unilateral or bilateral transtibial (below-knee) amputees or transfemoral (above-knee) amputees. Several studies demonstrated that individuals with unilateral transtibial amputation have asymmetric modulation of joint kinetics, 1 ground reaction forces (GRFs), 2 , 3 and related stride kinematics
Atsushi Makimoto, Yoko Sano, Satoru Hashizume, Akihiko Murai, Yoshiyuki Kobayashi, Hiroshi Takemura and Hiroaki Hobara
Hiroaki Hobara, Sakiko Saito, Satoru Hashizume, Hiroyuki Sakata and Yoshiyuki Kobayashi
and practitioners with a basis for better evaluation of sprint performance and aid in developing more effective training. Despite the prevalence of running-specific prostheses with energy storing capabilities, sprinting strategies in lower-extremity amputees using the running-specific prostheses are
Gerda Strutzenberger, Adam Brazil, Timothy Exell, Hans von Lieres und Wilkau, John D. Davies, Steffen Willwacher, Johannes Funken, Ralf Müller, Kai Heinrich, Hermann Schwameder, Wolfgang Potthast and Gareth Irwin
the first contact. 9 Of the 3 lower limb joints, the knee contributes with approximately 25% the least amount toward acceleration. Amputee (AMP) athletes miss the contractile elements of the musculature of the amputated limb (eg, m. gastrocnemius and m. soleus), and although running
Mário A.M. Simim, Gustavo R. da Mota, Moacir Marocolo, Bruno V.C. da Silva, Marco Túlio de Mello and Paul S. Bradley
Soccer is arguably the world’s most popular sport with over 265 million registered able-bodied participants worldwide ( Kunz, 2007 ). Numerous versions of the sport have developed such as futsal, beach, and amputee soccer (AS). AS has gained popularity worldwide, particularly in countries that
Andrew W. Smith
The aims of the present study were to quantify lower limb kinetics and kinematics during walking and slow jogging of below-knee amputee athletes and to demonstrate the usefulness of the additional information provided by kinetic analyses as compared to that of kinematic assessments alone. Kinematic and force platform data from three amputee subjects were collected while the subjects walked and jogged in the laboratory. Results indicated that neither prosthesis (SACH and an energy-storing carbon fiber or ESCF) emulated the kinetics or the kinematics of so-called normal gait during walking. While the knee joint on the prosthetic side clearly tended to be biased toward extension during stance, the knee flexors were dominant and acted concentrically during this phase of the gait cycle. An examination of prosthetic limb hip and knee joint kinetics at both cadences revealed the functional role played by the hamstrings early in stance. The results indicated that with increasing cadence, less variability, measured by coefficients of variation, was evident in the kinematic data while the opposite was true for the kinetics.
Jeremy D. Smith and Philip E. Martin
Unilateral, transtibial amputees exhibit walking asymmetries and higher metabolic costs of walking than nonamputees walking at similar speeds. Using lightweight prostheses has previously been suggested as a contributing factor to walking asymmetries. The purpose was to investigate the effects of prosthesis mass and mass distribution on metabolic costs and walking asymmetries among six unilateral, transtibial amputees. Kinematic and temporal symmetry did not improve when mass was added at different locations on the limb. Stance and swing time asymmetries increased by 3.4% and 7.2%, respectively, with loads positioned distally on the limb. Maximum knee angular velocity asymmetries increased by 6% with mass added to the thigh, whereas maximum thigh angular velocity asymmetries increased by approximately 10% with mass positioned near the prosthetic ankle. Adding 100% of the estimated mass difference between intact and prosthetic legs to the ankle of the prosthesis increased energy costs of walking by 12%; adding the same mass to the prosthesis center of mass or thigh center of mass increased metabolic cost by approximately 7% and 5%, respectively. Unless other benefits are gained by increasing prosthesis mass, this should not be considered as a possible alternative to current lightweight prosthesis designs currently being prescribed to unilateral amputees.
