This meta-analysis was performed to increase knowledge and understanding on prosthetics and to research what works better for these amputees. This should be used to inform us as clinicians as to what we need to focus on with our amputee patients and what to not overlook throughout the rehabilitation process.
Learn about the latest technology of sports footwear and types of sports footwear. In addition, you will be able to understand the Concept of foot movements from the biomechanical point of view. Right type of footwear selection, Basic anatomy of foot and the sports shoes. After getting through the slides you will be in a position to get wide idea about the footwear and the importance of right footwear selection.
Learn about the latest technology of sports footwear and types of sports footwear. In addition, you will be able to understand the Concept of foot movements from the biomechanical point of view. Right type of footwear selection, Basic anatomy of foot and the sports shoes. After getting through the slides you will be in a position to get wide idea about the footwear and the importance of right footwear selection.
Olympic weightlifting snatch presentation from my 2016/17 Strength and Conditioning placement at the Sports Institute of Northern Ireland (SINI). Includes presentation overview, snatch phases and bar trajectory (first and second pull) etc. Any names of athletes have been replaced with ''Athlete 1'' etc. to maintain confidentiality. I had the presentation sitting on my desktop but they might be a useful starting point for someone studying the area. Feel free to comment.
“Relationship of Kinematic Variables with the Performance of Standing Broad J...IOSR Journals
Abstract: The purpose of investigation was to study the relationship of kinematics variables with the
performance of standing broad jump. Subjects were randomly selected from J.N.V. University, Jodhpur and
M.D.S. University, Ajmer. The criterion measure used for this study was the performance in standing broad
jump and selected kinematics variables. To analyze the raw data coefficient of correlation (r) were calculated
and results were compared with the help of Analysis of variance (ANOVA) technique where level of significance
was set at .05.
Comparative Study on Physical Fitness of Volleyball and Football Players in U...iosrjce
Background: Physical fitness is an essential first and foremost criterion in every game. Without having physical
fitness no one can elicit his amble performance level. Therefore it is essential to investigate that in which game
among Volleyball and Football, the level of physical fitness is more essential. Aim: The purpose of this study
was to investigate the level of physical fitness of volleyball player and football player in university level.
Methodology: For the present study 15 male volleyball players and 15 male football players were selected
randomly and they had participated in university competition in 2004 from Jadavpur University. Age group of
the subjects was 18-24 years. To find out the physical fitness APHERED Youth Physical Fitness Test were
conducted. Statistics: For comparison of various physical fitness components of volley ball players and football
player independent t-test has done and level of significance has verified at 0.05 levels. Result: Finding reveals
that muscular strength of football player (5.33 times/min. pull ups) was higher than volley ball player (4.87
times/min. pull ups), the muscular endurance of football player (39.86 times sit ups) was higher than volleyball
player (38.73 times sit ups), agility of football player (19.32 sec.) was higher than volleyball player (19.78 sec.),
explosive leg strength of football player (6.90 mts.) was higher than volleyball player (6.78 mts.), Speed of
football player (6.70 sec.) was higher than volley ball player (6.99 sec.) and also cardiovascular endurance of
football player (1.82 min.) was higher than volleyball player (1.82 min.) but the difference in agility and speed
were significant at 0.05 level. Conclusion: The physical fitness of football player was higher than the volleyball
player.
Olympic weightlifting clean presentation from my 2016/17 Strength and Conditioning placement at the Sports Institute of Northern Ireland (SINI). Includes presentation overview, clean phases and bar trajectory (first and second pull) and clean derivatives etc. Any names of athletes have been replaced with ''Athlete 1'' etc. to maintain confidentiality. I had the presentation sitting on my desktop but it might be a useful starting point for someone. Feel free to comment
This presentation by from the International Committee of the Red Cross describes problems and corrections for transtibial dynamic alignment in lower limb amputee prosthetic fitting.
Bfit Nagpur is one of the leading fitness and physiotherapy centre in Khamla Nagpur. We are providing complete fitness services and wellness training to keep you and your family healthy.
