Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 10 , Pages 1334-1339 , October 2006

The Effect of Foot and Ankle Prosthetic Components on Braking and Propulsive Impulses During Transtibial Amputee Gait

  • Robert J. Zmitrewicz, MS

      Affiliations

    • Department of Mechanical Engineering, University of Texas, Austin, TX
    • ,
  • Richard R. Neptune, PhD

      Affiliations

    • Department of Mechanical Engineering, University of Texas, Austin, TX
    • Corresponding Author InformationReprint requests to Richard R. Neptune, PhD, Dept of Mechanical Engineering, University of Texas, 1 University Station C2200, Austin, TX 78712
    • ,
  • Judith G. Walden, MPH

      Affiliations

    • Physical Medicine and Rehabilitation Service, South Texas Veterans Health Care System/Audie L. Murphy Division, San Antonio, TX
    • ,
  • William E. Rogers, MS

      Affiliations

    • Department of Rehabilitation Medicine, University of Texas Health Science Center, San Antonio, TX
    • ,
  • Gordon W. Bosker, MEd, CPO, LPO, CPed

      Affiliations

    • Department of Rehabilitation Medicine, University of Texas Health Science Center, San Antonio, TX

References 

  1. Cortes A, Viosca E, Hoyos JV, Prat J, Sanchez-Lacuesta J. Optimisation of the prescription for trans-tibial (TT) amputees. Prosthet Orthot Int. 1997;21:168–174
  2. Hafner BJ, Sanders JE, Czerniecki J, Fergason J. Energy storage and return prostheses: does patient perception correlate with biomechanical analysis?. Clin Biomech (Bristol, Avon). 2002;17:325–344
  3. Miller WC, Deathe AB, Speechley M, Koval J. The influence of falling, fear of falling, and balance confidence on prosthetic mobility and social activity among individuals with a lower extremity amputation. Arch Phys Med Rehabil. 2001;82:1238–1244
  4. Burke MJ, Roman V, Wright V. Bone and joint changes in lower limb amputees. Ann Rheum Dis. 1978;37:252–254
  5. Powers CM, Rao S, Perry J. Knee kinetics in trans-tibial amputee gait. Gait Posture. 1998;8:1–7
  6. Underwood HA, Tokuno CD, Eng JJ. A comparison of two prosthetic feet on the multi-joint and multi-plane kinetic gait compensations in individuals with a unilateral trans-tibial amputation. Clin Biomech (Bristol, Avon). 2004;19:609–616
  7. Norvell DC, Czerniecki JM, Reiber GE, Maynard C, Pecoraro JA, Weiss NS. The prevalence of knee pain and symptomatic knee osteoarthritis among veteran traumatic amputees and nonamputees. Arch Phys Med Rehabil. 2005;86:487–493
  8. Fisher SV, Gullickson G. Energy cost of ambulation in health and disability: a literature review. Arch Phys Med Rehabil. 1978;59:124–133
  9. Snyder RD, Powers CM, Fontaine C, Perry J. The effect of five prosthetic feet on the gait and loading of the sound limb in dysvascular below-knee amputees. J Rehabil Res Dev. 1995;32:309–315
  10. Sanderson DJ, Martin PE. Lower extremity kinematic and kinetic adaptations in unilateral below-knee amputees during walking. Gait Posture. 1997;6:126–136
  11. Powers CM, Torburn L, Perry J, Ayyappa E. Influence of prosthetic foot design on sound limb loading in adults with unilateral below-knee amputations. Arch Phys Med Rehabil. 1994;75:825–829
  12. Arya AP, Lees A, Nirula HC, Klenerman L. A biomechanical comparison of the SACH, Seattle and Jaipur feet using ground reaction forces. Prosthet Orthot Int. 1995;19:37–45
  13. Lehmann JF, Price R, Boswell-Bessette S, Dralle A, Questad K, deLateur BJ. Comprehensive analysis of energy storing prosthetic feet: Flex Foot and Seattle Foot versus standard SACH foot. Arch Phys Med Rehabil. 1993;74:1225–1231
  14. Prince F, Allard P, Therrien RG, McFadyen BJ. Running gait impulse asymmetries in below-knee amputees. Prosthet Orthot Int. 1992;16:19–24
  15. Woltring HJ. A Fortran package for generalized, cross-validatory spline smoothing and differentiation. Adv Eng Software. 1986;8:104–107
  16. 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
  17. Skinner HB, Effeney DJ. Gait analysis in amputees. Am J Phys Med. 1985;64:82–91
  18. Barr AE, Siegel KL, Danoff JV, et al. Biomechanical comparison of the energy-storing capabilities of SACH and Carbon Copy II prosthetic feet during the stance phase of gait in a person with below-knee amputation. Phys Ther. 1992;72:44–54
  19. Culham EG, Peat M, Newell E. Below-knee amputation: a comparison of the effect of the SACH foot and single axis foot on electromyographic patterns during locomotion. Prosthet Orthot Int. 1986;10:15–22
  20. MacFarlane PA, Nielson DH, Shurr DG, Meier K. Gait comparisons for below-knee amputees using a flex-foot versus a conventional prosthetic foot. J Prosthet Orthot. 1991;3:150–161
  21. Marinakis GN. Interlimb symmetry of traumatic unilateral transtibial amputees wearing two different prosthetic feet in the early rehabilitation stage. J Rehabil Res Dev. 2004;41:581–590

 Supported by the National Science Foundation (grant no. BES-0346514) and the Veterans Affairs Office of Research and Development (grant no. A27731-i).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)00683-6

doi: 10.1016/j.apmr.2006.06.013

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 10 , Pages 1334-1339 , October 2006

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