Original scientific paper

Instrumented joint mobility analysis in traumatic transtibial amputee patients

IDA KOVAČ ; Institute for Rehabilitation and Orthopedic Devices, University Hospital Center Zagreb, Božidarevićeva 11, 10 000 Zagreb, Croatia
VLADIMIR MEDVED ; Faculty of Kinesiology, University of Zagreb, Horvaćanski zavoj 15, 10000 Zagreb, Croatia
MARIO KASOVIĆ ; Faculty of Kinesiology, University of Zagreb, Horvaćanski zavoj 15, 10000 Zagreb, Croatia
ŽELJKO HEIMER ; Ministry of Defence of the Republic of Croatia, Trg Kralja Petra Krešimira IV, 10 000 Zagreb, Croatia
VESNA LUŽAR-STIFFLER ; CAIR Research Center and University of Zagreb, Josipa Marohnića 5, 10000 Zagreb, Croatia
MARKO PEĆINA ; Medical school, University of Zagreb, Šalata 3, 10000 Zagreb, Croatia

Abstract

Aim: The presented study reports a quantitative gait analysis and different adaptive strategies evaluation on 12 male adults, war trauma transtibial (TT) amputees, fitted with prostheses.

Methods: Gait analysis included kinematics (joint mobility variables)
prosthetic and healthy legs in 12 TT amputees and 12 able-bodied persons/individuals.

Results: The results disclose asymmetry in gait parameters between the amputated and sound legs, as well as between transtibial amputees and able-bodied persons.Kinematic results of the amputees and a control group, showed significantly reduced prosthetic maximum ankle plantar flexion (p<0.01), decreased hip adduction (p< 0.05) and increased knee flexion at stance phase (p< 0.1) for the left, healthy legs of amputees.

Conclusion: Although adult traumatic TT amputees have great potential for enhancement of function through appropriate rehabilitation and use of effective prosthetic devices, they adapt a unique way of ambulating with the prosthesis. An instrumented gait analysis study is able to provide assessment of the way prosthetic transtibial amputees walk, as objective information to supplement clinical observation.

Keywords

instrumented gait analysis; traumatic amputation; transtibial amputation; kinematic – joint mobility analysis

Hrčak ID:

52688

URI

https://hrcak.srce.hr/52688

Publication date:

31.3.2010.

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