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A training programme to improve hip strength in persons with lower limb amputation.

¹Laboratory for Biomechanics and Motor Control, Department of Neuroscience, Karolinska Institutet and The Swedish School of Sport and Health Science, GIH, Box 5626, SE-114 86 Stockholm, Sweden. lee.nolan@gih.se

Journal of Rehabilitation Medicine

|February 28, 2012

Summary

A 10-week hip strengthening program improved hip strength and enabled running in individuals with lower limb amputation. Regular training is recommended to maintain limb strength post-amputation.

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Area of Science:

Rehabilitation science
Biomechanics
Exercise physiology

Background:

Lower limb amputation presents challenges in mobility and functional recovery.
Maintaining muscle strength, particularly in the hip, is crucial for amputees.
Existing rehabilitation programs may not adequately address functional running ability.

Purpose of the Study:

To evaluate the impact of a 10-week hip strengthening program on individuals with lower limb amputation.
To ascertain if the training program enables participants to achieve running ability.
To assess changes in hip strength and oxygen consumption during walking.

Main Methods:

A 10-week randomized controlled trial involving 16 participants with lower limb amputation (transtibial, transfemoral, bilateral).
Participants were assigned to either a hip strengthening training group or a control group.
Isokinetic hip strength and walking oxygen consumption were measured pre- and post-intervention; running ability was assessed.

Main Results:

The training group demonstrated significant improvements in hip flexor and extensor strength.
Oxygen consumption during walking decreased in the training group.
Six participants who could not run previously were able to run after completing the training program.

Conclusions:

The 10-week hip strengthening program effectively enhances hip strength and facilitates running in amputees.
A decline in hip extensor strength was observed in the control group, highlighting the importance of consistent training.
Regular strength training is essential for amputees to prevent strength loss and maintain functional capabilities.