Prosthetics and Orthotics International最新文献

筛选
英文 中文
Patient-reported outcome measures used in clinical trials of an elbow orthosis: A scoping review. 在肘部矫形器临床试验中使用的患者报告的结果测量:一项范围审查。
IF 1.4 4区 医学
Prosthetics and Orthotics International Pub Date : 2025-08-15 DOI: 10.1097/PXR.0000000000000482
Hadley T Ninow, Apurba Barman, Sandesh G Bhat, Gwen Wilson, Kenton R Kaufman
{"title":"Patient-reported outcome measures used in clinical trials of an elbow orthosis: A scoping review.","authors":"Hadley T Ninow, Apurba Barman, Sandesh G Bhat, Gwen Wilson, Kenton R Kaufman","doi":"10.1097/PXR.0000000000000482","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000482","url":null,"abstract":"<p><p>There is an increased clinical use of elbow orthoses. It is important to consider patient experiences in their use. Patient-reported outcome measures (PROMs) serve as essential tools for gathering patient perspectives. This review provides a comprehensive list of PROMs used in clinical trials of elbow orthoses, and documents their properties, uses, and quality. A systematic literature search across PubMed, Scopus, Embase, Cumulative Index to Nursing and Allied Health Literature, and Web of Science identified 31 clinical trials of elbow orthoses that used PROMs as outcome measures. Subsequently, manual searches were conducted to report on each PROM's characteristics. A total of 15 different PROMs were used as outcome measurements in clinical trials that used an elbow orthosis as an intervention for 11 different conditions. Researchers can use this review to aid in making informed decisions about which PROMs to use for future clinical trials.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mechanical testing methods for determining stiffness of ankle-foot orthoses: A scoping review. 测定踝足矫形器刚度的机械试验方法:范围综述。
IF 1.4 4区 医学
Prosthetics and Orthotics International Pub Date : 2025-08-15 DOI: 10.1097/PXR.0000000000000478
Joyce Z Wang, Elizabeth A Wojciechowski, Benjamin Shuman, Joshua Burns, Tegan L Cheng
{"title":"Mechanical testing methods for determining stiffness of ankle-foot orthoses: A scoping review.","authors":"Joyce Z Wang, Elizabeth A Wojciechowski, Benjamin Shuman, Joshua Burns, Tegan L Cheng","doi":"10.1097/PXR.0000000000000478","DOIUrl":"10.1097/PXR.0000000000000478","url":null,"abstract":"<p><p>Stiffness of ankle-foot orthoses (AFOs) has been assessed using many methods; however, results are unstandardized due to varied testing conditions such as range of motion and speed. Therefore, the aim of this scoping review was to provide a state-of-the-space review of the studies that investigate AFO ankle stiffness in the sagittal plane and then provide insight into the details of the developed devices and protocols. Six electronic databases (MEDLINE, SCOPUS, Web of Science, CINAHL, EMBASE, and IEEE Xplore) were searched for studies from when indexing began to April 2024. Articles of any design that developed or used testing devices and/or protocols to assess AFO ankle stiffness in the sagittal plane were eligible. Seventy-two articles were included in this review, of which 51 developed mechanical testing devices/protocols to quantify AFO stiffness while 21 articles referenced existing methods. The most common apparatuses used in the primary studies were the universal testing machine and customized manual machines. Other methods included specialty automated devices, manual devices in a gait analysis laboratory, hanging weights, universal testing machine combined with motion capture, muscle training machine, and 6-axis robot arm. Ankle angle of the AFO was the most common controlled variable, followed by loading force. This scoping review comprehensively outlines the variety of devices and protocols used to assess AFO ankle stiffness in the sagittal plane. Many researchers chose methods that leveraged their available resources, demonstrating a variety of approaches. For future studies, we recommend that parameters chosen are justified, reliability studies are undertaken, and AFO design is adequately reported.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Early knee-ankle-foot orthosis wear shortens hospital stays and improves activities of daily living in patients with stroke. 早期佩戴膝踝足矫形器可缩短卒中患者住院时间,改善日常生活活动。
IF 1.4 4区 医学
Prosthetics and Orthotics International Pub Date : 2025-08-13 DOI: 10.1097/PXR.0000000000000480
Keisuke Sato, Seiji Tanaka, Masaki Koike, Takahiro Ogawa
