Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 8 , Pages 1115-1122 , August 2006

High Failure Rates When Avoiding Obstacles During Treadmill Walking in Patients With a Transtibial Amputation

  • Cheriel J. Hofstad, MSc

      Affiliations

    • Sint Maartenskliniek Research Development & Education, Nijmegen, The Netherlands
    • Institute for Fundamental and Clinical Human Movement Sciences, The Netherlands.
    • Corresponding Author InformationReprint requests to Cheriel J. Hofstad, MSc, Sint Maartenskliniek Research Development & Education, PO Box 9011, 6500 GM Nijmegen, The Netherlands
    • ,
  • Harmen van der Linde, MD, PhD

      Affiliations

    • Sint Maartenskliniek Research Development & Education, Nijmegen, The Netherlands
    • ,
  • Bart Nienhuis, Med Eng

      Affiliations

    • Sint Maartenskliniek Research Development & Education, Nijmegen, The Netherlands
    • ,
  • Vivian Weerdesteyn, MSc

      Affiliations

    • Sint Maartenskliniek Research Development & Education, Nijmegen, The Netherlands
    • Institute for Fundamental and Clinical Human Movement Sciences, The Netherlands.
    • ,
  • Jacques Duysens, MD, PhD

      Affiliations

    • Sint Maartenskliniek Research Development & Education, Nijmegen, The Netherlands
    • Department of Rehabilitation Medicine, University Medical Center St. Radboud, Nijmegen, The Netherlands
    • Institute for Fundamental and Clinical Human Movement Sciences, The Netherlands.
    • ,
  • Alexander C. Geurts, MD, PhD

      Affiliations

    • Sint Maartenskliniek Research Development & Education, Nijmegen, The Netherlands
    • Department of Rehabilitation Medicine, University Medical Center St. Radboud, Nijmegen, The Netherlands
    • Institute for Fundamental and Clinical Human Movement Sciences, The Netherlands.

