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Lower limb preference on goal-oriented tasks in unilateral prosthesis users.

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Prosthesis users less frequently preferred their prosthetic leg compared to able-bodied individuals preferring their dominant leg. This lower limb preference difference was more significant when standing with support and for long-term prosthesis users.

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Area of Science:

  • Biomechanics
  • Prosthetics and Orthotics
  • Human Movement Science

Background:

  • Lower limb preference, or the dominant leg, plays a crucial role in various goal-oriented tasks.
  • Understanding limb preference in individuals with lower limb amputations using prostheses is essential for rehabilitation and functional adaptation.

Purpose of the Study:

  • To investigate and compare lower limb preference between individuals using lower limb prostheses and able-bodied controls across multiple tasks.
  • To examine the influence of task conditions (free-standing vs. supported) and prosthesis usage duration on limb preference.

Main Methods:

  • Thirty-one prosthesis users and 19 able-bodied individuals participated in the study.
  • Participants performed 11 goal-oriented tasks under both free-standing and supported conditions.
  • The preferred leg was defined as the leg used for 6 or more tasks.

Main Results:

  • In the free-standing condition, 65% of prosthesis users preferred their prosthetic leg, significantly less than the 100% of able-bodied controls who preferred their dominant leg (p<0.003).
  • This difference in limb preference was amplified in the supported condition.
  • Longer duration of prosthesis use (over 10 years) was associated with a greater discrepancy in preferred limb usage.

Conclusions:

  • Prosthesis users exhibit a different pattern of lower limb preference compared to able-bodied individuals, with a lower tendency to prefer the prosthetic limb.
  • Task support and duration of prosthesis use significantly influence limb preference in amputees.
  • Findings suggest potential implications for optimizing prosthetic fitting, gait training, and rehabilitation strategies.