Comparison of Different Amputation Levels
Study Details
Study Description
Brief Summary
Lower limb amputation is a factor that changes the individual's weight transfer, gait pattern, and trunk balance. This change plantar pressure distribution of both side and cause a series of problems to be exposed over time according to level of amputation. The aim of this study is to reveal the relationship between amputation level-postural balance and amputation level-plantar pressure distribution.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Group 1 Unilateral transtibial amputee |
Other: Bipedal with open eyes
Standing bipedal with open eyes on force platform
Other: Bipedal with closed eyes
Standing bipedal with closed eyes on force platform
Other: Bipedal with open eyes and with platform
Standing bipedal with open eyes and with platform under heel of prosthetic foot on force platform
Other: Bipedal with closed eyes and with platform
Standing bipedal with closed eyes and with platform under heel of prosthetic foot on force platform
|
| Group 2 Unilateral transfemoral amputee |
Other: Bipedal with open eyes
Standing bipedal with open eyes on force platform
Other: Bipedal with closed eyes
Standing bipedal with closed eyes on force platform
Other: Bipedal with open eyes and with platform
Standing bipedal with open eyes and with platform under heel of prosthetic foot on force platform
Other: Bipedal with closed eyes and with platform
Standing bipedal with closed eyes and with platform under heel of prosthetic foot on force platform
|
Outcome Measures
Primary Outcome Measures
- Measurement of plantar pressure distrubution [Change from baseline plantar pressure distrubution at second 10, second 20 and second 30.]
Plantar pressure distrubution (mmHg/N) will be measured by force platform (F-Scan 6.70 TekScan, Boston, MA) on bipedal with open eyes
- Measurement of plantar pressure distrubution [Change from baseline plantar pressure distrubution at second 10, second 20 and second 30.]
Plantar pressure distrubution (mmHg/N) will be measured by force platform (F-Scan 6.70 TekScan, Boston, MA) on bipedal with platform under heel
- Determination of center of pressure [Change from baseline center of pressure at second 10, second 20 and second 30.]
Determination of center of pressure (cm) will be provided by force platform (F-Scan 6.70 TekScan, Boston, MA) on bipedal with open eyes
- Determination of center of pressure [Change from baseline center of pressure at second 10, second 20 and second 30.]
Determination of center of pressure (cm) will be provided by force platform (F-Scan 6.70 TekScan, Boston, MA) on bipedal with platform under heel.
- Measurement of plantar pressure distrubution [Change from baseline plantar pressure distrubution at second 10, second 20 and second 30.]
Plantar pressure distrubution (mmHg/N) will be measured by force platform (F-Scan 6.70 TekScan, Boston, MA) on bipedal with closed eyes
- Measurement of plantar pressure distrubution [Change from baseline plantar pressure distrubution at second 10, second 20 and second 30.]
Plantar pressure distrubution (mmHg/N) will be measured by force platform (F-Scan 6.70 TekScan, Boston, MA) on bipedal without platform under heel
- Determination of center of pressure [Change from baseline center of pressure at second 10, second 20 and second 30.]
Determination of center of pressure (cm) will be provided by force platform (F-Scan 6.70 TekScan, Boston, MA) on bipedal with closed eyes
- Determination of center of pressure [Change from baseline center of pressure at second 10, second 20 and second 30.]
Determination of center of pressure (cm) will be provided by force platform (F-Scan 6.70 TekScan, Boston, MA) on bipedal without platform under heel.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Being unilateral transfemoral or transtibial amputee
-
Have the level of perception to understand and apply the commands given
-
Having sedantary life styles
Exclusion Criteria:
-
Having a neurological or orthopedic disorder that may affect standing posture and balance
-
The presence of pain that can affect standing posture and balance
-
Visual impairment that impairs the gait pattern and balance
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Marmara University | Istanbul | Turkey | 34000 |
Sponsors and Collaborators
- Marmara University
Investigators
- Study Director: yasar tatar, Marmara University
Study Documents (Full-Text)
None provided.More Information
Publications
- Castro MP, Soares D, Mendes E, Machado L. Plantar pressures and ground reaction forces during walking of individuals with unilateral transfemoral amputation. PM R. 2014 Aug;6(8):698-707.e1. doi: 10.1016/j.pmrj.2014.01.019. Epub 2014 Jan 29.
- Jayakaran P, Johnson GM, Sullivan SJ. Postural control in response to altered sensory conditions in persons with dysvascular and traumatic transtibial amputation. Arch Phys Med Rehabil. 2015 Feb;96(2):331-9. doi: 10.1016/j.apmr.2014.09.037. Epub 2014 Oct 22.
- Marks RM, Long JT, Exten EL. Gait abnormality following amputation in diabetic patients. Foot Ankle Clin. 2010 Sep;15(3):501-7. doi: 10.1016/j.fcl.2010.05.001.
- 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 Apr;17(2):142-51.
- 09.2019.357