Comparison of Posture, Balance, Gait and Plantar Pressure Parameters of Transfemoral Amputees in Different Prosthesis Use Periods
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Transfemoral Amputees
- Sponsor
- Lokman Hekim Üniversitesi
- Enrollment
- 24
- Locations
- 1
- Primary Endpoint
- Plantar pressure analysis
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
Nowadays, the use of prostheses is recognised as a critical rehabilitation tool for individuals who have experienced limb loss as a result of amputation in order to improve their quality of life and help them return to their activities of daily living. Prostheses offer the potential to help these individuals regain their mobility as well as optimise their physical function. Especially for unilateral transfemoral amputees, there are a number of physical challenges they face during prosthesis use. These challenges can manifest as posture, balance and weight transfer problems that prosthesis users face in their daily lives. Correcting trunk posture, increasing the ability to maintain static balance and optimising plantar load distribution are critical factors affecting the success of prosthesis use. These challenges faced by unilateral transfemoral amputees during prosthesis use are closely related to post-amputation biomechanical changes. These changes can often lead to problems with balance, gait and functionality during activities of daily living. There is no effective comparative study based on computerised analysis data on posture assessment, static balance and plantar pressure distribution of transfemoral amputees.The aim of this study was to investigate the effects of prosthesis use by comparing posture, balance, gait and plantar pressure parameters of unilateral transfemoral amputees at different prosthesis use periods
Investigators
Mustafa Sarı
Research Assistant
Lokman Hekim Üniversitesi
Eligibility Criteria
Inclusion Criteria
- •To be using unilateral hydraulic knee joint and carbon foot prosthesis.
- •Being amputee at the transfemoral level
- •Being new or using prosthesis for at least 3 years.
- •Having undergone amputation due to trauma.
- •To have completed prosthetic period rehabilitation.
- •To be between the ages of 18-45
Exclusion Criteria
- •Having a wound-ulcer problem
- •Having amputation due to diabetes, peripheral arterial disease, tumour or venous insufficiency
- •Being diagnosed with any systemic or neurological disease
- •Affected perception and cognition
- •Body mass index above
- •Having lower extremity contracture
Outcomes
Primary Outcomes
Plantar pressure analysis
Time Frame: Baseline
It was evaluated using the insoles of the Ultium Insole SmartLead. This system is compatible with the Ultium EMG system and can be used in a portable laboratory environment. It is also capable of providing users with zoned and total normalised load-time curves. In addition, it provides users with data such as 3D pressure animations and pressure centre, enabling a more detailed analysis of load distribution. These features make load distribution analysis for clinical or research purposes more effective and user-friendly. It also provides the possibility to monitor relative load distribution during balancing and bilateral or unilateral exercise applications. Applications of this technology include static and dynamic load imbalance detection, and body sway analysis.
Gait analysis
Time Frame: Baseline
Duration-distance characteristics of gait were evaluated using Ultium Insole SmartLead insoles. This system is compatible with the Ultium EMG system and can be used in a portable laboratory environment. It enables contact detection and quantitative analysis in walking, running and other dynamic activities. Applications of this technology include gait analysis, and running analysis.
Secondary Outcomes
- Trunk posture analysis(Baseline)
- Fear of falling(Baseline)
- Body image(Baseline)
- Satisfaction level(Baseline)