Abstract

For lower limb amputees, the socket fit is affected by the physical activity performed during the day. The majority of the studies in this field include only transtibial amputees and do not examine the effects of this variable. This paper aims to determine the effect of physical activity on the volume of the residual limb (RL), the comfort, and the symmetry of gait in traumatic transfemoral amputees. RL volume and gait data of five individuals were obtained at the first time of the day and after three sessions of treadmill walking. The ratio symmetry index of selected points of gait parameters was calculated. A short comfort test was used after each session. Data were analyzed throughout the tests within each subject, and statistical analysis was performed. After the physical activity, a tendency toward volume decrease was found on almost all subjects, although it was not significant. Transfemoral amputees may have smaller volume variations than transtibial after treadmill walking tasks. Significant difference was found on the symmetry index of “swing phase (SWP).” The values of gait symmetry were consistent with previous findings regarding transfemoral amputees. The lowest symmetry was noticed on the ankle kinematics. The comfort did not significantly change with the selected amount of physical activity. In subsequent research, it is recommended to increase the intensity or time of physical activity and/or increase the number of participants. These results can help the understanding of how the socket/RL interface behaves, which can improve the design and prescription of prosthetic components.

References

References
1.
Ocampo
,
M. L.
,
Henao
,
L. M.
, and
Vásquez
,
L.
,
2010
, “
Amputación de Miembro Inferior: Cambios Funcionales, Inmovilización y Actividad Física
,” Editorial Universidad del Rosario, Bogota, Colombia.
2.
Legro
,
M. W.
,
Reiber
,
G.
,
del Aguila
,
M.
,
Ajax
,
M. J.
,
Boone
,
D. A.
,
Larsen
,
J. A.
,
Smith
,
D. G.
, and
Sangeorzan
,
B.
,
1999
, “
Issues of Importance Reported by Persons With Lower Limb Amputations and Prostheses
,”
J. Rehabil. Res. Dev.
,
36
(
3
), pp.
155
163
.https://pubmed.ncbi.nlm.nih.gov/10659798/
3.
Erikson
,
U.
, and
James
,
U.
,
1973
, “
Roentgenological Study of Certain Stump—Socket Relationships in Above-Knee Amputees With Special Regard to Tissue Proportions, Socket Fit and Attachment Stability
,”
Upsala J. Med. Sci.
,
78
(
3
), pp.
203
214
.10.3109/03009737309178629
4.
Bader
,
D. L.
,
Bouten
,
C.
,
Colin
,
D.
, and
Oomens
,
C. W.
,
2005
,
Pressure Ulcer Research: Current and Future Perspectives
,
Springer Science & Business Media
, London, UK.
5.
Board
,
W. J.
,
Street
,
G. M.
, and
Caspers
,
C.
,
2001
, “
A Comparison of Trans-Tibial Amputee Suction and Vacuum Socket Conditions
,”
Prosthet. Orthotics Int.
,
25
(
3
), pp.
202
209
.10.1080/03093640108726603
6.
Klute
,
G. K.
,
Berge
,
J. S.
,
Biggs
,
W.
,
Pongnumkul
,
S.
,
Popovic
,
Z.
, and
Curless
,
B.
,
2011
, “
Vacuum-Assisted Socket Suspension Compared With Pin Suspension for Lower Extremity Amputees: Effect on Fit, Activity, and Limb Volume
,”
Arch. Phys. Med. Rehabil.
,
92
(
10
), pp.
1570
1575
.10.1016/j.apmr.2011.05.019
7.
Goswami
,
J.
,
Lynn
,
R.
,
Street
,
G.
, and
Harlander
,
M.
,
2003
, “
Walking in a Vacuum‐Assisted Socket Shifts the Stump Fluid Balance
,”
Prosthet. Orthotics Int.
,
27
(
2
), pp.
107
113
.10.1080/03093640308726666
8.
Sanders
,
J. E.
,
Harrison
,
D. S.
,
Allyn
,
K. J.
, and
Myers
,
T. R.
,
2009
, “
Clinical Utility of in-Socket Residual Limb Volume Change Measurement: Case Study Results
,”
Prosthet. Orthotics Int.
,
33
(
4
), pp.
378
390
.10.3109/03093640903214067
9.
Nolan
,
L.
,
Wit
,
A.
,
Dudziñski
,
K.
,
Lees
,
A.
,
Lake
,
M.
, and
Wychowañski
,
M.
,