Olympic weightlifting snatch presentation from my 2016/17 Strength and Conditioning placement at the Sports Institute of Northern Ireland (SINI). Includes presentation overview, snatch phases and bar trajectory (first and second pull) etc. Any names of athletes have been replaced with ''Athlete 1'' etc. to maintain confidentiality. I had the presentation sitting on my desktop but they might be a useful starting point for someone studying the area. Feel free to comment.
“Relationship of Kinematic Variables with the Performance of Standing Broad J...IOSR Journals
Abstract: The purpose of investigation was to study the relationship of kinematics variables with the
performance of standing broad jump. Subjects were randomly selected from J.N.V. University, Jodhpur and
M.D.S. University, Ajmer. The criterion measure used for this study was the performance in standing broad
jump and selected kinematics variables. To analyze the raw data coefficient of correlation (r) were calculated
and results were compared with the help of Analysis of variance (ANOVA) technique where level of significance
was set at .05.
Comparative Study on Physical Fitness of Volleyball and Football Players in U...iosrjce
Background: Physical fitness is an essential first and foremost criterion in every game. Without having physical
fitness no one can elicit his amble performance level. Therefore it is essential to investigate that in which game
among Volleyball and Football, the level of physical fitness is more essential. Aim: The purpose of this study
was to investigate the level of physical fitness of volleyball player and football player in university level.
Methodology: For the present study 15 male volleyball players and 15 male football players were selected
randomly and they had participated in university competition in 2004 from Jadavpur University. Age group of
the subjects was 18-24 years. To find out the physical fitness APHERED Youth Physical Fitness Test were
conducted. Statistics: For comparison of various physical fitness components of volley ball players and football
player independent t-test has done and level of significance has verified at 0.05 levels. Result: Finding reveals
that muscular strength of football player (5.33 times/min. pull ups) was higher than volley ball player (4.87
times/min. pull ups), the muscular endurance of football player (39.86 times sit ups) was higher than volleyball
player (38.73 times sit ups), agility of football player (19.32 sec.) was higher than volleyball player (19.78 sec.),
explosive leg strength of football player (6.90 mts.) was higher than volleyball player (6.78 mts.), Speed of
football player (6.70 sec.) was higher than volley ball player (6.99 sec.) and also cardiovascular endurance of
football player (1.82 min.) was higher than volleyball player (1.82 min.) but the difference in agility and speed
were significant at 0.05 level. Conclusion: The physical fitness of football player was higher than the volleyball
player.
Olympic weightlifting clean presentation from my 2016/17 Strength and Conditioning placement at the Sports Institute of Northern Ireland (SINI). Includes presentation overview, clean phases and bar trajectory (first and second pull) and clean derivatives etc. Any names of athletes have been replaced with ''Athlete 1'' etc. to maintain confidentiality. I had the presentation sitting on my desktop but it might be a useful starting point for someone. Feel free to comment
This presentation by from the International Committee of the Red Cross describes problems and corrections for transtibial dynamic alignment in lower limb amputee prosthetic fitting.
Bfit Nagpur is one of the leading fitness and physiotherapy centre in Khamla Nagpur. We are providing complete fitness services and wellness training to keep you and your family healthy.
The Carpet Cues Gait Training rug aims to develop consistent, and rythmic gait with visual cues that are easily targeted within the realms of external focus.
This presentation by from the International Committee of the Red Cross describes problems and corrections for transtibial alignment in lower limb amputee prosthetic fitting.
This presentation by from the International Committee of the Red Cross describes transfemoral gait deviations in the lower limb amputee prosthetic fitting.
