Stepping Asymmetry Among Individuals With Unilateral Transtibial Limb Loss Might Be Functional in Terms of Gait Stability
被引:45
作者:
Hak, Laura
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机构:
Vrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, NetherlandsVrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, Netherlands
Hak, Laura
[1
]
van Dieen, Jaap H.
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h-index: 0
机构:
Vrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, NetherlandsVrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, Netherlands
van Dieen, Jaap H.
[1
]
van der Wurff, Peter
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h-index: 0
机构:
Natl Mil Rehabil Ctr Aardenburg, Ctr Augmented Motor Learning & Training, Doorn, NetherlandsVrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, Netherlands
van der Wurff, Peter
[2
]
Houdijk, Han
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h-index: 0
机构:
Heliomare Rehabil Ctr, Wijk Aan Zee, NetherlandsVrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, Netherlands
Houdijk, Han
[3
]
机构:
[1] Vrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, Netherlands
[2] Natl Mil Rehabil Ctr Aardenburg, Ctr Augmented Motor Learning & Training, Doorn, Netherlands
[3] Heliomare Rehabil Ctr, Wijk Aan Zee, Netherlands
Background. The asymmetry in step length in prosthetic gait is often seen as a detrimental effect of the impairment; however, this asymmetry also might be a functional compensation. An advantage of a smaller step length of the nonprosthetic leg, and specifically foot forward placement (FFP), might be that it will bring the center of mass closer to the base of support of the leading foot and thus increase the backward margin of stability (BW MoS). Objective. The purpose of this study was to characterize differences in step length, FFP, and the concomitant difference in BW MoS between steps of the prosthetic and nonprosthetic legs (referred to as prosthetic and nonprosthetic steps, respectively) of people after transtibial amputation. Design. This was an observational and cross-sectional study. Methods. Ten people after transtibial amputation walked for 4 minutes on a self-paced treadmill. Step length and PEP were calculated at initial contact. The size of the BW MoS was calculated for the moment of initial contact and at the end of the double-support phase of gait. Results. Step length (5.4%) and PEP (7.9%) were shorter for the nonprosthetic step than for the prosthetic step. The BW MoS at initial contact was larger for the nonprosthetic step, but because of a significant leg X gait event interaction effect, BW MoS did not differ significantly at the end of the double-support phase. Limitations. All participants were relatively good walkers (score of E on the Special Interest Group in Amputee Medicine [SIGAM] scale). Conclusions. The smaller step length and FFP of the nonprosthetic step help to create a larger BW MoS at initial contact for the nonprosthetic step compared with the prosthetic step. Hence, step length asymmetry in people after transtibial amputation might be seen as a functional compensation to preserve BW MoS during the double-support phase to cope with the limited push-off power of the prosthetic ankle.
机构:
Univ Hull, Dept Sport Hlth & Exercise Sci, Kingston Upon Hull HU6 7RX, N Humberside, EnglandUniv Hull, Dept Sport Hlth & Exercise Sci, Kingston Upon Hull HU6 7RX, N Humberside, England
Barnett, Cleveland
;
Vanicek, Natalie
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机构:
Univ Hull, Dept Sport Hlth & Exercise Sci, Kingston Upon Hull HU6 7RX, N Humberside, EnglandUniv Hull, Dept Sport Hlth & Exercise Sci, Kingston Upon Hull HU6 7RX, N Humberside, England
Vanicek, Natalie
;
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Polman, Remco
;
Hancock, Amanda
论文数: 0引用数: 0
h-index: 0
机构:
Castle Hill Hosp, Hull & E Yorkshire NHS Trust, Dept Physiotherapy, Kingston Upon Hull, N Humberside, EnglandUniv Hull, Dept Sport Hlth & Exercise Sci, Kingston Upon Hull HU6 7RX, N Humberside, England
Hancock, Amanda
;
Brown, Barbara
论文数: 0引用数: 0
h-index: 0
机构:
Castle Hill Hosp, Hull & E Yorkshire NHS Trust, Dept Physiotherapy, Kingston Upon Hull, N Humberside, EnglandUniv Hull, Dept Sport Hlth & Exercise Sci, Kingston Upon Hull HU6 7RX, N Humberside, England
Brown, Barbara
;
Smith, Lynne
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h-index: 0
机构:
Castle Hill Hosp, Hull & E Yorkshire NHS Trust, Dept Physiotherapy, Kingston Upon Hull, N Humberside, EnglandUniv Hull, Dept Sport Hlth & Exercise Sci, Kingston Upon Hull HU6 7RX, N Humberside, England
Smith, Lynne
;
Chetter, Ian
论文数: 0引用数: 0
h-index: 0
机构:
Hull Royal Infirm, Hull & E Yorkshire NHS Trust, Acad Dept Vasc Surg, Kingston Upon Hull HU3 2JZ, N Humberside, EnglandUniv Hull, Dept Sport Hlth & Exercise Sci, Kingston Upon Hull HU6 7RX, N Humberside, England
机构:
Hong Kong Polytech Univ, Dept Hlth Technol & Informat, Jockey Club Rehabil Engn Ctr, Kowloon, Hong Kong, Peoples R ChinaHong Kong Polytech Univ, Dept Hlth Technol & Informat, Jockey Club Rehabil Engn Ctr, Kowloon, Hong Kong, Peoples R China
Chow, Daniel H. K.
