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Kinematic and kinetic gait analysis in the sagittal plane of trans-femoral amputees before and after special gait re-education.

Sjödahl Hammarlund, Catharina LU ; Jarnlo, Gun-Britt LU ; Söderberg, B and Persson, B M (2002) In Prosthetics and Orthotics International 26(2). p.101-112
Abstract
A special gait-training programme, combining a psychological therapeutic approach with methods in physiotherapy and body awareness, was used to re-educate nine unilateral trans-femoral amputees. All were rehabilitated trauma or tumour amputees with an age of 16-60 years. They had worn prostheses for more than 18 months. The re-education aimed at integrating the prosthesis in normal movements and increasing body awareness. Gait was measured before and after treatment and at 6 months follow-up with a three-dimensional motion analysis system. Results showed almost normalised gait speed and increased symmetry in the hip joints with increased muscle work on the amputated side both immediately and at follow-up. At follow-up there were... (More)
A special gait-training programme, combining a psychological therapeutic approach with methods in physiotherapy and body awareness, was used to re-educate nine unilateral trans-femoral amputees. All were rehabilitated trauma or tumour amputees with an age of 16-60 years. They had worn prostheses for more than 18 months. The re-education aimed at integrating the prosthesis in normal movements and increasing body awareness. Gait was measured before and after treatment and at 6 months follow-up with a three-dimensional motion analysis system. Results showed almost normalised gait speed and increased symmetry in the hip joints with increased muscle work on the amputated side both immediately and at follow-up. At follow-up there were significant differences in almost all parameters between the two legs of the subjects and when compared to a reference group of 18 healthy volunteers of similar age. Thus, the intact leg compensates for loss of function in the amputated leg and thereby works differently compared to the reference group. For example, during shock absorption the extension moment in the intact knee increased from 0.6 Nm/kg before to 1.0 Nm/kg after treatment and at follow-up compared to 0.4 Nm/kg in the reference group. The eccentric power of quadriceps increased from 0.6 w/kg before to 1.8 w/kg after treatment and 1.7 w/kg at follow-up compared to 0.4 w/kg in the reference group. The limp of amputees is usually observed in the frontal plane, but the authors' special focus on the sagittal plane here illustrates gait propulsion influences. The positive training results remained after six months. (Less)
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author
organization
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type
Contribution to journal
publication status
published
subject
in
Prosthetics and Orthotics International
volume
26
issue
2
pages
101 - 112
publisher
SAGE Publications Inc.
external identifiers
  • wos:000177643500004
  • pmid:12227444
  • scopus:0036373972
ISSN
1746-1553
language
English
LU publication?
yes
id
95408a21-8eec-46f9-9fd8-84f1bd159225 (old id 110308)
alternative location
http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=PubMed&list_uids=12227444&dopt=Abstract
date added to LUP
2007-07-24 10:53:37
date last changed
2017-10-29 04:09:57
@article{95408a21-8eec-46f9-9fd8-84f1bd159225,
  abstract     = {A special gait-training programme, combining a psychological therapeutic approach with methods in physiotherapy and body awareness, was used to re-educate nine unilateral trans-femoral amputees. All were rehabilitated trauma or tumour amputees with an age of 16-60 years. They had worn prostheses for more than 18 months. The re-education aimed at integrating the prosthesis in normal movements and increasing body awareness. Gait was measured before and after treatment and at 6 months follow-up with a three-dimensional motion analysis system. Results showed almost normalised gait speed and increased symmetry in the hip joints with increased muscle work on the amputated side both immediately and at follow-up. At follow-up there were significant differences in almost all parameters between the two legs of the subjects and when compared to a reference group of 18 healthy volunteers of similar age. Thus, the intact leg compensates for loss of function in the amputated leg and thereby works differently compared to the reference group. For example, during shock absorption the extension moment in the intact knee increased from 0.6 Nm/kg before to 1.0 Nm/kg after treatment and at follow-up compared to 0.4 Nm/kg in the reference group. The eccentric power of quadriceps increased from 0.6 w/kg before to 1.8 w/kg after treatment and 1.7 w/kg at follow-up compared to 0.4 w/kg in the reference group. The limp of amputees is usually observed in the frontal plane, but the authors' special focus on the sagittal plane here illustrates gait propulsion influences. The positive training results remained after six months.},
  author       = {Sjödahl Hammarlund, Catharina and Jarnlo, Gun-Britt and Söderberg, B and Persson, B M},
  issn         = {1746-1553},
  language     = {eng},
  number       = {2},
  pages        = {101--112},
  publisher    = {SAGE Publications Inc.},
  series       = {Prosthetics and Orthotics International},
  title        = {Kinematic and kinetic gait analysis in the sagittal plane of trans-femoral amputees before and after special gait re-education.},
  volume       = {26},
  year         = {2002},
}