A simple weight-bearing exercise has been designed using off-the-shelves devices (Nintendo Wii Balance Board) and centre of pressure (COP) analysis software (Python) for trans-tibial amputees receiving their first prosthesis. A pilot randomised control study will be conducted to check the progress with weight-bearing training using COP-based objective measures. Additionally, gait and functional task performance will be assessed by means of clinical test. Participants will be divided into 2 groups: test group (performing additional weight-bearing exercises) and control group (receiving only conventional training for fitting of initial prosthesis).
Each patient meeting the inclusion criteria will be randomised to either the test group or the control group. The patients will perform ten training sessions with the initial prosthesis, each session lasting for about 30 minutes, within the period of two weeks. They will be assessed at baseline and after the training program.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
20
Nintendo Wii Balance Board, real-time visual feedback, weight-bearing assessment by center of pressure
conventional training for fitting of initial prosthesis
University Rehabilitation Institute, Republic of Slovenia
Ljubljana, Slovenia
Change in centre of pressure (COP) from baseline
Calculation of COP (transversal plane, symmetry index, lateral, sagittal directions) from 4 pressure sensors built into the balance board
Time frame: Assessment at baseline and after two weeks
Change in weight distribution in quiet standing
COP assessment for 20s of quiet standing
Time frame: Assessment at baseline and after two weeks
Change in 10m walk test
Time frame: Assessment at baseline and after two weeks
Change in L-test
Time frame: Assessment at baseline and after two weeks
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