Presentation by Pre-Med (2013) Students of Penang Medical College. This presentation is based on a mini research paper on Multidisciplinary Management of Cerebral Palsy. Group members consist of Nurul Najihah,Daniel Koshy & Maheshwaran
Assessment of the Muscle Strength and Range of
Motion Ankle in Boys With and Without Flatfoot by Kasbparast Mehdi in Research & Investigations in Sports Medicine
Walk and Run For Life! Through Lever Mechanisms Or Spring Mechanisms? Melbour...Dr. James Stoxen DC
Running, as decades of studies have shown, is one of the best ways for your patients to put distance between themselves and the aging process. The medical quandary, though, has been determining for mature patients when the physical demands of running – the wear and tear on bone and joints — outweigh the enormous anti-aging benefits. Many physicians err on the side of caution, supportive footwear, orthotics and even prematurely advising patients to stop running. It’s been a pleasure to be here in Australia. Many of you know the “Blue Wiggle” Anthony Field, and it’s interesting that you’re coming to a medical conference and you’re hearing a doctor talk about anti-aging medicine and the application of bare-foot running and that was certainly the exact same thing that the client said, when I recommended barefoot running and barefoot training to him back in 2004. What happened was this individual had chronic pain, chronic fatigue, fibromyalgia, which obviously was misdiagnosed, and he had clinical depression. To learn more about Dr. Stoxen’s other Lecture he gave entitled, ‘The Inflammation-Depression Connection at The 6th Annual A5M Conference In Anti-Aging & Aesthetic Medicine, click here I’m talking about the ‘Wiggles’ by the way and they were only in Chicago for approximately 48 hours, and we had a limited amount of time to try to fix this chronic condition that Anthony had for 25 years. What I did was what he called “the pain exorcism” which was a 15-hour-straight treatment broken up between, shows. Basically this was a grueling release of the human spring mechanism, and the flushing of the inflammatory chemicals with various therapies that was, extremely aggressive. - See more at: http://teamdoctorsblog.com/2013/03/lecture-video-and-power-point-notes-for-walk-and-run-for-life-through-lever-mechanisms-or-spring-mechanisms-melbourne-australia-august-19-2012/#sthash.oT1pIjK6.dpuf
Correlation between conventional clinical tests and a new movement assessment...Stavros Litsos
Correlation between conventional clinical tests and a new movement assessment battery - Bachelor thesis
Despite the complexity of movements performed in sports, physical examination is today done by conventional tests that evaluate joints and muscles individually (e.g. Smith press test, Figure1). Our study used a new movement assessment battery of 20 reach tests, which incorporates the complexity and diversity of natural human movements, taking into consideration that joints are interdependent in a movement and that the planes and sequences of a movement change during its performance. The purpose of this study was to determine whether or not there is a correlation between conventional mobility tests and the new assessment battery.
Correlation of Sergeant Jump & Squats Tests Performance of Basketballers with...Premier Publishers
This study deals with the assessment of leg strength by sergeant jump test and squats test & its correlation with leg measurements and energy intake among young girls and boys undergoing regular basketball training (age: 10-15 yrs, n=400). Players were selected from leading basketball training clubs of Nagpur city, Maharashtra. Foot width, foot length, thigh circumference, calf circumference & ankle circumference were measured using a measuring tape. Leg strength of basketballers was evaluated by means of fitness tests such as sergeant jump test and squats test. Energy intake data was collected by 24 hour’s dietary recall method for consecutive three days. For the present study, both null hypothesis (H0) & non directional alternative hypothesis (H1) were formulated. The difference was tested at both 0.01 & 0.05 levels of significance. Correlations were derived using Pearson’s product moment coefficient of correlation. Basketballers possessed significantly wider & longer feet than standards for age & gender. Effect of age on three leg circumferences (thigh, calf & ankle) was found to be strong, with older girls & boys showed significantly (p<0.01) larger mean thigh, calf & ankle circumference than younger girls & boys. Although basketballers were regular in their daily meal timings, they failed to meet the daily requirements of energy intake. Older basketballers surpassed the younger basketballers with respect to the mean vertical distance jumped. All groups of basketballers were rated excellent for their mean performance of squats test. Leg anthropometry correlated positively with vertical jump & squats test performance of basketballers. Regular basketball training at young age should be coupled with recommended intake of energy to ensure leg strength.