;
Holmes, Andrew D.
论文数: 0引用数: 0
h-index: 0
机构:Hong Kong Polytech Univ, Dept Hlth Technol & Informat, Jockey Club Rehabil Engn Ctr, Kowloon, Hong Kong, Peoples R China
Holmes, Andrew D.
;
Lee, Christina K. L.
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h-index: 0
机构:Hong Kong Polytech Univ, Dept Hlth Technol & Informat, Jockey Club Rehabil Engn Ctr, Kowloon, Hong Kong, Peoples R China
Lee, Christina K. L.
;
Sin, S. W.
论文数: 0引用数: 0
h-index: 0
机构:Hong Kong Polytech Univ, Dept Hlth Technol & Informat, Jockey Club Rehabil Engn Ctr, Kowloon, Hong Kong, Peoples R China
机构:
San Antonio Mil Med Ctr, Ctr Intrepid, Dept Orthopaed & Rehabil, Ft Sam Houston, TX 78234 USASan Antonio Mil Med Ctr, Ctr Intrepid, Dept Orthopaed & Rehabil, Ft Sam Houston, TX 78234 USA
Gates, Deanna H.
;
Scott, Shawn J.
论文数: 0引用数: 0
h-index: 0
机构:
Tripler Army Med Ctr, Honolulu, HI 96859 USASan Antonio Mil Med Ctr, Ctr Intrepid, Dept Orthopaed & Rehabil, Ft Sam Houston, TX 78234 USA
Scott, Shawn J.
;
Wilken, Jason M.
论文数: 0引用数: 0
h-index: 0
机构:
San Antonio Mil Med Ctr, Ctr Intrepid, Dept Orthopaed & Rehabil, Ft Sam Houston, TX 78234 USASan Antonio Mil Med Ctr, Ctr Intrepid, Dept Orthopaed & Rehabil, Ft Sam Houston, TX 78234 USA
Wilken, Jason M.
;
Dingwell, Jonathan B.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Austin, Dept Kinesiol & Hlth Educ, Austin, TX 78712 USASan Antonio Mil Med Ctr, Ctr Intrepid, Dept Orthopaed & Rehabil, Ft Sam Houston, TX 78234 USA
机构:
Vrije Univ Amsterdam, Res Inst MOVE, Fac Human Movement Sci, Amsterdam, NetherlandsVrije Univ Amsterdam, Res Inst MOVE, Fac Human Movement Sci, Amsterdam, Netherlands
Hak, Laura
;
Houdijk, Han
论文数: 0引用数: 0
h-index: 0
机构:
Vrije Univ Amsterdam, Res Inst MOVE, Fac Human Movement Sci, Amsterdam, Netherlands
Heliomare Rehabil Ctr, Wijk Aan Zee, NetherlandsVrije Univ Amsterdam, Res Inst MOVE, Fac Human Movement Sci, Amsterdam, Netherlands
Houdijk, Han
;
Beek, Peter J.
论文数: 0引用数: 0
h-index: 0
机构:
Vrije Univ Amsterdam, Res Inst MOVE, Fac Human Movement Sci, Amsterdam, NetherlandsVrije Univ Amsterdam, Res Inst MOVE, Fac Human Movement Sci, Amsterdam, Netherlands
Beek, Peter J.
;
van Dieen, Jaap H.
论文数: 0引用数: 0
h-index: 0
机构:
Vrije Univ Amsterdam, Res Inst MOVE, Fac Human Movement Sci, Amsterdam, NetherlandsVrije Univ Amsterdam, Res Inst MOVE, Fac Human Movement Sci, Amsterdam, Netherlands
机构:
Vrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, NetherlandsVrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, Netherlands
Hak, Laura
;
Houdijk, Han
论文数: 0引用数: 0
h-index: 0
机构:
Vrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, Netherlands
Heliomare Rehabil Ctr, Wijk Ann Zee, NetherlandsVrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, Netherlands
Houdijk, Han
;
van der Wurff, Peter
论文数: 0引用数: 0
h-index: 0
机构:
Natl Mil Rehabil Ctr Aardenburg, Ctr Augmented Motor Learning & Training, Doorn, NetherlandsVrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, Netherlands
van der Wurff, Peter
;
Prins, Maarten R.
