THE EFFECT OF BODY WEIGHT SUPPORT (BWS) ON ENERGY EXPENDITURE AND PAIN IN AN INDIVIDUAL WITH HIGH LEVEL LOWER EXTREMITY AMPUTATION: A CASE REPORT

2013 ◽  
Vol 24 (4) ◽  
pp. 41
Author(s):  
C. A. Miller ◽  
A. T. May ◽  
J. A. Parsons ◽  
P. G. Sloan ◽  
B. E. Thompson ◽  
...  
2018 ◽  
Vol 99 (3) ◽  
pp. 258-265
Author(s):  
Carol A Miller ◽  
Dawn M Hayes ◽  
Bailey E Brooks ◽  
Katie Y Sloan ◽  
Phillip G Sloan

2014 ◽  
Vol 664 ◽  
pp. 423-428
Author(s):  
Mauricio Plaza Torres ◽  
William Aperador

Hip disarticulation is an amputation through the hip joint capsule, removing the entire lower extremity, with closure of the remaining musculature over the exposed acetabulum. Tumors of the distal and proximal femur were treated by total femur resection; a hip disarticulation sometimes is performance for massive trauma with crush injuries to the lower extremity. This article discusses the design a system for rehabilitation of a patient with bilateral hip disarticulations. The prosthetics designed allowed the patient to do natural gait suspended between parallel articulate crutches with the body weight support between the crutches. The care of this patient was a challenge due to bilateral amputations at such a high level and the special needs of a patient mobility.


2016 ◽  
Vol 32 (1) ◽  
pp. 69-77 ◽  
Author(s):  
Audrey R.C. Elias ◽  
Curt D. Hammill ◽  
Ryan L. Mizner

Though essential to athletic performance, the ability to land from a jump often remains limited following injury. While recommended, jump training is difficult to include in rehabilitation programs due to high impact forces. Body weight support (BWS) is frequently used in rehabilitation of gait following neurological and orthopedic injury, and may also allow improved rehabilitation of high-impact tasks. There is a differential effect of BWS on walking and running gaits, and the effect of BWS on movements with relatively large vertical displacement is unknown. The current study evaluates the effect of BWS on a replicable singleleg hopping task. We posited that progressive BWS would decrease limb loading while maintaining the joint kinematics of the task. Twenty-eight participants repetitively hopped on and off a box at each of four BWS levels. Peak vertical ground reaction forces decreased by 22.5% between 0% and 30% BWS (P < .001). Average hip, knee, and ankle internal moments decreased by 0.5 N·m/kg each. Slight kinematic changes across BWS levels were clinically insignificant. The high level of task specificity evidenced by consistent kinematics coupled with a similar reduction of internal moment at each joint suggests that BWS may be a useful strategy for rehabilitation of jumping tasks.


2002 ◽  
Vol 82 (5) ◽  
pp. 485-495 ◽  
Author(s):  
Monthaporn Suteerawattananon ◽  
Betty MacNeill ◽  
Elizabeth J Protas

Abstract Background and Purpose. Impaired balance, gait disturbances, and frequent falls are common problems in people with progressive supranuclear palsy (PSP). This case report describes the use of a modified body weight support treadmill training program to reduce falls and improve the balance and gait of a patient with PSP. Case Description. The patient was a 62-year-old man diagnosed with PSP. His major problems were impaired balance and frequent, abrupt falls. Methods. Physical therapy included walk training, balance perturbation, and step training using body weight support with a treadmill. Training sessions lasted 11/2 hours and occurred 3 days a week for 8 weeks. Fall incidence, balance, and gait were assessed before, during, and after the program. Outcomes. The patient reported fewer falls during and after training. Balance and gait improved after training. Discussion. This case report is the first to report fall reduction, improved gait, and improved balance following physical therapy for a person with PSP.


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