Amputation
Conditions
Brief summary
The people with transfemoral amputation who use mechanical prosthesis will be include to this study. All participants will be assessed and then they will be randomly assigned to two groups. both groups will receive traditional balance trainnig. Study group will also receive dual task balance training. Training will take 4 weeks, 3 days a week. After the training program, both groups will be assessed again and the results will compare.
Detailed description
The people who have transfemoral amputation may have poor balance and gait. Many people with lower limb loss report the need to concentration on gait. People with lower limb loss may need to use cognitive resources to monitor and control movements of the prosthetic limb. The need to concentrate on walking may be greater for those with transfemoral amputation. For examine the use of cognitive resources, dual task paradigm may use. Dual task rehabilitative training used in many patients like stroke, Multipl sclerosis osteoporosis. But there is no study about dual task training on amputation. The purpose of this randomized controlled study is to investigate the effects of dual-task balance training on balance and gait of patients with transfemoral amputation as compared with single-task balance training. We hypothesized that dual-task balance training would improve the balance and gait, it would be more effective than single-task balance training.
Interventions
balance exercises with cognitive and motor dual tasks
balance exercises
Sponsors
Study design
Eligibility
Inclusion criteria
* Peoples with transfemoral amputations * people who use their mechanical prosthetics at least 1 year * People who can walk withoud aids
Exclusion criteria
* People who have the other health conditions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| gait speed | 1 minute | 10 meter walk test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| gait analysis | 1 minute | gait analysis with footprint method |
| cognition | 5 minutes | Montreal Cognitive Assessment |
| depression | 3 minutes | Beck Depression invertory |
| balance | 2 minutes | one leg stance test |
| functional mobility | 1 minute | timed up and go test |