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Relation of Stump Length with Various Gait Parameters in Trans-tibial Amputees

Majumdar, Koyel and Lenka, PK and Mondal, RK and R, Kumar and Triberwala, DN (2008) Relation of Stump Length with Various Gait Parameters in Trans-tibial Amputees. [Journal (On-line/Unpaginated)]

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Abstract

The purpose of this paper is evaluating the impact of stump length of unilateral below knee amputees (BKA) on different gait parameters. Nine unilateral BKA were chosen and divided into three groups comprising patients with short, medium, and long stump length. Each of them underwent gait analysis test by Computer Dynography (CDG) system to measure the gait parameters. It was found that the ground reaction force is higher in the patients with medium stump length whereas the velocity, step length both for the prosthetic and sound limb and cadence were high in longer stump length. Statistical analysis shows a significant difference (p<0.05) between the gait parameters of BKA with medium and longer stump length. The patients with longer stump length were more efficient than medium and short stump patients as they consumed comparatively lesser energy while walking with self-selected velocity and conventional (Solid ankle cushioned heel) SACH foot.

Item Type:Journal (On-line/Unpaginated)
Keywords:Stump length, Gait analysis, Trans-tibial amputee
Subjects:JOURNALS > Online Journal of Health and Allied Sciences
ID Code:6198
Deposited By:Kakkilaya Bevinje, Dr. Srinivas
Deposited On:19 Sep 2008 15:00
Last Modified:11 Mar 2011 08:57

References in Article

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1. Cosgrove CM, Thornberry DJ, DC Wilkins DC, Ashley S. Surgical experience and supervision may influence the quality of lower limb amputation. Annals of The Royal College of Surgeons of England 2002;84(4):344-347.

2. Campbell WB. Complications in Arterial Surgery. London: Butterworth Heinmann, 1996; 193.

3. Velzen JMV, Houdijk H, Polomski W, Bennekom CAM. Usability of gait analysis in the alignment of trans-tibial prosthesis. A clinical study. Prosthetics and Orthotics International 2005;29(3):255-267.

4. Chow DHK, Holmes AD, Lee CKL, Sin SW. The effect of prosthesis alignment on the symmetry of gait in subjects with unilateral transtibial amputation. Prosthetics and Orthotics International 2006;30:114-128.

5. Barth DG, Schumacher L, Thomas SS. Gait Analysis and Energy Cost of Below- Knee Amputees Wearing Six Different Prosthetic Feet. Journal of Prosthetics & Orthotics 1992;4(2): 63-75.

6. Mertens P, Lammens J. Short Amputation stump lengthening with the Ilizarov method: risks versus benefits. Acta Orthopædica Belgica 2001;67(3).

7. Gonzalez EG, Corcoran PF, Reyas BL. Energy expenditure in below-knee amputee: correlation with stump length. Arch Phys Med Rehabil 1974; 55:111–119.

8. Henrot P, Stines J, Walter F, Martinet N, Paysant J, Blum . Imaging of the Painful Lower Limb Stump. RadioGraphics 2000;20:219-235.

9. Mac Gorge J. The Evaluation of Patient Performance Using Long-Term Ambulatory Monitoring Tech. in the Domiciliary Environment Physiotherapy 1981;67:32-33.

10. Sanders JE, Daly CH. Normal and shear stresses on a residual limb in a prosthetic socket during ambulation. Comparison of finite element results with experimental measurements. Journal of Rehabilitation Research 1993;30 (2):191-204.

11. Ultraflex system, Infotronic company, P.O. Box 73, 7650 AB Tubbergen, The Netherlands http://www.infotronic.nl/

12. Chen LY, Su FC, Chiang PY. Inst. of Biomed. Eng., Nat. Cheng Kung Univ., Tainan Engineering in Medicine and Biology Society 2000;2:825-827 .

13. Hesse S. Rehabilitation of Gait after Stroke. Evaluation, Principles of Therapy, Novel Treatment Approaches, and Assistive Devices. Top Geriatr Rehabilitation 2003;19(2):111-131

14. Malezic M, Hesse S, Schewe H and Mauritz KH. Restoration of standing, weight-shift and gait by multichannel electrical stimulation in hemiparetic patients. International Journal of Rehabilitation Research 1994;17:169-179.

15. Torburn L, Perry J, Ayyappa E, Shanfield SL. Below-knee amputee gait with dynamic elastic response: prosthetic feet: A pilot study. Journal of Rehabilitation Research 1990;27(4):369-384.

16. Gonzalez EG, Corcoran PJ, Reyes RL. 1974. Energy expenditure in below-knee amputees : Correlation with stumplength . Arch Phys Med Rehabil 55:111-119

17. Nielsen DH, Shurr DG, Golden JC, Meier K. Comparison of energy cost and gait efficiency during ambulation in below-knee amputees using different prosthetic feet-A preliminary report. J Prosthetic Orthot 1988;1:24-31.

18. Pagliarulo MA, Waters R, Hislop HJ. Energy cost of walking of below-knee amputees having no vascular disease. Phys Ther 1979;59:538-542.

19. Waters RL, Perry J, Antonelli D, Hislop H. Energy cost of walking of amputees : The influence of level of amputation . J Bone Joint Surg 1976;58:42-46.

20. Levers. Available at http://library.thinkquest.org/C004451F/nflever.htm

21. Eldridge J, Armstrong P, Krajbich I. Amputation stump lengthening with the Ilizarov technique. Clin. Orthop. 1990;256:76-79.

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