Sagittal Knee Kinematics of Transtibial Amputee with Running Blade

Baskent University14 enrolled

Overview

Introduction: People with transtibial amputation often suffer musculoskeletal deformities in the form of knee osteoarthritis or osteophytosis due to asymmetric movement patterns and often complain of associated symptoms. Therefore, this study aims to evaluate the sagittal kinematics of the intact and residual knee in the use of Running-Specific Prostheses (RSP), which are increasing in popularity and use among amputees. Materials and Methods: Participants will be video recorded in the sagittal plane to convert knee flexion motion into angles for the amputee and intact knee and to make measurements using the software's virtual goniometer. Recordings will be taken under the following two conditions: 1) walking at a self-selected walking speed with a Daily Use Prosthesis (DUP); 2) Slow running with RSP. The peak flexion during the swing phase and the initial flexion during the first contact of the stance phase will be recorded as angles in both conditions.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Amputation Prosthesis User

Eligibility

Sex: ALLMin age: 18 YearsMax age: 45 Years

Medical Language ↔ Plain English

Inclusion Criteria: * body mass index below 30 kg/m2, * Having unilateral transtibial amputation, * Being at K4 functional level, * Having an existing running blade, * Being able to use RSP integrating it into their DUP, * Having no self-reported problems with the residual limb or prosthesis, pain or skin lesions, * Being active recreational runners (at least once a week) for at least 1 and up to 3 months without injury. Exclusion Criteria: * Having a history of knee surgery or contracture in the intact/amputee knee.

Outcomes

Primary Outcomes

Sagital Knee Kinematics of intact and residual knee with Daily-Use Prosthesis (DUP)

In the sagittal plan, knee flexion motion for the amputated and intact knee will be recorded during walking at self-selected walking speed with Daily-Use Prosthesis (DUP). The peak flexion during swing phase and the initial flexion during initial contact of the stance phase were recorded as angle.

Time frame: Baseline

Sagital Knee Kinematics of intact and residual knee with Running-Specific Prosthesis (RSP)

In the sagittal plan, knee flexion motion for the amputated and intact knee will be recorded during slow-running (jogging) with Running-Specific Prosthesis (RSP). The peak flexion during swing phase and the initial flexion during initial contact of the stance phase were recorded as angle.

Time frame: Same day as baseline; 10 minutes after RSP integrated to prosthesis.