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Related Experiment Videos

Gait termination in lower limb amputees.

A H Vrieling1, H G van Keeken, T Schoppen

  • 1Center for Rehabilitation, University Medical Center Groningen, University of Groningen, The Netherlands. a.h.vrieling@rev.umcg.nl

Gait & Posture
|March 23, 2007
PubMed
Summary

Lower limb amputees struggle with gait termination, showing reduced braking force and altered weight distribution. Rehabilitation and prosthetic design should enhance prosthetic foot and knee function for better control.

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Area of Science:

  • Biomechanics
  • Rehabilitation Science
  • Prosthetics

Background:

  • Gait termination is a critical functional activity for mobility.
  • Lower limb amputees face unique challenges in controlling deceleration and maintaining balance during gait termination.

Purpose of the Study:

  • To investigate the functional limitations and compensatory strategies employed by lower limb amputees during gait termination.
  • To compare gait termination in unilateral transfemoral and transtibial amputees with able-bodied individuals.

Main Methods:

  • Observational cohort study conducted at a University Medical Centre.
  • Involved unilateral transfemoral and transtibial amputees and able-bodied control subjects.
  • Analyzed leading limb preference, temporal variables, joint angles, ground reaction forces, and center of pressure shifts.

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Main Results:

  • Amputees exhibited decreased peak braking force in the prosthetic limb and altered center of pressure shifts.
  • Adjustment strategies included preferring the non-affected limb for leading, longer braking force production with the non-affected limb, reduced gait termination velocity, and increased weight-bearing on the non-affected limb.
  • Functional limitations were similar between transfemoral and transtibial amputees.

Conclusions:

  • Lack of active ankle function in prostheses limits braking force and anterior center of pressure shifts.
  • Leading with the non-affected limb aids deceleration and balance but is not always practical.
  • Training in gait termination and improved prosthetic foot/knee design are crucial for amputee rehabilitation.