2003
, “
Adjustments in Gait Symmetry With Walking Speed in Trans-Femoral and Trans-Tibial Amputees
,”
Gait Posture
,
17
(
2
), pp.
142
151
.10.1016/S0966-6362(02)00066-8
10.
Assi
,
A.
,
Ghanem
,
I.
,
Lavaste
,
F.
, and
Skalli
,
W.
,
2009
, “
Gait Analysis in Children and Uncertainty Assessment for Davis Protocol and Gillette Gait Index
,”
Gait Posture
,
30
(
1
), pp.
22
26
.10.1016/j.gaitpost.2009.02.011
11.
Ramírez-Patiño
,
J. F.
,
Gutiérrez-Rôa
,
D. F.
, and
Correa-Espinal
,
A. A.
,
2015
, “
Comfort Perception Assessment in Persons With Transfemoral Amputation
,”
Dyna
,
82
(
191
), pp.
194
202
.10.15446/dyna.v82n191.44700
12.
Schwartz
,
M. H.
, and
Rozumalski
,
A.
,
2008
, “
The Gait Deviation Index: A New Comprehensive Index of Gait Pathology
,”
Gait Posture
,
28
(
3
), pp.
351
357
.10.1016/j.gaitpost.2008.05.001
13.
Kark
,
L.
,
Odell
,
R.
,
McIntosh
,
A. S.
, and
Simmons
,
A.
,
2016
, “
Quantifying Prosthetic Gait Deviation Using Simple Outcome Measures
,”
World J. Orthop.
,
7
(
6
), pp.
383
391
.10.5312/wjo.v7.i6.383
14.
Esposito
,
E. R.
,
Stinner
,
D. J.
,
Fergason
,
J. R.
, and
Wilken
,
J. M.
,
2017
, “
Gait Biomechanics Following Lower Extremity Trauma: Amputation vs. Reconstruction
,”
Gait Posture
,
54
, pp.
167
173
.10.1016/j.gaitpost.2017.02.016
15.
Sadeghi
,
H.
,
Allard
,
P.
,
Prince
,
F.
, and
Labelle
,
H.
,
2000
, “
Symmetry and Limb Dominance in Able-Bodied Gait: A Review
,”
Gait Posture
,
12
(
1
), pp.
34
45
.10.1016/S0966-6362(00)00070-9
16.
Hirokawa
,
S.
,
1989
, “
Normal Gait Characteristics Under Temporal and Distance Constraints
,”
J. Biomed. Eng.
,
11
(
6
), pp.
449
456
.10.1016/0141-5425(89)90038-1
17.
Sanders
,
J. E.
, and
Fatone
,
S.
,
2011
, “
Residual Limb Volume Change: Systematic Review of Measurement and Management
,”
J. Rehabil. Res. Dev.
,
48
(
8
), pp.
949
986
.10.1682/JRRD.2010.09.0189
18.
Perry
,
J.
,
K
,
S.
, and
Davids
,
J. R.
,
1992
, “
Gait Analysis: Normal and Pathological Function
,”
J. Pediatr. Orthop.
,
12
(
6
), p.
815
.10.1097/01241398-199211000-00023
19.
Jaegers
,
S. M. H. J.
,
Arendzen
,
J. H.
, and
de Jongh
,
H. J.
,
1995
, “
Prosthetic Gait of Unilateral Transfemoral Amputees: A Kinematic Study
,”
Arch. Phys. Med. Rehabil.
,
76
(
8
), pp.
736
743
.10.1016/S0003-9993(95)80528-1
20.
Skinner
,
H. B.
, and
Effeney
,
D. J.
,
1985
, “
Gait Analysis in Amputees
,”
Am. J. Phys. Med. Rehabil.
,
64
(
2
), pp.
82
89
.https://pubmed.ncbi.nlm.nih.gov/3887934/#:~:text=Forward%20velocity%20of%20walking%20is,two%20standard%20deviations%20below%20normal
21.
Sagawa
,
Y.
, Jr
,
Turcot
,
K.
,
Armand
,
S.
,
Thevenon
,
A.
,
Vuillerme
,
N.
, and
Watelain
,
E.
,
2011
, “
Biomechanics and Physiological Parameters During Gait in Lower-Limb Amputees: A Systematic Review
,”
Gait Posture
,
33
(
4
), pp.
511
526
.10.1016/j.gaitpost.2011.02.003
22.
Boonstra
,
A. M.
,
Schrama
,
J.
,
Fidler
,
V.
, and
Eisma
,
W. H.
,
1994
, “
The Gait of Unilateral Transfemoral Amputees
,”
Scand. J. Rehabil. Med.
,
26
(
4
), pp.
217
217
.https://pubmed.ncbi.nlm.nih.gov/7878397/
23.
Burkett
,
B.
,
Smeathers
,
J.
, and
Barker
,
T.
,
2003
, “
Walking and Running Inter-Limb Asymmetry for Paralympic Trans-Femoral Amputees, a Biomechanical Analysis
,”
Prosthet. Orthotics Int.
,
27
(
1
), pp.
36
47
.10.3109/03093640309167975
24.
Murray
,
M. P.
,
Sepic
,
S. B.
, and
Gardner
,
G. M.
,
1980
, “
Gait Patterns of Above-Knee Amputees Using Constant-Friction Knee Components
,”
Pros. Res
,
17
(
2
), pp.
35
45
.https://pubmed.ncbi.nlm.nih.gov/7260459/
25.
Kark
,
L.
,
Vickers
,
D.
,
McIntosh
,
A.
, and
Simmons
,
A.
,
2012
, “
Use of Gait Summary Measures With Lower Limb Amputees
,”
Gait Posture
,
35
(
2
), pp.
238
243
.10.1016/j.gaitpost.2011.09.013
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