Lower Limb Loss
Conditions
Keywords
Amputation, Amputees, Artificial Limbs, Leg Length Inequality, Lower Extremity, Pelvis, Posture, Prostheses, Range of Motion, Trunk Muscles
Brief summary
The aim of this study was to identify posture asymmetries in transfemoral amputees utilizing clinical evaluation measures. The purposes of this investigation were: 1) to measure the limb length indirectly to determine the proportion of participants with LLD and to quantify the mean amount of discrepancy. The investigators hypothesized that a majority of transfemoral amputees would present with a short prosthetic limb. 2) To measure pelvic tilt to determine if transfemoral amputees undergo musculoskeletal adaptations similar to those reported in the literature. The investigators hypothesized that transfemoral amputees would present with a greater degree of anterior pelvic tilt and pelvic innominate asymmetry than what has been previously reported. 3) To assess restriction in lateral trunk flexion and hip extension to determine if asymmetry was present and if it was related to the increase in anterior pelvic tilt. The investigators hypothesized that restrictions would be found in the lateral trunk flexors and hip flexors on the amputated side contributing to posture asymmetry at the pelvis. 4) To determine if musculoskeletal adaptations at the pelvis were affected by prosthetic limb length, lateral trunk flexion and hip extension restrictions, and residual limb length. The investigators hypothesized that the previously reported posture asymmetries would contribute to musculoskeletal adaptations at the pelvis and trunk. Results of the present study will provide a reference for clinicians when using clinical evaluation measures to determine the presence of posture asymmetries in transfemoral amputees. If posture asymmetries are detected, clinicians need to determine musculoskeletal structures at fault and offer treatment solutions to prevent secondary impairments.
Interventions
None listed
Sponsors
Miami VA Healthcare System
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
Healthy Individuals with: 1. Unilateral transfemoral or knee disarticulation amputations between the ages 18 to 80. 2. History of at least one episode of low back pain in the past. 3. Ambulate independently of an assisted device or those who require the use of a cane or crutches for walking on level grounds. 4. Comfortably fitted with prosthesis for a period of at least 6 months. 5. More than 12 months post-amputation.
Exclusion criteria
Individuals with: 1. Amputation on the contralateral limb. 2. Open wound on non-amputated side. 3. Neurological disorders such as Parkinson's disease or stroke that affect their ability to ambulate. 4. Who require a walker or wheelchair for locomotion on level ground.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Limb Length Discrepancy | Time of Observation |
| Standing Pelvic Tilt | Time of Observation |
| Lateral Trunk Flexion | Time of Observation |
| Hip Extension Range of Motion | Time of observation |
Secondary
| Measure | Time frame |
|---|---|
| Residual Limb Length | Time of Observation |
Countries
United States
Contacts
Primary ContactIgnacio A Gaunaurd, MSPT
Outcome results
None listed