Transfemoral Amputees
Conditions
Brief summary
This study examines the comparison between Impairment Oriented versus Task Oriented Gait Training in Transfemoral Amputee Rehabilitation. A randomized controlled trial conducted with 40 participants divided into two groups .Both groups receive pre-gait training and corrective walking exercises for 10 days .
Detailed description
Participants were randomly assigned into two groups. Group A ,which focus on strengthening exercises such as ,side lying hip abductor strengthening ,prone lying hip extensors strengthening ,supine lying hip flexors strengthening ,side lying hip adductors strengthening and bridging .Each exercise should be hold for 10-20 seconds with 10 repetition . Group B , which prioritise functional activities and real life task such as lateral trunk bending with crossed leg ,stepping over obstacle ,lateral step ups ,walk with visual markers on floor,sit to stand focus on glutes activation . Corrective exercises will be performed by both groups . Outcome measures include spatiotemporal parameters and Amputee Mobility Predictor (AMP).
Interventions
PROCEDUREImpairment oriented (Group A)
Participants will receive ten days training programs with 5 days in each week. Each session will include warm up followed by sit to stand , stand to sit, walking in parallel bars ,ascend and descend stairs. Participants with group A will receive strengthening exercises of hip flexor , abductors, adductors and bridging of 10 repetition with 10-20 second hold according to patient.
PROCEDURETask oriented (Group B)
Participants will receive ten days training programs with 5 days in each week. Each session will include warm up followed by sit to stand , stand to sit, walking in parallel bars ,ascend and descend stairs. Participants with group B will receive lateral trunk bending, stepping over obstacle, lateral step ups, walk with visual markers on floor, sit to stand focus on glutes activation.
Sponsors
Foundation University Islamabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
Participants will be randomly assigned to either impairment oriented group or task oriented group by the sealed envelope , and were not informed about specific group allocation .
Eligibility
Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Age 18-40 years * Unilateral transfemoral amputees * Cleared by physicians for participation in physical therapy * Willing
Exclusion criteria
* Residual limb complication that interfere with mobility * History of neurological disorders * Any joint complication in intact limb * Currently enrolled in another research study * Mild to severe cognitive impairment (MoCA) i.e , score less than 25 , Uncontrolled diabetes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Amputee Mobility Predictor (AMP) | on 3rd and 10th day. | AMP is functional scale utilising a 3 point rating scale of 0-2.AMP scores have been correlated with functional medicare classification levels of 0-4. |
| Gait speed | on 3rd and 10th day of treatment | Gait speed in meters per second , measured with 10 meter walking test, gait speed computed by dividing distance covered by time taken to cover it . (m/s) |
| cadence | On the 3rd day of treatment and 10th day of treatment | The number of steps taken per minute during walking, measured in steps per minute (steps/min ) |
| Cycle time | On the 3rd day of treatment and 10th day of treatment | The time required to complete one full gait cycle from the initial contact of one foot to the next initial contact of same foot, measured in seconds (s) |
| Stride length | On the 3rd day of treatment and 10th day of treatment | Distance between two consecutive heel strikes of same foot , measures in meter (m) |
Countries
Pakistan
Contacts
PRINCIPAL_INVESTIGATORSaliha Bibi, DPT
Foundation University Islamabad
Outcome results
None listed