Acta Univ. Palacki. Olomuc., Gymn. 2007 37(4): 37-44

The influence of prostheses and prosthetic foot alignment on postural behavior in transtibial amputees

Barbora Paráková1, Marcela Míková2, Miroslav Janura1
1 Faculty of Physical Culture, Palacky University, Olomouc
2 Faculty of Health Sciences, Palacky University, Olomouc

Lower limb amputation presents a kinesiological problem. The type and alignment of each prosthetic component in transtibial amputees is determinative for postural stability and bipedal locomotion to a great extent. The aim of this study was to qualify the influence of variation in prostheses and prosthetic foot alignment in transtibial amputees on postural behaviour. Postural behaviour was analyzed in a group of 13 males (age 56 ± 13 years) with five different prostheses and prosthetic foot lignment. The results of the study show that change in prostheses alignment has an influence on muscle activity and on selected posturographic parameters. As the kinesiologically most optimal we have identified the extension of the prostheses by 1 cm with regard to normal prosthesis alignment.

Keywords: Transtibial amputation, postural stability, prostheses, posturography, surface EMG

Prepublished online: January 31, 2009; Published: September 1, 2007  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Paráková, B., Míková, M., & Janura, M. (2007). The influence of prostheses and prosthetic foot alignment on postural behavior in transtibial amputees. Acta Universitatis Palackianae Olomucensis. Gymnica, 37(4), 37-44
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Aruin, A. S., Nicholas, J. J., & Latash, M. L. (1997). Anticipatory postural adjustments during standing in below the knee amputees. Clinical Biomechanics, 12, 52-59. Go to original source... Go to PubMed...
    2. Ehde, D. M., & Smith, D. G. (2004). Chronic pain managment. In D. G. Smith, J. W. Michael, & J. H. Bowle (Eds.), Atlas of amputations and limb deficiencies: Surgical, prosthetic, and rehabilitation principles (3rd ed.). Rosemond: American Academy of Orthopaedic Surgeons.
    3. Fridman, A., Ona, I., & Isakov, E. (2003). The influence of prosthetic foot alignment on transtibial amputee gait. Prosthetics and Orhotics International, 27, 17-22. Go to original source... Go to PubMed...
    4. Gauthier-Gagnon, Ch., Gravel, D., St. Amand, H., Murie, Ch., & Goyette, M. (2000). Changes in ground reaction forces during prosthetic training of people with transfemoral amputations: A pilot study. Journal of Prosthetics & Orthotics, 72-79. Go to original source...
    5. Geurts, A. C. H., Wulder, T. W., Nienhuis, B., Eng, M., & Rijken, R. A. J. (1991). Dual task assessment of reorganization of postural control in persons with lower limb amputation. Archives of Physical Medicine and Rehabilitation, 72, 1059-1064. Go to PubMed...
    6. Kovounoudias, A., Tremblay, C., Gravel, D., Iancu, A., & Forget, R. (2005). Bilateral changes in somatosensory sensibility after unilateral below knee amputation. Archives of Physical Medicine and Rehabilitation, 86, 634-640. Go to original source...
    7. Latash, M. L. (1998). Neurophysiological basis of movement. Champaigne, IL: Human Kinetics.
    8. Menz, B. H., & Lord, S. R. (2001). Foot pain impairs balance and functional ability in community dwelling older people. Journal of the American Podiatric Medical Association, 91, 222-229. Go to original source... Go to PubMed...
    9. Míková, M. (2006). Posturografie - význam a uplatnění ve výzkumu a v klinické praxi. Dizertační práce, Univerzita Palackého, Fakulta tělesné kultury, Olomouc.
    10. Murrell, P., Cornwall, M. W., & Doucet, S. K. (1991). Leg length discrepancy: Effect on the amplitude of postural sway. Archives of Physical Medicine and Rehabilitation, 72, 646-648. Go to PubMed...
    11. Ries, J. D., & Brewer K. M. (2000). Transtibial prosthetic training and rehabilitation. In M. M. Lusardi & L. F. Owens (Eds.), Orthotics and prosthetics in rehabilitation. Woborn: Butteworth Heinemann.
    12. Rodová, D. (2002). Hodnocení činnosti kosterního svalstva povrchovou elektromyografi í. Dizertační práce, Univerzita Palackého, Fakulta tělesné kultury, Olomouc.
    13. Sabolich, J. A., & Ortega, G. M. (1994). Sense of feel for lower limb amputees: A phase one study. Retrieved 1. 12. 2007 from the World Wide Web: http://www.oandp.org/jpo/library/1994_02_036.asp
    14. Seymour, R. (2002). Transtibial components: Clinical decision making. Prosthetics and orthotics, lower limb and spine. Pensylvania: Lippincott Williams & Wilkins.
    15. Shumway-Cook, A., & Woollacott, M. H. (2001). Motor control: Theory and practical applications. Philadelphia: Lippincott.
    16. Véle, F. (2006). Kineziologie, přehled klinické kineziologie a patokineziologie pro diagnostiku a terapii poruch pohybové soustavy. Praha: Triton.

    This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.


    Return to the content