{"title":"Early knee-ankle-foot orthosis wear shortens hospital stays and improves activities of daily living in patients with stroke.","authors":"Keisuke Sato, Seiji Tanaka, Masaki Koike, Takahiro Ogawa","doi":"10.1097/PXR.0000000000000480","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000480","url":null,"abstract":"<p><strong>Background: </strong>After a stroke, activities of daily living (ADL) are often limited. Therefore, recovery of ADL and shortening of length of stay (LOS) are major challenges for patients with stroke. Thus, this study aimed to examine the relationship between the number of days from stroke onset to knee-ankle-foot orthosis (KAFO) wearing and ADL, LOS, and functional independence measure (FIM) motor subitems at discharge.</p><p><strong>Objectives: </strong>Thus, this study aimed to examine the relationship between the number of days from stroke onset to knee-ankle-foot orthosis (KAFO) wearing and ADL, LOS, and functional independence measure (FIM) motor subitems at discharge.</p><p><strong>Study design: </strong>This retrospective observational study included 107 poststroke participants (59 men and 48 women; median age, 71 years) who were prescribed KAFO.</p><p><strong>Methods: </strong>This retrospective observational study included 107 poststroke participants (59 men and 48 women; median age, 71 years) who were prescribed KAFO. Patients were divided into 4 groups according to the quartiles (Q1-Q4) of days from stroke onset to KAFO wearing. The primary outcome was the FIM score at discharge.</p><p><strong>Results: </strong>The median number of days from stroke onset to KAFO administration was 43. Functional independence measure, FIM-motor, and FIM-cognitive scores decreased significantly with increasing number of days from onset to KAFO wearing. In the multiple regression analysis, the number of days from stroke onset to KAFO wearing was associated with the FIM motor score and LOS (P = 0.038 and P = 0.037, respectively).</p><p><strong>Conclusions: </strong>Early KAFO wearing had a positive impact on the LOS and ADL, irrespective of stroke severity.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of fluctuation in the parallel force exerted on the buttocks on discomfort during sitting in experimental ergonomic chair with tilt-in-space and reclining functions. 臀部所受平行力波动对实验性人体工学椅子坐姿不适感的影响。
IF 1.4 4区 医学
Prosthetics and Orthotics International Pub Date : 2025-08-05 DOI: 10.1097/PXR.0000000000000481
Kenichi Kobara, Yasuyuki Nagata, Hisashi Takahashi, Hiroshi Osaka, Tadanobu Suehiro, Daisuke Fujita
{"title":"Effect of fluctuation in the parallel force exerted on the buttocks on discomfort during sitting in experimental ergonomic chair with tilt-in-space and reclining functions.","authors":"Kenichi Kobara, Yasuyuki Nagata, Hisashi Takahashi, Hiroshi Osaka, Tadanobu Suehiro, Daisuke Fujita","doi":"10.1097/PXR.0000000000000481","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000481","url":null,"abstract":"<p><strong>Background: </strong>Tilt-in-space and reclining functions are commonly used to improve comfort in ergonomic seating. However, fluctuations in shear (parallel) forces on the buttocks during postural changes may cause discomfort, yet this relationship is not well understood.</p><p><strong>Objectives: </strong>To examine how combined use of tilt-in-space and reclining functions affects fluctuations in parallel forces on the buttocks, and how these fluctuations relate to subjective discomfort.</p><p><strong>Study design: </strong>Cross-sectional experimental study.</p><p><strong>Methods: </strong>Nineteen healthy adult males (mean age: 27.7 ± 10.3 years) participated. An experimental ergonomic chair was used under 2 conditions: 1 with a seat-cover assembly that conforms to the back shape, and a control condition with a flat back-support. Participants experienced a 10 degrees tilt-in-space and reclining angles from 100 degrees to 130 degrees. Fluctuations in parallel forces on the buttocks were measured using a force plate, and subjective discomfort was assessed with a visual analog scale. Stepwise multiple regression was used to analyze associations between force fluctuation and discomfort.</p><p><strong>Results: </strong>The seat-cover assembly condition resulted in significantly lower visual analog scale scores (median: 4, interquartile range: 0-13) compared to the control (median: 46, interquartile range: 24-72; p < 0.01). Regression analysis revealed that only the fluctuation in parallel forces significantly predicted discomfort (β = 0.722, R² = 0.507, p < 0.01).</p><p><strong>Conclusions: </strong>Fluctuations in parallel forces during tilt and recline use are significantly associated with discomfort. Ergonomic designs that reduce shear force variability may enhance seating comfort during postural adjustments.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding barriers and facilitators to accessibility in the built and natural environment for people with lower limb loss: A qualitative study. 了解残疾人在人造环境和自然环境中无障碍的障碍和促进因素:一项定性研究。
IF 1.4 4区 医学
Prosthetics and Orthotics International Pub Date : 2025-08-01 DOI: 10.1097/PXR.0000000000000471
Stephanie R Cimino, Kristin Nugent, Michael W Payne, Ricardo Viana, Sander L Hitzig, Crystal MacKay, Amanda Mayo, Steven Dilkas, William C Miller, Susan W Hunter