Sarah C. Moudy, Neale A. Tillin, Amy R. Sibley and Siobhán Strike
an amputee that has the ability or potential to negotiate environmental barriers and for prosthetic ambulation that exhibits high impact, stress, or energy levels. ITTA participants had amputations due to traumatic incidents (eg, automobile accident) and were a minimum of 6 months postamputation
Marlene Schoeman, Ceri E. Diss and Siobhan C. Strike
A unilateral transtibial amputation causes a disruption to the musculoskeletal system, which results in asymmetrical biomechanics. The current study aimed to assess the movement asymmetry and compensations that occur as a consequence of an amputation when performing a countermovement vertical jump. Six unilateral transtibial amputees and 10 able-bodied (AB) participants completed 10 maximal vertical jumps, and the highest jump was analyzed further. Three-dimensional lower limb kinematics and normalized (body mass) kinetic variables were quantified for the intact and prosthetic sides. Symmetry was assessed through the symmetry index (SI) for each individual and statistically using the Mann-Whitney U test between the intact and prosthetic sides for the amputee group. A descriptive analysis between the amputee and AB participants was conducted to explore the mechanisms of amputee jumping. The amputee jump height ranged from 0.09 to 0.24 m. In the countermovement, all ankle variables were asymmetrical (SI > 10%) and statistically different (p < .05) for the amputees. At the knee and hip, there was no statistical difference between the intact and prosthetic sides range of motion, although there was evidence of individual asymmetry. The knees remained more extended compared with the AB participants to prevent collapse. In propulsion, the prosthesis did not contribute to the work done and the ankle variables were asymmetrical (p < .05). The knee and hip variables were not statistically different between the intact and prosthetic sides, although there was evidence of functional asymmetry and the contribution tended to be greater on the intact compared with the prosthetic side. The lack of kinetic involvement of the prosthetic ankle and both knees due to the limitation of the prosthesis and the altered musculoskeletal mechanics of the joints were the reason for the reduced height jumped.
Hiroaki Hobara, Wolfgang Potthast, Ralf Müller, Yoshiyuki Kobayashi, Thijs A. Heldoorn and Masaaki Mochimaru
The aim of this study was to develop a normative sample of step frequency and step length during maximal sprinting in amputee sprinters. We analyzed elite-level 100-m races of 255 amputees and 93 able-bodied sprinters, both men and women, from publicly-available Internet broadcasts. For each sprinter’s run, the average forward velocity, step frequency, and step length over the 100-m distance were analyzed by using the official record and number of steps in each race. The average forward velocity was greatest in able-bodied sprinters (10.04 ± 0.17 m/s), followed by bilateral transtibial (8.77 ± 0.27 m/s), unilateral transtibial (8.65 ± 0.30 m/s), and transfemoral amputee sprinters (7.65 ± 0.38 m/s) in men. Differences in velocity among 4 groups were associated with step length (able-bodied vs transtibial amputees) or both step frequency and step length (able-bodied vs transfemoral amputees). Although we also found that the velocity was greatest in able-bodied sprinters (9.10 ± 0.14 m/s), followed by unilateral transtibial (7.08 ± 0.26 m/s), bilateral transtibial (7.06 ± 0.48 m/s), and transfemoral amputee sprinters (5.92 ± 0.33 m/s) in women, the differences in the velocity among the groups were associated with both step frequency and step length. Current results suggest that spatiotemporal parameters during a 100-m race of amputee sprinters is varied by amputation levels and sex.
Chris Button, Stuart Moyle and Keith Davids
There has been no direct attempt to evaluate whether gait performed overground and on a treadmill is the same for lower limb amputees. A multiple case study approach was adopted to explore the degenerate movement behavior displayed by three male amputees. Participants walked overground at a self-selected preferred pace and when this speed was enforced on a treadmill (50 stride cycles per condition). The extremities of motion (i.e., maximum flexion) for the hip and knee joints differed between conditions (0.2–3.8°). For two participants, the temporal asymmetry of gait was reduced on the treadmill. Initial data suggest that research on amputees simulating overground walking on a treadmill might need to be interpreted with some caution.