusted R2 = 39%).Conclusions: Balance confidence after discharge from prosthetic rehabilitation for lower limb amputation is low and scores do not improve over the first three months post-discharge despite improvements in walking ability. Discharge balance scores confidence independently predicts three-month social activity scores.

scholarly journals Predicting successful prosthetic rehabilitation in major lower-limb amputation patients: a 15-year retrospective cohort study

2018 ◽  
Vol 22 (3) ◽  
pp. 205-214 ◽  
Author(s):  
Inés Fajardo-Martos ◽  
Olga Roda ◽  
Ramón Zambudio-Periago ◽  
Aurora Bueno-Cavanillas ◽  
Fidel Hita-Contreras ◽  
...  
Keyword(s):  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Lower Limb ◽  
Retrospective Cohort ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Prosthetic Rehabilitation

scholarly journals Effects of hyperbaric oxygenation on prosthetic rehabilitation of patients with unilateral lower limb amputation

2012 ◽  
Vol 46 (2) ◽  
pp. 65-70
Author(s):  
Simanic Igor ◽  
Teofilovski Mirko ◽  
Brkic Predrag ◽  
Paspalj Dalibor ◽  
Radotic Milutin ◽  
...  
Keyword(s):  
Lower Limb ◽  
Hyperbaric Oxygenation ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Prosthetic Rehabilitation

scholarly journals Tumour related lower limb amputation: A 23 year experience

1989 ◽  
Vol 13 (2) ◽  
pp. 82-85 ◽  
Author(s):  
A. S. Jain ◽  
C. P. U. Stewart
Keyword(s):  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Prosthetic Rehabilitation ◽  
Benign Tumours

This paper records the Dundee experience over 23 years and reports on 42 cases of tumour related lower limb amputations. There were 27 males and 15 females with 37 malignant and 5 benign tumours. Four of the ‘benign’ tumours proved to be osteoclastoma which were locally malignant. Prosthetic rehabilitation was achieved in all but one case. All patients fitted were able to use their prostheses.

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