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Related Experiment Video

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Rising from the floor in persons with a transtibial amputation: A pilot study.

Dennis W Klima1, Brandon Oakley1, Jeremy Banas1

  • 1Department of Physical Therapy, University of Maryland Eastern Shore, Princess Anne, MD, USA.

Prosthetics and Orthotics International
|July 14, 2025
PubMed
Summary

Rising from the floor is challenging for individuals with a transtibial amputation (TTA). The timed supine to stand test (TSST) effectively measures performance and relates to balance confidence and mobility in TTAs.

Keywords:
fallstimed supine to stand test

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Area of Science:

  • Prosthetics and Orthotics
  • Rehabilitation Science
  • Biomechanics

Background:

  • Falls pose a significant risk for individuals using prostheses.
  • Limited understanding exists regarding the ability to rise from the floor for those with transtibial amputation (TTA).

Purpose of the Study:

  • To identify movement strategies and assess performance time when rising from the floor in individuals with a TTA.
  • To examine the concurrent validity of the timed supine to stand test (TSST) in this population.

Main Methods:

  • A cross-sectional pilot study design was employed.
  • Eleven participants with unilateral TTA completed the TSST and were observed for movement strategies.
  • Additional measures included the Activities-specific Balance Confidence Scale (ABC) and Timed Up and Go Test.

Main Results:

  • The average time to rise from the floor was 10.6 seconds.
  • A significant association was found between TSST performance and age, ABC, Timed Up and Go, and Short Physical Performance Battery.
  • Over half of participants used external support (e.g., a chair) to stand, with many leading with their prosthetic limb.

Conclusions:

  • The TSST demonstrates concurrent validity and is associated with physical performance, age, and balance confidence in individuals with TTA.
  • The half-kneel position, often initiated with the prosthetic limb, is a common strategy for rising.
  • Findings provide practical insights for clinicians to assist clients in rising from the floor.