Investigation of the Effect of Stair Activity on Lumbal Paravertebral Mechanical Properties in Transtibial and Transfemoral Amputes.
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Stair up and Down, Amputation
- Sponsor
- Marmara University
- Enrollment
- 28
- Locations
- 1
- Primary Endpoint
- Evaluation of the mechanical properties of the muscle-1
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
With the onset of prosthesis use following lower extremity amputations,body shows biomechanical changes according to the amputation level and consequently develops adaptation mechanisms both on the healthy and ampute side. Adaptations in the lumbo-pelvic and lower lumbar regions cause asymmetries in the muscle tissue by causing changes in the morphological structure of the muscle, especially in the muscles of the waist, hip and knee and recruitment.
The aim of this study is to investigate the effect of stairing up and down activity on the mechanical properties of lumbal paravertebral muscles in TFA and TTA and its relation with lower lumbar region pain.
Investigators
Eligibility Criteria
Inclusion Criteria
- •to be TTA and TFA
- •No complaints of chronic low back pain before amputation
- •Using prosthesis for at least 6 months
- •Being able to climb up and down stairs
- •No history of falls that will cause injury or pain in the past 6 months
- •Having good prosthesis comfort
- •BMI\<28.5
- •Who can have cognitive functions to understand Arabic language
Exclusion Criteria
- •To be amputated due to congenital and tumor
- •Who can not have cognitive functions to understand Arabic language
- •Having orthopedic or neurological disorders that may cause chronic pain or functional impairment in the lumbar region
- •Ankylosing spondolitis and rheumatoid arthritis patients
Outcomes
Primary Outcomes
Evaluation of the mechanical properties of the muscle-1
Time Frame: Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity
Viscoelastic stiffness \[N/m\] will be measured in MyotonPro 3 (MYO, Tallin, Estonia
Evaluation of the mechanical properties of the muscle-2
Time Frame: Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity
Oscillation frequency (Hz) will be measured in MyotonPro 3 (MYO, Tallin, Estonia
Evaluation of the back pain
Time Frame: Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity
Pain will be evaluated by using Visual analog scale ranging 0 (no pain)- 10 (worst pain)
Evaluation of the mechanical properties of the muscle-3
Time Frame: Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity
Mechanical stiffness (N/m) will be measured in MyotonPro 3 (MYO, Tallin, Estonia
Evaluation of the pressure-pain threshold
Time Frame: Change from Baseline mechanical properties at following staring up and down activity, at 10 minutes after the staring up and down activity
The pressure-pain threshold (lbs) will be measured in algometer commander (JTECH MEDICAL, MM036_K, 2016)