Volume 8, Issue 1 (Spring 2018)                   PTJ 2018, 8(1): 75-61 | Back to browse issues page


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Karimi M T, Kamali M. Evaluation of Gait Performance in Hemipelvectomy Amputation While Walking With a Prosthesis. PTJ 2018; 8 (1) :75-61
URL: http://ptj.uswr.ac.ir/article-1-151-en.html
1- Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.
Abstract:   (4382 Views)
Purpose: Hemipelvectomy amputation is a surgical procedure in which the lower limb and part of the pelvis are removed.  Although few studies are available on the performance of individuals with hip disarticulation while walking, there is no study on gait analysis of hemipelvectomy subjects. Therefore, this study aimed to evaluate the gait and stability of an individual with hemipelvectomy amputation.
Methods: An individual with hemipelvectomy amputation on the right side participated in this study. He used a Canadian prosthesis with single axis ankle joint, 3R21 knee joint and 7E7 hip joint for more than 10 years. The kinetic and kinematic parameters were collected by a motion analysis system and a Kistler force plate. 
Results: There was a significant difference between knee, hip and ankle motion ranges  and their related time periods on the sound and prosthesis sides. The stability of the subject was better in the anteroposterior direction, than the mediolateral direction. Results revealed a significant asymmetry between the sound and prosthesis sides.
Conclusion: The obtained results suggested a significant asymmetry between the kinetic and kinematic performance of the sound and prosthesis sides, which may be due to lack of muscular power and alignment of prosthesis components.
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Type of Study: case report | Subject: Special
Received: 2014/05/7 | Accepted: 2018/10/24 | Published: 2019/02/19

References
1. Dillingham T, Mackenzie E. Limb amputation and limb deficiency: Epidemiology and recent trends in the United States. Southern Medical Journal. 2002; 95(8):875-83. [DOI:10.1097/00007611-200295080-00019] [PMID] [DOI:10.1097/00007611-200295080-00019]
2. Bowker JH. Atlas of limb prosthetics: Surgical, prosthetic, and rehabilitation principles. Missouri: Mosby; 2002. [PMCID] [PMCID]
3. Unwin N. Epidemiology of lower extremity amputation in centres in Europe, North America and East Asia. British Journal of Surgery. 2000; 87(3):328-37. [DOI:10.1046/j.1365-2168.2000.01344.x] [PMID] [DOI:10.1046/j.1365-2168.2000.01344.x]
4. Denes Z, Till A. Rehabilitation of patients after hip disarticulation. Archives of Orthopedic and Trauma Surgery. 1997; 116(8):498-9. [DOI:10.1007/BF00387586] [PMID] [DOI:10.1007/BF00387586]
5. Zaffer SM, Braddom RL, Conti A, Goff J, Bokma D. Total hip disarticulation prosthesis with suction socket: Report of two cases. American Journal of Physical Medicine & Rehabilitation / Association of Academic Physiatrists. 1999; 78(2):160-2. [DOI:10.1097/00002060-199903000-00017] [DOI:10.1097/00002060-199903000-00017]
6. Chin T, Kuroda R, Akisue T, Iguchi T, Kurosaka M. Energy consumption during prosthetic walking and physical fitness in older hip disarticulation amputees. Journal of Rehabilitation Research and Development. 2012; 49(8):1255-60. [DOI:10.1682/JRRD.2011.04.0067] [PMID] [DOI:10.1682/JRRD.2011.04.0067]
7. Ludwigs E, Bellmann M, Schmalz T, Blumentritt S. Biomechanical differences between two exoprosthetic hip joint systems during level walking. Prosthetics and Orthotics International. 2010; 34(4):449-60. [DOI:10.3109/03093646.2010.499551] [PMID] [DOI:10.3109/03093646.2010.499551]
8. Nietert M, Englisch N, Kreil P, Alba-Lopez G. Loads in hip disarticulation prostheses during normal daily use. Prosthetics and Orthotics International. 1998; 22(3):199-215. [PMID] [PMID]
9. Schnall BL, Baum BS, Andrews AM. Gait characteristics of a soldier with a traumatic hip disarticulation. Physical Therapy. 2008; 88(12):1568-77. [DOI:10.2522/ptj.20070337] [PMID] [DOI:10.2522/ptj.20070337]
10. Yari P, Dijkstra PU, Geertzen JH. Functional outcome of hip disarticulation and hemipelvectomy: A cross-sectional national descriptive study in the Netherlands. Clinical Rehabilitation. 2008; 22(12):1127-33. [DOI:10.1177/0269215508095088] [PMID] [DOI:10.1177/0269215508095088]
11. Kadaba MP, Ramakrishnan HK, Wootten ME, Gainey J, Gorton G, Cochran GV. Repeatability of kinematic, kinetic, and electromyographic data in normal adult gait. Journal of Orthopaedic Research. 1989; 7(6):849-60. [DOI:10.1002/jor.1100070611] [PMID] [DOI:10.1002/jor.1100070611]
12. O'Connell M, George K, Stock D. Postural sway and balance testing: A comparison of normal and anterior cruciate ligament deficient knees. Gait & Posture. 1998; 8(2):136-42. [DOI:10.1016/S0966-6362(98)00023-X] [DOI:10.1016/S0966-6362(98)00023-X]

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