Vibram FiveFingers are the most researched Footwear in history but as the popularity of the shoes have increased so have the common misconceptions and scrutiny surrounding them and the possible negative effects that these may have on the wearer. With international scientists, biomechanics experts, and running coaches all in the firm agreement that being as close to barefoot as possible is the healthiest way to be. This slide show links through to some of the independent studies.
http://www.vibram-birmingham.co.uk
Study of Knee Kinematics during Walking and Running in Middle Aged MalesYogeshIJTSRD
This paper aimed to figure out knee altered kinematics and to investigate possibility of knee injury in middle aged males when performing walking and running. Twelve healthy middle aged males 45 60 years volunteered to perform walking 3 km h and running 5 km h on treadmill in the biomechanics laboratory. A set of markers were attached to specify knee landmarks of each participant, who was tracked by a 7 cameras 3D motion capture system. The marker positions were used to determine the segment coordinate system SCS for calculation of knee flexion, as well as abnormal kinematics included knee internal rotation, varus rotation and anteroposterior translation. The result showed similarity of knee altered kinematics during walking and running. The maximum of knee flexion, internal rotation and varus rotation of running were higher than walking significantly, whereas there was no significant difference inanteroposterior translation p 0.05 .The repetitive anteroposterior translation could increase the risk of knee injury, while increased varus and internal rotation have been associated with the progression of iliotibial friction syndrome. This study provides the information that middle aged males runners can use to develop running techniques. Chachchanon Poolsawat "Study of Knee Kinematics during Walking and Running in Middle-Aged Males" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-4 , June 2021, URL: https://www.ijtsrd.compapers/ijtsrd41175.pdf Paper URL: https://www.ijtsrd.comother-scientific-research-area/other/41175/study-of-knee-kinematics-during-walking-and-running-in-middleaged-males/chachchanon-poolsawat
Melhorar ou até mesmo manter o desempenho atlético em jogadores de esportes de equipe competitivos durante o longo período da temporada é um dos maiores desafios para qualquer treinador comprometido. Tempo muito limitado está disponível entre as partidas semanais para introduzir sessões intensivas de treinamento de força e poder, com uma freqüência normal de 1-2 unidades por semana. Este fato estimula a busca de métodos de treinamento mais eficientes capazes de melhorar uma ampla variedade de habilidades funcionais, evitando ao mesmo tempo os efeitos de fadiga.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
1. PROPER EVALUATIONS AND
SUGGESTIONS OF EQUIPMENT FOR
SERVICEMEMBERS WITH LOWER LIMB
AMPUTATIONS ATTEMPTING TO RETURN
TO PHYSICAL ACTIVITES
Toney, CM: Norwich University, Northfield, Vermont
2. Returning to Active Duty
Redeployed or taking on physically demanding occupations
You may be wondering, how is this possible?
According to John Fergason, chief of prosthetics at the Army
Center for the Intrepid at Fort Sam in Houston, Texas,
“When we have someone we know wants to return, their rehab is geared that
way.”
Fergason and his colleague, Ryan Blanck, say that each branch of the military
has its own guidelines for allowing an amputated soldier to return to work,
depending on his or her task. In many cases, it takes at least a year for a
soldier to return to duty. The requirements for a fighter pilot, for instance, will
be different than those for an infantryman or a behind-the-scenes supplies
manager.
But Fergason says that the soldiers who are going back into battle are able to
perform just as well, if not better, than some of their fellow soldiers.
