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Oscillation and Reaction Board Techniques for Estimating Inertial Properties of a Below-knee Prosthesis
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Do Upper Limb Loss and Prosthesis Use Affect Lower Limb Gait Dynamics?

Kiley Armstrong1, John T Brinkmann1, Rebecca Stine1,2

  • 1Northwestern University Prosthetics-Orthotics Center, Department of Physical Medicine & Rehabilitation, Feinberg School of Medicine, Chicago, IL, USA.

Journal of Prosthetics and Orthotics : JPO
|January 29, 2021
PubMed
Summary
This summary is machine-generated.

Individuals with upper limb loss (ULL) do not show significant gait asymmetry in their lower limbs, even when using an upper limb prosthesis (ULP). This finding holds true regardless of whether the prosthesis matches the sound limb

Keywords:
amputationarmbiomechanicsgaitkinematicskineticsprosthesisspatiotemporalupper limb

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Area of Science:

  • Biomechanics
  • Human Movement Science
  • Prosthetics

Background:

  • Upper limb loss (ULL) impacts gait biomechanics, but its effects on lower limb function are not fully understood.
  • Understanding gait adaptations in ULL is crucial for improving prosthetic design and rehabilitation.

Purpose of the Study:

  • To analyze spatiotemporal, kinematic, and kinetic gait parameters in individuals with ULL.
  • To compare gait with and without a prosthesis, including a matched-property prosthesis.

Main Methods:

  • Ten participants with unilateral ULL walked under three conditions: no prosthesis, customary prosthesis, and matched-property prosthesis.
  • Gait data were collected using force plates and motion capture, analyzing spatiotemporal, kinematic, and kinetic variables.

Main Results:

  • Walking speed was consistent across all conditions.
  • No significant limb side asymmetry was observed in spatiotemporal, kinematic, or kinetic gait parameters.
  • A significant interaction effect was found for peak hip extension and vertical ground reaction force, but not for main effects.

Conclusions:

  • Individuals with unilateral ULL exhibit symmetrical lower limb gait biomechanics.
  • The use of an upper limb prosthesis (ULP) does not appear to induce significant gait asymmetry.
  • Further research with larger cohorts is warranted to confirm these findings.