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Physical capacity and walking ability after lower limb amputation: a systematic review
J M van Velzen1, C A M van Bennekom, W Polomski
1Heliomare Research and Development, Wijk aan Zee, Amsterdam, The Netherlands. j.van.velzen@heliomare.nl
Clinical Rehabilitation
|October 27, 2006
Summary
Physical capacity, particularly balance, is strongly linked to walking ability after lower limb amputation. While other factors
Area of Science:
- Rehabilitation Medicine
- Biomechanics
- Physical Therapy
Background:
- Lower limb amputation significantly impacts physical capacity and walking ability.
- Understanding the relationship between physical capacity and walking outcomes is crucial for effective rehabilitation.
Purpose of the Study:
- To systematically review the influence of physical capacity on regaining and developing walking ability post-lower limb amputation.
Main Methods:
- Systematic literature search and quality assessment of 48 relevant studies.
- Evaluated physical capacity (aerobic/anaerobic capacity, muscle force, flexibility, balance) and walking ability (velocity, symmetry).
Main Results:
- Strong evidence indicates deterioration in muscle strength and balance after amputation.
- Walking velocity and symmetry also showed deterioration.
- A strong relationship was identified between balance and walking ability.
Conclusions:
- Balance is strongly associated with walking ability post-amputation; other physical capacity elements' relationships remain unclear.
- Rehabilitation focusing on physical and walking capacity is recommended despite unclear links, as parameters are reduced post-amputation.
