This study examines the comparison between Impairment Oriented versus Task Oriented Gait Training in Transfemoral Amputee Rehabilitation. A randomized controlled trial conducted with 40 participants divided into two groups .Both groups receive pre-gait training and corrective walking exercises for 10 days .
Participants were randomly assigned into two groups. Group A ,which focus on strengthening exercises such as ,side lying hip abductor strengthening ,prone lying hip extensors strengthening ,supine lying hip flexors strengthening ,side lying hip adductors strengthening and bridging .Each exercise should be hold for 10-20 seconds with 10 repetition . Group B , which prioritise functional activities and real life task such as lateral trunk bending with crossed leg ,stepping over obstacle ,lateral step ups ,walk with visual markers on floor,sit to stand focus on glutes activation . Corrective exercises will be performed by both groups . Outcome measures include spatiotemporal parameters and Amputee Mobility Predictor (AMP).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
40
Participants will receive ten days training programs with 5 days in each week. Each session will include warm up followed by sit to stand , stand to sit, walking in parallel bars ,ascend and descend stairs. Participants with group A will receive strengthening exercises of hip flexor , abductors, adductors and bridging of 10 repetition with 10-20 second hold according to patient.
Participants will receive ten days training programs with 5 days in each week. Each session will include warm up followed by sit to stand , stand to sit, walking in parallel bars ,ascend and descend stairs. Participants with group B will receive lateral trunk bending, stepping over obstacle, lateral step ups, walk with visual markers on floor, sit to stand focus on glutes activation.
Chal Foundation Islamabad and Artificial limb center in fauji foundation hospital
Islamabad, Punjab Province, Pakistan
Amputee Mobility Predictor (AMP)
AMP is functional scale utilising a 3 point rating scale of 0-2.AMP scores have been correlated with functional medicare classification levels of 0-4.
Time frame: on 3rd and 10th day.
Gait speed
Gait speed in meters per second , measured with 10 meter walking test, gait speed computed by dividing distance covered by time taken to cover it . (m/s)
Time frame: on 3rd and 10th day of treatment
cadence
The number of steps taken per minute during walking, measured in steps per minute (steps/min )
Time frame: On the 3rd day of treatment and 10th day of treatment
Cycle time
The time required to complete one full gait cycle from the initial contact of one foot to the next initial contact of same foot, measured in seconds (s)
Time frame: On the 3rd day of treatment and 10th day of treatment
Stride length
Distance between two consecutive heel strikes of same foot , measures in meter (m)
Time frame: On the 3rd day of treatment and 10th day of treatment
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