Clinical, biomechanical adaptation of people after unilateral transfemoral amputation or amelia of the lower limb to gait using advanced prosthetic solutions - a prospective, single-center, clinical, controlled, observational study.
Overview
- Phase
- 未知
- Intervention
- Not specified
- Conditions
- Musculoskeletal - Other muscular and skeletal disorders
- Sponsor
- Wroclaw Medical University
- Enrollment
- 34
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
1 Research Question:The purpose of this study is to determine the relationship between torque values, torque symmetry of the hip flexor and extensor muscles of the intact and amputated limb, and the degree of gait asymmetry in transfemoral amputees (TFA). Additional Objectives To evaluate gait symmetry in terms of changes in lower limb and pelvic joint ranges of motion (kinematic) and ground reaction force (dynamic) in patients following TFA. 2 Background Information:Assessment of gait symmetry is one of the main criteria for evaluating the motor rehabilitation process of patients with various musculoskeletal disorders. For patients with TFA, gait parameters are evaluated by relating the obtained amputation data to data for the whole limb or to data of healthy subjects. 3 Participant characteristics: Fourteen adults with unilateral TFA participated in the experiment.All participants underwent gait analysis, but only eight participated in the assessment of muscle torque acting on the hip joints. Six patients did not participate in the muscle torque assessment because their thigh stump was too short. 4 Key findings:This study showed consistent evidence of a significant association between hip extensors and gait asymmetry. The conclusions drawn from the mean value of the results obtained for the study group of patients with TFA are limited by errors due to multiple factors. 5 Limitations: Small number of subjects studied.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Inclusion criteria will include:
- •1\. Loss of lower limb at the level of the thigh.
- •2\. the use of a prosthetic limb in addition to daily living.
- •3\. use of the currently used prosthesis for at least 6 months.
- •4\.The ability to walk a distance of not less than 20 metres without the use of elbow crutches.
- •5\.Congenital lower limb impingement consisting of absence of the knee joint and structures below.
- •6\.Medicare Functional Classification K level 3 or 4\.
- •7\.Informed consent for the study.
- •Key inclusion criteria Healthy, age\-matched volunteers: Inclusion criteria will include:
- •1\. No history of musculoskeletal or nervous system disorders on the day of the study.
Exclusion Criteria
- •The exclusion criteria will be pain in the stump or lower limbs and chronic diseases that could affect the fitness of the musculoskeletal system in terms of satiation:
- •1\. Cancer relapse.
- •2\. Injury to the locomotor system.
- •3\. Exacerbation of thromboembolism (including the antiphospholipid syndrome).
- •4\. Pain in the area of the lumbar spine.
- •5\. Root pain in the course of discopathy.
- •6\. Cognitive dysfunction
Outcomes
Primary Outcomes
Not specified