{"title":"Understanding barriers and facilitators to accessibility in the built and natural environment for people with lower limb loss: A qualitative study.","authors":"Stephanie R Cimino, Kristin Nugent, Michael W Payne, Ricardo Viana, Sander L Hitzig, Crystal MacKay, Amanda Mayo, Steven Dilkas, William C Miller, Susan W Hunter","doi":"10.1097/PXR.0000000000000471","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000471","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the facilitators and barriers to community accessibility from the perspective of persons with lower limb amputation (LLA).</p><p><strong>Methods: </strong>A qualitative study using an adapted version of the Photovoice methods described by Wang and Burris was undertaken. Analysis of the interviews and photos was conducted following thematic content analysis.</p><p><strong>Results: </strong>Seven adults with LLA who were ambulating with a prosthesis at the time of the interview participated in the Photovoice interviews. From the interviews with the participants, 3 main themes were developed: (1) current state of accessibility, (2) impact of community inaccessibility, and (3) hope for the future. Participants described what accessibility currently involved in their community (eg, the positive and negative structures) as well as the impact of inaccessibility on their physical and emotional health. Participants also spoke about what improvements they would like to see in the future regarding community accessibility.</p><p><strong>Conclusions: </strong>By using the Photovoice methods, participants were able to provide tangible examples of what influences their community accessibility. This study highlights the broad range of changes that could provide accessibility opportunities for individuals with LLA from simple changes (eg, adding handrails to arenas) to more complex changes (eg, improvements in parking lot accessibility).</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quantifying dynamic coupling and fit degeneration of transtibial prosthetics using 3D motion capture. 利用三维运动捕捉技术量化经胫义肢的动态耦合和配合退化。
IF 1.4 4区 医学
Prosthetics and Orthotics International Pub Date : 2025-08-01 DOI: 10.1097/PXR.0000000000000476
Sean S Cullen, Ruth E Mackay, Amir A Mohagheghi, Xinli Du
{"title":"Quantifying dynamic coupling and fit degeneration of transtibial prosthetics using 3D motion capture.","authors":"Sean S Cullen, Ruth E Mackay, Amir A Mohagheghi, Xinli Du","doi":"10.1097/PXR.0000000000000476","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000476","url":null,"abstract":"<p><strong>Background: </strong>Assessing the fit and suitability of lower limb prosthetics is heavily reliant upon clinician observation and subjective feedback, often resulting in negative impacts on the comfort and quality of life of amputees. This is particularly important in the early stages of new socket fitment.</p><p><strong>Objective: </strong>This paper aims to use optoelectronic motion capture to measure the 5 degree of freedom coupling effectiveness of a newly fitted prosthetic limb during the adjustment period (6 weeks) of an active transtibial amputee.</p><p><strong>Methods: </strong>A 2-part calibration and trial data collection system was employed using Qualisys 3D motion capture, to track the relative position of limb and socket during walking trials. A single active transtibial amputee (27 male) was fitted with a new prosthetic socket and attended weekly data capture sessions using their prosthesis normally.</p><p><strong>Results: </strong>Here, we present evidence for alteration in prosthesis-residuum coupling performance, notably, the average proximal/distal displacement (pistoning) increased from 3.36 to 10.60 mm at week 6 from the first fit, which further increased to 12.90 mm with the use of a single prosthetic sock. Participant reported Socket Comfort Score reduced from 9 to 7 during this time.</p><p><strong>Conclusions: </strong>This pilot study provides new insight into the dynamic behavior of prosthetic sockets and could form the basis for larger studies determining a framework for safe and comfortable coupling limits.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The association between upper limb prosthesis receipt timing and prosthesis adoption and satisfaction: Findings from a cross-sectional study. 上肢假体接收时间与假体采用和满意度之间的关系:一项横断面研究的结果。
IF 0.8 4区 医学
Prosthetics and Orthotics International Pub Date : 2025-07-17 DOI: 10.1097/PXR.0000000000000474
Linda Resnik, Troy Hamner, Matthew Borgia
