Health Condition 1: null- BELOW KNEE AMPUTATION (Limb loss)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1 Patients with unilateral or bilateral below Knee (transtibial) amputation 2 Amputation due to vascular, traumatic, diabetes or other causes 3 Body Mass index from 18 to 30 4 Walking independently in the community in the past with a below Knee prosthesis for atleast 6 months 5 Amputees who reside within 100 Km radius of the Department of Physical Medicine and Rehabilitation, Christian Medical College, Vellore, Tamil Nadu. As this zone falls within the regular follow up area of the Department.
Exclusion criteria
Exclusion criteria: 1 Age is less than 18 years or more than 65 years 2 Functional impairments in the sound limb 3 Presence of ulcer over the distal end of the residual limb 4 Knee flexion contracture greater than 25 degree 5 Mental or cognitive disorder interfering with walking or cooperation 6 Not willing for follow-up
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1 Ten meter walk test. The time taken to walk in seconds is recorded for three trials and average measured. 2 Two minute walk test It assesses the distance in meters a person is capable of walking in two minutes. Patient is asked to perform at the fastest speed possible. 3 Timed up and go test It measures the duration in seconds necessary to get up from a chair walk three meter go back to the chair and sit down again.Timepoint: Initial measurement would be done at the first visit with a conventional prosthesis. Following which repeat measurement would be done after 3 weeks of fabrication of the cane based prosthesis. | — |
Secondary
| Measure | Time frame |
|---|---|
| Gait cadence in steps per minuteTimepoint: Initial measurement would be done at the first visit with a conventional prosthesis. Following which repeat measurement would be done after 3 weeks of fabrication of the cane based prosthesis.;Gait velocity in meter per secondTimepoint: Initial measurement would be done at the first visit with a conventional prosthesis. Following which repeat measurement would be done after 3 weeks of fabrication of the cane based prosthesis.;Patient satisfaction assessed by Prosthesis Evaluation Questionnaire.Timepoint: Questionnaire would be filled at the first visit and after 3 weeks of fabrication of the cane based prosthesis.;Physiological cost index. Estimates energy cost while walking. It is calculated from the heart rate during rest and while walking. Measured as beats per meter.Timepoint: Initial measurement would be done at the first visit with a conventional prosthesis. Following which repeat measurement would be done after 3 weeks of fabrication of the cane based prosthesis.;Stance duration in seconds. Duration of the stance phase of the gait cycle with the prosthesis.Timepoint: Initial measurement would be done at the first visit with a conventional prosthesis. Following which repeat measurement would be done after 3 weeks of fabrication of the cane based prosthesis.;Stance swing ratio. The ratio of the time of the stance and swing phase of the gait cycle with the prosthesis.Timepoint: Initial measurement would be done at the first visit with a conventional prosthesis. Following which repeat measurement would be done after 3 weeks of fabrication of the cane based prosthesis.;Step width in CentimeterTimepoint: Initial measurement would be done at the first visit with a conventional prosthesis. Following which repeat measurement would be done after 3 weeks of fabrication of the cane based prosthesis.;Stride length in CentimeterTimepoint: Initial measurement would be done at the first visit with a conventional prosthesis. Followin | — |
Countries
India
Contacts
Christian Medical College