3. Research Focus
Balance ability and its relation to mobility
Factors related to high-level mobility in service members
Effects of gait with prosthetic Ankle Motions
Effects of walking speed and prosthetic ankle adapters on
upper extremity dynamics
Assessment of gait stability in lower-limb amputees
Effect of running speed and leg prostheses on Medio lateral
foot placement
4. Role of balance ability and confidence in prosthetic
use for mobility of people with lower-limb loss
MEASUREMENTS
I. Self-reported prosthetic use for mobility
a. Duration of daily prosthesis wear
b. Use of prosthesis and assistive device
c. Perceived stability when using the prosthesis for mobility on terrains
II. Balance confidence using ABC
a. 16 tasks
III. Performance-based balance ability
a. BBS
b. 14 tasks that challenge static and dynamic balance
RESULTS
5. Factors related to high-level mobility in male service
members with traumatic lower-limb loss
METHODS
I. High-Level Mobility – CHAMP score
a. Single Limb Stance (SLS)
b. Edgren Side Step Test (ESST)
c. T-Test
d. Illinois Agility Test (IAT)
RESULTS
6. The effects of increased prosthetic ankle motions on
the gait of persons with bilateral transtibial
amputations
METHODS
I. 1) Seattle Lightfoot II 2) Seattle Lightfoot II w/ Endolite Multiflex
Ankles/Otto Bock Torsion Adapters 3) Endolite Multiflex Ankles
w/ Otto Bock Torsion Adapters
II. Data Collection and Analyses using eight-camera motion
capture system and embedded flush with the floor used for
ground reaction forces
III. 5-point Likert scale used for subjective perceptions
8. The effects of walking speed on prosthetic ankle adapters on
upper extremity dynamics and stability-related parameters in
bilateral transtibial amputee gait
METHODS
I. Overground walking trials along a ten meter level walkway
II. PC1)Seattle Lightfoot II foot, Multiflex Ankle PC2)Seattle
Lightfoot II, Multiflex Ankle, and Torsion Adapter
III. Digital motion capture system
IV. T-test
RESULTS
9. Assessment of gait stability, harmony, and symmetry in
subjects with lower-limb amputation evaluated by trunk
accelerations
METHODS
I. Before dismissal from hospital subjects performed:
a. 10 m walking test
b. Stood on a line and walked straight for 10 m at a self-selected speed
c. Then arrived at a 15 m long rehabilitation gym
RESULTS
10. Effect of running speed and leg prostheses on
Medio lateral foot placement and its variability
METHODS
I. Measured midline of the body and center of pressure in the ML
direction
II. Running speeds ranged up to maximum on a treadmill
III. Data was compared between non-amputees, UTAs, and BTAs
RESULTS
11. Sprinters running at different
speeds
Non-Amputee
Vs
Unilateral Transtibial Amputee
Vs
Bilateral Transtibial Amputee
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4295868/
12. Conclusion
Meta-Analysis was performed to increase knowledge and
understanding on prosthetics and to research what works
better for these amputees. This should be used to inform us
as clinicians as to what we need to focus on with our
amputee patients and what to not overlook throughout the
rehabilitation process.
13. References
Arellano, C., McDermott, W., Kram, R., and Grabowski, A. Effect of running speed and leg prostheses and
mediolateral foot placement and its variability. 2015; 10(1): e0115637. doi:
10.1371/journal.pone.0115637.
Gaunard, I., Roach, K., Raya, M., Hooper, R., Linberg, A., Laferrier, J., et. al. Factors related to high level
mobility in male servicemembers with traumatic lower-limb loss. Journal of Rehabilitation &
Development. 2013; 50(7): 969-984. http://www.rehab.research.va.gov/jour/2013/507/page969.html
Iosa, M., Paradisi, F., Brunelli, S., Delussu, A., Pellegrini, R., Zenardi, D., et. al. Assessment of gait stability,
harmony, and symmetry in subjects with lower-limb amputation evaluated by trunk accelerations.
Journal of Rehabilitation Research & Development. 2014; 51(4): 623-634.
http://www.rehab.research.va.gov/jour/2014/514/page623.html
Major, M., Stine, R., and Gard, S. The effects of walking speed and prosthetic ankle adapters on upper
extremity dynamics and stability-related parameters in bilateral transtibial amputee gait. 2013;
38(4): 858-863. doi: 10.1016/j.gaitpost.2013.04.012.
Su, P., Gard, S., Lipschutz, R., and Kuiken, T. The effects of increased prosthetic ankle motions on the
gait of persons with bilateral transtibial amputations. Am J Phys Med Rehabil. 2010; 89(1):
34-47. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2805409/
Wong, C., Chen, C., Benoy, S., Rahal, R., and Blackwell, W. Role of balance ability and confidence in
prosthetic use for mobility of people with lower-limb loss. Journal of Rehabilitation Research
& Development. 2014; 51(9): 1353-1364. http://www.rehab.research.va.gov/jour/2014/519/JRR
-2013-11-0235.html
New Prosthetics Keep Amputee Soldiers on Active Duty. U.S. News Web site.
http://www.usnews.com/news/articles/2012/05/25/new-prosthetics-keep-amputee-soldiers-on-active
duty
Published May 25, 2012. Accessed April 26, 2015.