{"title":"The association between upper limb prosthesis receipt timing and prosthesis adoption and satisfaction: Findings from a cross-sectional study.","authors":"Linda Resnik, Troy Hamner, Matthew Borgia","doi":"10.1097/PXR.0000000000000474","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000474","url":null,"abstract":"<p><strong>Background: </strong>Little empirical evidence supports the widely held belief that early upper limb prosthesis fitting is associated with improved longer-term outcomes.</p><p><strong>Objectives: </strong>To quantify the relationship between timing of initial prosthesis receipt and (1) continued prosthesis use, (2) hours of use, and (3) satisfaction.</p><p><strong>Study design: </strong>Cross-sectional survey study of 698 Veterans with major upper limb amputation.</p><p><strong>Methods: </strong>Participant characteristics were described by time to receipt of initial prosthesis. Logistic regressions examined relationships between receipt timing, prosthesis use, and odds of using a prosthesis ≥8 h/d. Linear regression examined the relationship between receipt timing and scores of the Trinity Amputation and Prosthetic Experience Satisfaction Scale satisfaction scale. Models controlled for potential confounders including age, gender, amputation level, race, ethnicity, amputation etiology, time from injury to amputation, years since amputation, and prosthesis type.</p><p><strong>Results: </strong>Odds of current prosthesis use were lower with prosthesis receipt within 6-12 months (odds ratio: 0.56; 95% confidence interval [CI], 0.34, 0.92) and ≥12 months (odds ratio: 0.55; 95%CI, 0.32, 0.96) compared with within 3-6 months. Trinity Amputation and Prosthetic Experience Satisfaction Scale scores were -0.22 points lower (95%CI, -0.38, -0.06) for receipt within 6-12 months. Receipt timing was not associated with 8+ h/d of prosthesis use.</p><p><strong>Conclusions: </strong>This nationally representative study of Veterans found initial prosthesis receipt within 3-6 months (compared with 6-12 months) was associated with increased odds of continued prosthesis use. Prosthesis receipt within 6 months was associated with greater prosthesis satisfaction.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical assessment of changes in basic prosthetic mobility using the component timed-up-and-go test: A retrospective cohort study in adults with lower-limb amputation. 使用组件time -up-and-go测试对基本假肢活动能力变化的临床评估:一项针对下肢截肢成人的回顾性队列研究。
IF 0.8 4区 医学
Prosthetics and Orthotics International Pub Date : 2025-07-17 DOI: 10.1097/PXR.0000000000000477
Sheila Clemens, Todd Castleberry, Jim Scharf, Shane Wurdeman
{"title":"Clinical assessment of changes in basic prosthetic mobility using the component timed-up-and-go test: A retrospective cohort study in adults with lower-limb amputation.","authors":"Sheila Clemens, Todd Castleberry, Jim Scharf, Shane Wurdeman","doi":"10.1097/PXR.0000000000000477","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000477","url":null,"abstract":"<p><strong>Background: </strong>Ideally, an individual will undergo rehabilitation to optimize functional abilities with a prosthetic leg after lower-limb amputation (LLA). Using standardized outcome measures capable of capturing changes in prosthetic mobility provides the clinical utility necessary to evaluate treatment efficacy.</p><p><strong>Objective: </strong>To assess the potential of the component timed-up-and-go (cTUG) in evaluating changes in basic prosthetic mobility tasks after a structured prosthetic training program.</p><p><strong>Study design: </strong>Retrospective cohort.</p><p><strong>Methods: </strong>Pre- and post-intervention data was analyzed from individuals referred to a prosthetic training program. Specific subtasks of cTUG were assessed (the 180° turn and sit-to-stand transitions), as well as the total time to perform the test.</p><p><strong>Results: </strong>Complete data from 85 adults with unilateral LLA were analyzed. The study sample consisted of 75.3% of individuals with acquired LLA because of dysvascular causes, and 41.2% had transfemoral amputation. Individuals with transtibial amputation exhibited significantly faster performance of cTUG subtasks and total times than those with transfemoral amputation (P < 0.02). Stratified by amputation level, both groups exhibited significantly better cTUG scores upon final performance compared with initial performance in all subtasks and total time (P < 0.01). Furthermore, comparing cTUG times based on insurer (public or private insurance), individuals with private insurance generally outperformed those with public insurance, although significance varied based on amputation level.</p><p><strong>Conclusions: </strong>cTUG exhibits the ability to capture changes in basic prosthetic mobility in individuals with varied causes and levels of LLA, enhancing confidence in the clinical utility of the test for measuring efficacy of interventions.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Muscle power deficiencies in fallers with lower-limb loss. 下肢丧失者的肌力不足。