论文数: 0引用数: 0
h-index: 0
机构:
Vrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, Netherlands
Natl Mil Rehabil Ctr Aardenburg, Ctr Augmented Motor Learning & Training, Doorn, NetherlandsVrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, Netherlands
Prins, Maarten R.
;
Mert, Agali
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h-index: 0
机构:
Natl Mil Rehabil Ctr Aardenburg, Ctr Augmented Motor Learning & Training, Doorn, NetherlandsVrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, Netherlands
Mert, Agali
;
Beek, Peter J.
论文数: 0引用数: 0
h-index: 0
机构:
Vrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, NetherlandsVrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, Netherlands
Beek, Peter J.
;
van Dieen, Jaap H.
论文数: 0引用数: 0
h-index: 0
机构:
Vrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, NetherlandsVrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, Netherlands
机构:
Univ Hull, Dept Sport Hlth & Exercise Sci, Kingston Upon Hull HU6 7RX, N Humberside, EnglandUniv Hull, Dept Sport Hlth & Exercise Sci, Kingston Upon Hull HU6 7RX, N Humberside, England
Barnett, Cleveland
;
Vanicek, Natalie
论文数: 0引用数: 0
h-index: 0
机构:
Univ Hull, Dept Sport Hlth & Exercise Sci, Kingston Upon Hull HU6 7RX, N Humberside, EnglandUniv Hull, Dept Sport Hlth & Exercise Sci, Kingston Upon Hull HU6 7RX, N Humberside, England
Vanicek, Natalie
;
论文数: 引用数:
h-index:
机构:
Polman, Remco
;
Hancock, Amanda
论文数: 0引用数: 0
h-index: 0
机构:
Castle Hill Hosp, Hull & E Yorkshire NHS Trust, Dept Physiotherapy, Kingston Upon Hull, N Humberside, EnglandUniv Hull, Dept Sport Hlth & Exercise Sci, Kingston Upon Hull HU6 7RX, N Humberside, England
Hancock, Amanda
;
Brown, Barbara
论文数: 0引用数: 0
h-index: 0
机构:
Castle Hill Hosp, Hull & E Yorkshire NHS Trust, Dept Physiotherapy, Kingston Upon Hull, N Humberside, EnglandUniv Hull, Dept Sport Hlth & Exercise Sci, Kingston Upon Hull HU6 7RX, N Humberside, England
Brown, Barbara
;
Smith, Lynne
论文数: 0引用数: 0
h-index: 0
机构:
Castle Hill Hosp, Hull & E Yorkshire NHS Trust, Dept Physiotherapy, Kingston Upon Hull, N Humberside, EnglandUniv Hull, Dept Sport Hlth & Exercise Sci, Kingston Upon Hull HU6 7RX, N Humberside, England
Smith, Lynne
;
Chetter, Ian
论文数: 0引用数: 0
h-index: 0
机构:
Hull Royal Infirm, Hull & E Yorkshire NHS Trust, Acad Dept Vasc Surg, Kingston Upon Hull HU3 2JZ, N Humberside, EnglandUniv Hull, Dept Sport Hlth & Exercise Sci, Kingston Upon Hull HU6 7RX, N Humberside, England
机构:
Hong Kong Polytech Univ, Dept Hlth Technol & Informat, Jockey Club Rehabil Engn Ctr, Kowloon, Hong Kong, Peoples R ChinaHong Kong Polytech Univ, Dept Hlth Technol & Informat, Jockey Club Rehabil Engn Ctr, Kowloon, Hong Kong, Peoples R China
Chow, Daniel H. K.
;
Holmes, Andrew D.
论文数: 0引用数: 0
h-index: 0
机构:Hong Kong Polytech Univ, Dept Hlth Technol & Informat, Jockey Club Rehabil Engn Ctr, Kowloon, Hong Kong, Peoples R China
Holmes, Andrew D.
;
Lee, Christina K. L.
论文数: 0引用数: 0
h-index: 0
机构:Hong Kong Polytech Univ, Dept Hlth Technol & Informat, Jockey Club Rehabil Engn Ctr, Kowloon, Hong Kong, Peoples R China
Lee, Christina K. L.
;
Sin, S. W.
