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Physiological Cost Index and Comfort Walking Speed in Two Level Lower Limb Amputees Having No Vascular Disease

BACKGROUND: The Physiological Cost Index (PCI) was introduced by MacGregor to estimate the energy cost in walking of healthy people, also it has been reported for persons with lower limb amputation, walking with prosthesis. OBJECTIVE: To assess energy cost and walking speed in two level lower limb a...

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Autores principales: Vllasolli, Teuta Osmani, Orovcanec, Nikola, Zafirova, Beti, Krasniqi, Blerim, Murtezani, Ardiana, Krasniqi, Valbona, Rama, Bukurije
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AVICENA, d.o.o., Sarajevo 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4384862/
https://www.ncbi.nlm.nih.gov/pubmed/25870485
http://dx.doi.org/10.5455/aim.2015.23.12-17
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author Vllasolli, Teuta Osmani
Orovcanec, Nikola
Zafirova, Beti
Krasniqi, Blerim
Murtezani, Ardiana
Krasniqi, Valbona
Rama, Bukurije
author_facet Vllasolli, Teuta Osmani
Orovcanec, Nikola
Zafirova, Beti
Krasniqi, Blerim
Murtezani, Ardiana
Krasniqi, Valbona
Rama, Bukurije
author_sort Vllasolli, Teuta Osmani
collection PubMed
description BACKGROUND: The Physiological Cost Index (PCI) was introduced by MacGregor to estimate the energy cost in walking of healthy people, also it has been reported for persons with lower limb amputation, walking with prosthesis. OBJECTIVE: To assess energy cost and walking speed in two level lower limb amputation: transfemoral and transtibial amputation and to determine if the age and prosthetic walking supported with walking aids have impact on energy cost and walking speed. METHODS: A prospective cross sectional study was performed in two level lower limb amputees with no vascular disease who were rehabilitated at the Department of Prosthetics and Orthotics at the University Clinical Center of Kosovo. The Physiological Cost Index (PCI) was assessed by five minutes of continuous indoor walking at Comfort Walking Speed (CWS). RESULTS: Eighty three lower limb amputees were recruited. It is shown relevant impact of level of amputation in PCI (t=6.8, p<0.001) and CWS (T=487, p<0.001). The great influence of using crutches during prosthetic walking in PCI (ANOVA F= 39.5 P < 0.001) and CWS (ANOVA F=32.01, P <0.001) has been shown by One Way ANOVA test. The correlation coefficient (R) showed a significant correlation of age with PCI and CWS in both groups of amputation. CONCLUSIONS: Walking with transfemoral prosthesis or using walking aids during prosthetic ambulation is matched with higher cost of energy and slower walking speed. Advanced age was shown with high impact on PCI and CWS in both groups of amputees.
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spelling pubmed-43848622015-04-13 Physiological Cost Index and Comfort Walking Speed in Two Level Lower Limb Amputees Having No Vascular Disease Vllasolli, Teuta Osmani Orovcanec, Nikola Zafirova, Beti Krasniqi, Blerim Murtezani, Ardiana Krasniqi, Valbona Rama, Bukurije Acta Inform Med Original Paper BACKGROUND: The Physiological Cost Index (PCI) was introduced by MacGregor to estimate the energy cost in walking of healthy people, also it has been reported for persons with lower limb amputation, walking with prosthesis. OBJECTIVE: To assess energy cost and walking speed in two level lower limb amputation: transfemoral and transtibial amputation and to determine if the age and prosthetic walking supported with walking aids have impact on energy cost and walking speed. METHODS: A prospective cross sectional study was performed in two level lower limb amputees with no vascular disease who were rehabilitated at the Department of Prosthetics and Orthotics at the University Clinical Center of Kosovo. The Physiological Cost Index (PCI) was assessed by five minutes of continuous indoor walking at Comfort Walking Speed (CWS). RESULTS: Eighty three lower limb amputees were recruited. It is shown relevant impact of level of amputation in PCI (t=6.8, p<0.001) and CWS (T=487, p<0.001). The great influence of using crutches during prosthetic walking in PCI (ANOVA F= 39.5 P < 0.001) and CWS (ANOVA F=32.01, P <0.001) has been shown by One Way ANOVA test. The correlation coefficient (R) showed a significant correlation of age with PCI and CWS in both groups of amputation. CONCLUSIONS: Walking with transfemoral prosthesis or using walking aids during prosthetic ambulation is matched with higher cost of energy and slower walking speed. Advanced age was shown with high impact on PCI and CWS in both groups of amputees. AVICENA, d.o.o., Sarajevo 2015-02 2015-02-22 /pmc/articles/PMC4384862/ /pubmed/25870485 http://dx.doi.org/10.5455/aim.2015.23.12-17 Text en Copyright: © Teuta Osmani Vllasolli, Nikola Orovcanec, Beti Zafirova, Blerim Krasniqi, Ardiana Murtezani, Valbona Krasniqi, Bukurije Rama http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Paper
Vllasolli, Teuta Osmani
Orovcanec, Nikola
Zafirova, Beti
Krasniqi, Blerim
Murtezani, Ardiana
Krasniqi, Valbona
Rama, Bukurije
Physiological Cost Index and Comfort Walking Speed in Two Level Lower Limb Amputees Having No Vascular Disease
title Physiological Cost Index and Comfort Walking Speed in Two Level Lower Limb Amputees Having No Vascular Disease
title_full Physiological Cost Index and Comfort Walking Speed in Two Level Lower Limb Amputees Having No Vascular Disease
title_fullStr Physiological Cost Index and Comfort Walking Speed in Two Level Lower Limb Amputees Having No Vascular Disease
title_full_unstemmed Physiological Cost Index and Comfort Walking Speed in Two Level Lower Limb Amputees Having No Vascular Disease
title_short Physiological Cost Index and Comfort Walking Speed in Two Level Lower Limb Amputees Having No Vascular Disease
title_sort physiological cost index and comfort walking speed in two level lower limb amputees having no vascular disease
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4384862/
https://www.ncbi.nlm.nih.gov/pubmed/25870485
http://dx.doi.org/10.5455/aim.2015.23.12-17
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