Editor's Notes
A little background
There is still a long ways to go for improvements with prosthetics, but they are seeing a bright future for powered prosthetics that will allow soldiers to lift extremely heavy objects with little effort.
ABC = Activities-Specific Balance Confidence scale
II. 16 tasks (ranging from retrieving an object from the floor, at eye level, and above one’s head to walking in a parking lot, up and down ramps, and on icy sidewalks)
RESULTS -This study is a good start to determining whether screening people with these three balance tasks combined with the self-report ABC and the number of comorbidities can facilitate the people with lower-limb loss who have not achieved a level of satisfactory prosthetic use and may need additional care
CHAMP: Comprehensive High-Level Activity Mobility Predictor
RESULTS: Greater high-level mobility was related to lower-limb strength and dynamic balance, smaller waist circumference, use of a J-shaped foot, and greater time spent with ambulation. Was also related to having at least one-intact knee joint and ability to displace the center of mass over the base of support. For service members with bilateral transtibial amputations, a greater high-level mobility was seen with a larger waist circumference. The level of amputation and number of intact knee and ankle joints strongly predict CHAMP performance. This supports the need to preserve the knee joint when possible to maximize the functional potential of service members with lower-limb loss. Having the ability to utilize the knee and hip musculature is significant when performing high-level activities. Rehabilitation interventions should be designed to improve lower-limb and trunk strength, dynamic balance over the prosthesis, and lower-limb trunk flexibility could also improve high-level mobility.
Ambulated at three speeds – freely-selected walking speed, fastest comfortable speed, and slowest comfortable speed
Endolite provides flexion and Otto Bock provides torsion. Seattle Lightfoot II provided shock absorption.
Subjects preferred the combined configuration because they felt like they could walk longer distances and ambulation was smoother and easier to walk on uneven ground. The gait analysis also showed narrower step widths with the combined configuration versus the baseline. Study suggests prosthetic feet that provide increased motions in the sagittal and transverse planes.
Objective: To characterize the upper extremity kinematics of BTAs during steady-state walking.
Three walking speeds (normal, fastest comfortable, slowest comfortable)
T-test: used to compare amputee and able-bodied data
Helen Hayes marker set used for lower extremity and trunk and shoulder abduction
RESULTS: Peak shoulder abduction was greater and lateral trunk flexion was substantially greater than the able-bodies. The study suggests that prosthetic adapters that increase passive ankle ROM can slightly reduce step width which can challenge upright balance especially at faster speeds. It may be beneficial for the safety of the patient if clinicians focus on minimizing the lateral sway.
- This was the first study to investigate upper-body acceleration of subjects with unilateral lower-limb amputation during walking who were evaluated upon dismissal from a rehabilitation hospital. Also the first study to differentiate the sample in terms of level of amputation and type of prosthesis used.
METHODS: During the testing they wore an elastic belt with a sensor device measuring accelerations along the three body axes.
RESULTS: Accelerations were related more to motor control than biomechanical issues. This study shows that rehabilitators should train subjects to progressively optimize gait features such as stability, efficiency, and functioning by make a safe decision in walking speed. Harmonly should be focused on because it is crucial for optimizing physiological gait.
NOTE: If you watch the video of the male bilateral transtibial amputee running at his fastest speed he’s able to walk without an almost wobble when he holds on, but as soon as he lets go his form completely changes. This is something that really should be focused on for these patients.
RESULTS: Measuring ML foot placement can be helpful in assessing balance problems in runners and sprinters. Results showed that compared to slow speeds, maintaining lateral balance is more challenging at faster running speeds up to maximum sprint speed and sprinter with a unilateral transtibial amputation found maintaining lateral balance just as challenging as non-amputee sprinters. The BTA sprinter exhibited the greatest increase in ML foot placement variability across normalized speed, indicating that maintaining lateral balance was the most challenging for this subject.