Yasin YURT, Gül ŞENER, Özlem ÜLGER, Semra TOPUZ, Kezban BAYRAMLAR, Fatih ERBAHÇECİ

Dinamik Ayaklı Diz Altı Protezi Kullanan Amputelerde Yürüyüş Simetrisinin İncelenmesi

Purpose: To assess inter limb symmetry while walking in unilateral transtibial amputees which use dynamic foot. Method: Gait velocity, cadence, step length, stance percentages and ambulation index results of amputees (n=20) were recorded. Comparison was made with control group. (n=21) Results: Gait velocity, cadence and ambulation index results were greater for control group. Cases had longer stance time on their intact limb than amputated side. Stance time difference between limbs were higher for amputee group than control group. Conclusion: Amputees had higher stance percentage on their intact limb than sound limb with regard to healthy people.

Anahtar Kelimeler:

amputasyon, protez, yürüyüş simetrisi

Evaluation Of Gait Symmetry In Amputees Who Use Below Knee Prosthesis With Dynamic Foot

Keywords:

amputation, prosthesis, gait symmetry,

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Sadeghi, H., Allard, P., Prince, F.,Labelle, H. Symmetry and limb dominance in able-bodied gait: a review. Gait Posture, 12 (1), 34-45, 2000.
Nolan, L., Wit, A., Dudzinski, K., Lees, A., Lake, M.,Wychowanski, M. Adjustments in gait symmetry with walking speed in trans-femoral and trans-tibial amputees. Gait Posture, 17 (2), 142-151, 2003.
Royer, T.,Koenig, M. Joint loading and bone mineral density in persons with unilateral, trans-tibial amputation. Clin Biomech (Bristol, Avon), 20 (10), 1119-1125, 2005.
Gaunaurd, I., Gailey, R., Hafner, B.J., Gomez-Marin, O.,Kirk-Sanchez, N. Postural asymmetries in transfemoral amputees. Prosthet Orthot Int, 35 (2), 171-180, 2011.
Lythgo, N., Marmaras, B.,Connor, H. Physical function, gait, and dynamic balance of transfemoral amputees using two mechanical passive prosthetic knee devices. Arch Phys Med Rehabil, 91 (10), 1565-1570, 2010.
Dingwell, J.B., Davis, B.L.,Frazier, D.M. Use of an instrumented treadmill for real-time gait symmetry evaluation and feedback in normal and trans-tibial amputee subjects. Prosthet Orthot Int, 20 (2), 101-110, 1996.
Hurley, G.R., McKenney, R., Robinson, M., Zadravec, M.,Pierrynowski, M.R. The role of the contralateral limb in below-knee amputee gait. Prosthet Orthot Int, 14 (1), 33-42, 1990.
Isakov, E., Burger, H., Krajnik, J., Gregoric, M.,Marincek, C. Double-limb support and step-length asymmetry in below-knee amputees. Scand J Rehabil Med, 29 (2), 75-79, 1997.
Starholm, I.M., Gjovaag, T.,Mengshoel, A.M. Energy expenditure of transfemoral amputees walking on a horizontal and tilted treadmill simulating different outdoor walking conditions. Prosthet Orthot Int, 34 (2), 184-194, 2010.
Gailey, R., Allen, K., Castles, J., Kucharik, J.,Roeder, M. Review of secondary physical conditions associated with lower-limb amputation and long-term prosthesis use. J Rehabil Res Dev, 45 (1), 15-29, 2008.
Sjodahl, C., Jarnlo, G.B., Soderberg, B.,Persson, B.M. Pelvic motion in trans-femoral amputees in the frontal and transverse plane before and after special gait re-education. Prosthet Orthot Int, 27 (3), 227-237, 2003.
Sjodahl, C., Jarnlo, G.B., Soderberg, B.,Persson, B.M. Kinematic and kinetic gait analysis in the sagittal plane of trans-femoral amputees before and after special gait re-education. Prosthet Orthot Int, 26 (2), 101-112, 2002.
Yigiter, K., Sener, G., Erbahceci, F., Bayar, K., Ulger, O.G.,Akdogan, S. A comparison of traditional prosthetic training versus proprioceptive neuromuscular facilitation resistive gait training with trans-femoral amputees. Prosthet Orthot Int, 26 (3), 213-217, 2002.
Astrom, I.,Stenstrom, A. Effect on gait and socket comfort in unilateral trans-tibial amputees after exchange to a polyurethane concept. Prosthet Orthot Int, 28 (1), 28-36, 2004.
Agrawal, V., Gailey, R., O'Toole, C., Gaunaurd, I.,Dowell, T. Symmetry in external work (SEW): a novel method of quantifying gait differences between prosthetic feet. Prosthet Orthot Int, 33 (2), 148-156, 2009.
Kaufman, K.R., Frittoli, S.,Frigo, C.A. Gait asymmetry of transfemoral amputees using mechanical and microprocessor-controlled prosthetic knees. Clin Biomech (Bristol, Avon), 27 (5), 460-465, 2012.
Kulkarni, J., Adams, J., Thomas, E.,Silman, A. Association between amputation, arthritis and osteopenia in British male war veterans with major lower limb amputations. Clin Rehabil, 12 (4), 348-353, 1998.
Norvell, D.C., Czerniecki, J.M., Reiber, G.E., Maynard, C., Pecoraro, J.A.,Weiss, N.S. The prevalence of knee pain and symptomatic knee osteoarthritis among veteran traumatic amputees and nonamputees. Arch Phys Med Rehabil, 86 (3), 487-493, 2005.
Royer, T.D.,Wasilewski, C.A. Hip and knee frontal plane moments in persons with unilateral, trans-tibial amputation. Gait Posture, 23 (3), 303-306, 2006.
Ventura, J.D., Klute, G.K.,Neptune, R.R. The effect of prosthetic ankle energy storage and return properties on muscle activity in below-knee amputee walking. Gait Posture, 33 (2), 220-226, 2011.