论文数: 0引用数: 0
h-index: 0
机构:Hong Kong Polytech Univ, Dept Hlth Technol & Informat, Jockey Club Rehabil Engn Ctr, Kowloon, Hong Kong, Peoples R China
机构:
San Antonio Mil Med Ctr, Ctr Intrepid, Dept Orthopaed & Rehabil, Ft Sam Houston, TX 78234 USASan Antonio Mil Med Ctr, Ctr Intrepid, Dept Orthopaed & Rehabil, Ft Sam Houston, TX 78234 USA
Gates, Deanna H.
;
Scott, Shawn J.
论文数: 0引用数: 0
h-index: 0
机构:
Tripler Army Med Ctr, Honolulu, HI 96859 USASan Antonio Mil Med Ctr, Ctr Intrepid, Dept Orthopaed & Rehabil, Ft Sam Houston, TX 78234 USA
Scott, Shawn J.
;
Wilken, Jason M.
论文数: 0引用数: 0
h-index: 0
机构:
San Antonio Mil Med Ctr, Ctr Intrepid, Dept Orthopaed & Rehabil, Ft Sam Houston, TX 78234 USASan Antonio Mil Med Ctr, Ctr Intrepid, Dept Orthopaed & Rehabil, Ft Sam Houston, TX 78234 USA
Wilken, Jason M.
;
Dingwell, Jonathan B.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Austin, Dept Kinesiol & Hlth Educ, Austin, TX 78712 USASan Antonio Mil Med Ctr, Ctr Intrepid, Dept Orthopaed & Rehabil, Ft Sam Houston, TX 78234 USA
机构:
Vrije Univ Amsterdam, Res Inst MOVE, Fac Human Movement Sci, Amsterdam, NetherlandsVrije Univ Amsterdam, Res Inst MOVE, Fac Human Movement Sci, Amsterdam, Netherlands
Hak, Laura
;
Houdijk, Han
论文数: 0引用数: 0
h-index: 0
机构:
Vrije Univ Amsterdam, Res Inst MOVE, Fac Human Movement Sci, Amsterdam, Netherlands
Heliomare Rehabil Ctr, Wijk Aan Zee, NetherlandsVrije Univ Amsterdam, Res Inst MOVE, Fac Human Movement Sci, Amsterdam, Netherlands
Houdijk, Han
;
Beek, Peter J.
论文数: 0引用数: 0
h-index: 0
机构:
Vrije Univ Amsterdam, Res Inst MOVE, Fac Human Movement Sci, Amsterdam, NetherlandsVrije Univ Amsterdam, Res Inst MOVE, Fac Human Movement Sci, Amsterdam, Netherlands
Beek, Peter J.
;
van Dieen, Jaap H.
论文数: 0引用数: 0
h-index: 0
机构:
Vrije Univ Amsterdam, Res Inst MOVE, Fac Human Movement Sci, Amsterdam, NetherlandsVrije Univ Amsterdam, Res Inst MOVE, Fac Human Movement Sci, Amsterdam, Netherlands
机构:
Vrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, NetherlandsVrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, Netherlands
Hak, Laura
;
Houdijk, Han
论文数: 0引用数: 0
h-index: 0
机构:
Vrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, Netherlands
Heliomare Rehabil Ctr, Wijk Ann Zee, NetherlandsVrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, Netherlands
Houdijk, Han
;
van der Wurff, Peter
论文数: 0引用数: 0
h-index: 0
机构:
Natl Mil Rehabil Ctr Aardenburg, Ctr Augmented Motor Learning & Training, Doorn, NetherlandsVrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, Netherlands
van der Wurff, Peter
;
Prins, Maarten R.
论文数: 0引用数: 0
h-index: 0
机构:
Vrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, Netherlands
Natl Mil Rehabil Ctr Aardenburg, Ctr Augmented Motor Learning & Training, Doorn, NetherlandsVrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, Netherlands
Prins, Maarten R.
;
Mert, Agali
论文数: 0引用数: 0
h-index: 0
机构:
Natl Mil Rehabil Ctr Aardenburg, Ctr Augmented Motor Learning & Training, Doorn, NetherlandsVrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, Netherlands
Mert, Agali
;
Beek, Peter J.
论文数: 0引用数: 0
h-index: 0
机构:
Vrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, NetherlandsVrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, Netherlands
Beek, Peter J.
;
van Dieen, Jaap H.
论文数: 0引用数: 0
h-index: 0
机构:
Vrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, NetherlandsVrije Univ Amsterdam, Fac Human Movement Sci, Res Inst MOVE, NL-1081 BT Amsterdam, Netherlands