References 

  1. Buckley JG , O’Driscoll D , Bennett SJ . Postural sway and active balance performance in highly active lower-limb amputees . Am J Phys Med Rehabil . 2002;81:13–20
  2. Geurts AC , Mulder TW , Nienhuis B , Rijken RA . Postural reorganization following lower limb amputation. Possible motor and sensory determinants of recovery . Scand J Rehabil Med . 1992;24:83–90
  3. Isakov E , Mizrahi J , Ring H , Susak Z , Hakim N . Standing sway and weight-bearing distribution in people with below-knee amputations . Arch Phys Med Rehabil . 1992;73:174–178
  4. Burger H , Marincek C . Functional testing of elderly subjects after lower limb amputation . Prosthet Orthot Int . 2001;25:102–107
  5. Tokuno CD , Sanderson DJ , Inglis JT , Chua R . Postural and movement adaptations by individuals with a unilateral below-knee amputation during gait initiation . Gait Posture . 2003;18:158–169
  6. Nolan L , Wit A , Dudziñski K , Lees A , Lake M , Wychowañski M . Adjustments in gait symmetry with walking speed in trans-femoral and trans-tibial amputees . Gait Posture . 2003;17:142–151
  7. Isakov E , Keren O , Benjuya N . Trans-tibial amputee gait (time-distance parameters and EMG activity) . Prosthet Orthot Int . 2000;24:216–220
  8. Miller WC , Speechley M , Deathe B . The prevalence and risk factors of falling and fear of falling among lower extremity amputees . Arch Phys Med Rehabil . 2001;82:1031–1037
  9. Chen HC , Ashton-Miller JA , Alexander NB , Schultz AB . Age effects on strategies to avoid obstacles . Gait Posture . 1994;2:139–146
  10. Hill SW , Patla AE , Ishac MG , Adkin AL , Supan TJ , Barth DG . Kinematic patterns of participants with a below-knee prosthesis stepping over obstacles of various heights in locomotion . Gait Posture . 1997;6:186–192
  11. Hill SW, Patla AE, Adkin AL. Indicators of dynamic stability during obstacle avoidance in unilateral below-knee amputees. In: Proceedings of NACOB 98; 1998 August 14-18; Waterloo (ON).
  12. Hill SW , Patla AE , Ishac MG , Adkin AL , Supan TJ , Barth DG . Altered kinetic strategy for the control of swing limb evaluation over obstacles in unilateral below-knee amputee gait . J Biomech . 1999;32:545–549
  13. Chen HC , Ashton-Miller JA , Alexander NB , Schultz AB . Effects of age and available response time on ability to step over an obstacle . J Gerontol . 1994;49:M227–M233
  14. Patla AE , Prentice SD , Robinson C , Neufeld J . Visual control of locomotion (strategies for changing direction and for going over obstacles) . J Exp Psychol Hum Percept Perform . 1991;3:603–634
  15. Weerdesteyn V , Schillings AM , Van Galen GP , Duysens J . Distraction affects the performance of obstacle avoidance task during walking . J Mot Behav . 2003;35:53–63
  16. Weerdesteyn V , Nienhuis B , Mulder T , Duysens J . Older women strongly prefer stride lengthening to shortening in avoiding obstacles . Exp Brain Res . 2005;161:39–46
  17. Health Care Financing Administration . HCFA Common Procedure Coding System HCPCS 2001 . Washington (DC): US Government Printing Office; 2001; ch 5.3.
  18. Schillings AM , Van Wezel BM , Duysens J . Mechanically induced stumbling during human treadmill walking . J Neurosci Methods . 1996;67:11–17
  19. Chen HC , Ashton-Miller JA , Alexander NB , Schultz AB . Stepping over obstacles (gait patterns of healthy young and old adults) . J Gerontol A Biol Sci Med Sci . 1991;46:M196–M203
  20. Casillas JM , Dulieu V , Cohen M , Marcer I , Didier JP . Bioenergetic comparison of a new energy-storing foot and SACH foot in traumatic below-knee vascular amputations . Arch Phys Med Rehabil . 1995;76:39–44
  21. Snyder RD , Powers CM , Fontaine C , Perry J . The effect of 5 prosthetic feet on the gait and loading of the sound limb in dysvascular below-knee amputees . J Rehabil Res Dev . 1995;32:309–315
  22. Torburn L , Powers CM , Guiterrez R , Perry J . Energy expenditure during ambulation in dysvascular and traumatic below-knee amputees (a comparison of five prosthetic feet) . J Rehabil Res Dev . 1995;32:111–119
  23. Huang GF , Chou YL , Su FC . Gait analysis and energy consumption of below-knee amputees wearing three different prosthetic feet . Gait Posture . 2000;12:162–168
  24. Campbell AJ , Borrie M , Spears GF , Jackson SL , Brown JS , Fitzgerald JL . Circumstances and consequences of falls experienced by a community population 70 years and over during a prospective study . Age Ageing . 1990;19:136–141
  25. Tinetti ME , Speechley M . Prevention of falls among the elderly . N Engl J Med . 1989;320:1055–1059
  26. Said CM , Goldie PA , Patla AE , Sparrow WA , Martin KE . Obstacle avoidance in subjects with stroke . Arch Phys Med Rehabil . 1999;80:1054–1059
  27. Den Otter AR , Geurts AC , de Haart M , Mulder T , Duysens J . Step characteristics during obstacle avoidance in hemiplegic stroke . Exp Brain Res . 2005;161:180–192
  28. Alexander NB , Mollo JM , Giordani B , et al.   Maintenance of balance, gait patterns, and obstacle clearance in Alzheimer’s disease . Neurology . 1995;45:908–914
  29. Weerdesteyn V , Nienhuis B , Duysens J . Advancing age progressively affects obstacle avoidance skills in the elderly . Hum Mov Sci . 2005;24:865–880
  30. Selles RW , Bussmann JB , Wagenaar RC , Stam HJ . Comparing predictive validity of four ballistic swing phase models of human walking . J Biomech . 2001;34:1171–1177
  31. Rose J , Gamble JG . Human walking . Baltimore: Williams & Wilkins; 1994;
  32. Renstrom P , Grimby G , Larsson E . Thigh muscle strength in below-knee amputees . Scand J Rehabil Med Suppl . 1983;9:163–173
  33. Isakov E , Burger H , Gregoric M , Marincek C . Isokinetic and isometric strength of the thigh muscles in below-knee amputees . Clin Biomech (Bristol, Avon) . 1996;11:233–235
  34. Renstrom P , Grimby G , Morelli B , Palmertz B . Thigh muscle atrophy in below-knee amputees . Scand J Rehabil Med Suppl . 1983;9:150–162
  35. Isakov E , Burger H , Gregoric M , Marincek C . Stump length related to atrophy and strength of the thigh muscles in trans-tibial amputees . Prosthet Orthot Int . 1996;20:96–100
  36. Patla AE , Prentice SD , Rietdyk S , Allard F , Martin C . What guides the selection of alternate foot placement during locomotion in humans . Exp Brain Res . 1999;128:441–450
  37. Means KM . The obstacle course (a tool for the assessment of functional balance and mobility in the elderly) . J Rehabil Res Dev . 1996;33:413–429
  38. Rijken HA , Weerdesteyn V , Duysens JE . Effect of a short term training program on falls in community dwelling elderly . [abstract] Gait Posture . 2005;21(Suppl 1):S119
  39. Schultz AB , Ashton-Miller JA , Alexander NB . What leads to age and gender differences in balance maintenance and recovery? . Muscle Nerve Suppl . 1997;5:S60–S64
  40. Mulder T , Nienhuis B , Pauwels J . Clinical gait analysis in a rehabilitation context (some controversial issues) . Clin Rehabil . 1998;12:99–106
  41. Harris-Love ML , Macko RF , Whitall J , Forrester LW . Improved hemiparetic muscle activation in treadmill versus overground walking . Neurorehabil Neural Repair . 2004;18:154–160
  42. Harris-Love ML , Forrester LW , Macko RF , Silver KH , Smith GV . Hemiparetic gait parameters in overground versus treadmill walking . Neurorehabil Neural Repair . 2001;15:105–112
  43. Hesse S , Konrad M , Uhlenbrock D . Treadmill walking with partial body weight support versus floor walking in hemiparetic subjects . Arch Phys Med Rehabil . 1999;80:421–427

 Supported by the European Union (grant no. QLK6-CT-2002-00151: Eurokinesis).No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(06)00355-8

doi: 10.1016/j.apmr.2006.04.009

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 8 , Pages 1115-1122 , August 2006

Article Tools

* Image Usage & Resolution