IF 0.8 4区 医学
Prosthetics and Orthotics International Pub Date : 2025-07-11 DOI: 10.1097/PXR.0000000000000473
Isabel Lin, Madelyn Foulk, Kylee Seto, Tzurei Chen
{"title":"Muscle power deficiencies in fallers with lower-limb loss.","authors":"Isabel Lin, Madelyn Foulk, Kylee Seto, Tzurei Chen","doi":"10.1097/PXR.0000000000000473","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000473","url":null,"abstract":"<p><strong>Background: </strong>Impaired muscle strength has been linked to increased fall risk in clinical populations (Hunter SW, et al. Risk factors for falls in people with a lower limb amputation: a systematic review. Amer Acad of Phys Med and Rehabil. 2017; 9(2):170-180). Limited studies have investigated muscle power output for individuals with lower-limb loss and high fall risk. This study aims to examine the effects of contraction speed on lower-extremity muscle power among 3 groups: control, nonfaller, and fallers with lower-limb loss.</p><p><strong>Methods: </strong>Thirteen adults without lower-limb loss and 15 adults with lower-limb loss were recruited. Bilateral average power for hip, knee, and ankle was evaluated at 60°/s and 120°/s using a Biodex™ dynamometer. A mixed-model ANOVA was used to identify group and speed effects on muscle power.</p><p><strong>Results: </strong>Sound limb hip extensor and flexor muscle power were significantly weaker in fallers compared with nonfallers (P = 0.048 and P = 0.43, respectively). Fallers were significantly weaker than control in sound limb hip extensor/flexor and affected knee extensor/flexor muscle groups, while nonfallers' sound hip muscle power was similar to the control. Significant speed effects were found in most muscle power values for control and nonfallers but only found in fallers' sound knee extensors.</p><p><strong>Conclusions: </strong>Sound hip muscle weakness may contribute to a higher fall risk for individuals with lower-limb loss. Control and nonfallers with limb loss actively adjusted their muscle power output during higher velocity contractions, while fallers with limb loss could not adapt. Incorporating high-velocity power training may reduce fall risk in individuals with lower-limb loss.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rising from the floor in persons with a transtibial amputation: A pilot study. 胫骨截肢患者从地板上站起来:一项初步研究。
IF 0.8 4区 医学
Prosthetics and Orthotics International Pub Date : 2025-07-11 DOI: 10.1097/PXR.0000000000000472
Dennis W Klima, Brandon Oakley, Jeremy Banas, Cara Nicholson, Russell Rothschild, Kevin Chui
{"title":"Rising from the floor in persons with a transtibial amputation: A pilot study.","authors":"Dennis W Klima, Brandon Oakley, Jeremy Banas, Cara Nicholson, Russell Rothschild, Kevin Chui","doi":"10.1097/PXR.0000000000000472","DOIUrl":"https://doi.org/10.1097/PXR.0000000000000472","url":null,"abstract":"<p><strong>Background: </strong>Falls are a major concern for persons wearing a prosthesis. Little is known about the ability to rise from the floor among persons with a transtibial amputation (TTA).</p><p><strong>Objectives: </strong>The objectives of this pilot study were to (1) identify movement strategies and performance time demonstrated when rising from the floor among persons with a transtibial prosthesis and (2) examine concurrent validity of the timed supine to stand test (TSST).</p><p><strong>Study design: </strong>The study used a cross-sectional design.</p><p><strong>Methods: </strong>Eleven participants (9 male; mean age 58.7 [SD 12.7] years) with a unilateral TTA participated. Participants completed a TSST and were observed for common motor strategies, including chair use and half-kneel transitions. Additional outcomes included the Activities-specific Balance Confidence Scale (ABC), Timed Up and Go Test, and Short Physical Performance Battery.</p><p><strong>Results: </strong>The mean time to rise from the floor was 10.6 (5.6) s. There was a significant association between TSST performance and age (r = 0.67; P = .03), the ABC (r = -0.72; P = .01), and performance on the Timed Up and Go (r = 0.64; P = .04) and Short Physical Performance Battery (rho = -0.67; P = .007). Six participants (54.5%) required the use of external support (chair) to stand, and 6 (54.5%) initially led with the prosthetic limb to achieve half-kneeling with the prosthetic foot on the surface.</p><p><strong>Discussion: </strong>Findings support that the TSST is related to physical performance, age, and ABC among persons with a TTA. A predominant strategy used to rise included the half-kneel position with the prosthetic limb leading. Descriptive findings offer practitioners strategies to teach clients to rise from the floor.</p>","PeriodicalId":49657,"journal":{"name":"Prosthetics and Orthotics International","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信