Cargando…

Functional Mobility Training With a Powered Knee and Ankle Prosthesis

Limb loss at the transfemoral or knee disarticulation level results in a significant decrease in mobility. Powered lower limb prostheses have the potential to provide increased functional mobility and return individuals to activities of daily living that are limited due to their amputation. Providin...

Descripción completa

Detalles Bibliográficos
Autores principales: Finucane, Suzanne B., Hargrove, Levi J., Simon, Ann M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9396752/
https://www.ncbi.nlm.nih.gov/pubmed/36003138
http://dx.doi.org/10.3389/fresc.2022.790538
_version_ 1784771990953918464
author Finucane, Suzanne B.
Hargrove, Levi J.
Simon, Ann M.
author_facet Finucane, Suzanne B.
Hargrove, Levi J.
Simon, Ann M.
author_sort Finucane, Suzanne B.
collection PubMed
description Limb loss at the transfemoral or knee disarticulation level results in a significant decrease in mobility. Powered lower limb prostheses have the potential to provide increased functional mobility and return individuals to activities of daily living that are limited due to their amputation. Providing power at the knee and/or ankle, new and innovative training is required for the amputee and the clinician to understand the capabilities of these advanced devices. This protocol for functional mobility training with a powered knee and ankle prosthesis was developed while training 30 participants with a unilateral transfemoral or knee disarticulation amputation at a nationally ranked physical medicine and rehabilitation research hospital. Participants received instruction for level-ground walking, stair climbing, incline walking, and sit-to-stand transitions. A therapist provided specific training for each mode including verbal, visual, and tactile cueing along with patient education on the functionality of the device. The primary outcome measure was the ability of each participant to demonstrate independence with walking and sit-to-stand transitions along with modified independence for stair climbing and incline walking due to the use of a handrail. Every individual was successful in comfortable ambulation of level-ground walking and 27 out of 30 were successful in all other functional modes after participating in 1–3 sessions of 1–2 h in length (3 terminated their participation before attempting all activities). As these prosthetic devices continue to advance, therapy techniques must advance as well, and this paper serves as education on new training techniques that can provide amputees with the best possible tools to take advantage of these powered devices to achieve their desired clinical outcomes.
format Online
Article
Text
id pubmed-9396752
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-93967522022-08-23 Functional Mobility Training With a Powered Knee and Ankle Prosthesis Finucane, Suzanne B. Hargrove, Levi J. Simon, Ann M. Front Rehabil Sci Rehabilitation Sciences Limb loss at the transfemoral or knee disarticulation level results in a significant decrease in mobility. Powered lower limb prostheses have the potential to provide increased functional mobility and return individuals to activities of daily living that are limited due to their amputation. Providing power at the knee and/or ankle, new and innovative training is required for the amputee and the clinician to understand the capabilities of these advanced devices. This protocol for functional mobility training with a powered knee and ankle prosthesis was developed while training 30 participants with a unilateral transfemoral or knee disarticulation amputation at a nationally ranked physical medicine and rehabilitation research hospital. Participants received instruction for level-ground walking, stair climbing, incline walking, and sit-to-stand transitions. A therapist provided specific training for each mode including verbal, visual, and tactile cueing along with patient education on the functionality of the device. The primary outcome measure was the ability of each participant to demonstrate independence with walking and sit-to-stand transitions along with modified independence for stair climbing and incline walking due to the use of a handrail. Every individual was successful in comfortable ambulation of level-ground walking and 27 out of 30 were successful in all other functional modes after participating in 1–3 sessions of 1–2 h in length (3 terminated their participation before attempting all activities). As these prosthetic devices continue to advance, therapy techniques must advance as well, and this paper serves as education on new training techniques that can provide amputees with the best possible tools to take advantage of these powered devices to achieve their desired clinical outcomes. Frontiers Media S.A. 2022-04-11 /pmc/articles/PMC9396752/ /pubmed/36003138 http://dx.doi.org/10.3389/fresc.2022.790538 Text en Copyright © 2022 Finucane, Hargrove and Simon. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Rehabilitation Sciences
Finucane, Suzanne B.
Hargrove, Levi J.
Simon, Ann M.
Functional Mobility Training With a Powered Knee and Ankle Prosthesis
title Functional Mobility Training With a Powered Knee and Ankle Prosthesis
title_full Functional Mobility Training With a Powered Knee and Ankle Prosthesis
title_fullStr Functional Mobility Training With a Powered Knee and Ankle Prosthesis
title_full_unstemmed Functional Mobility Training With a Powered Knee and Ankle Prosthesis
title_short Functional Mobility Training With a Powered Knee and Ankle Prosthesis
title_sort functional mobility training with a powered knee and ankle prosthesis
topic Rehabilitation Sciences
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9396752/
https://www.ncbi.nlm.nih.gov/pubmed/36003138
http://dx.doi.org/10.3389/fresc.2022.790538
work_keys_str_mv AT finucanesuzanneb functionalmobilitytrainingwithapoweredkneeandankleprosthesis
AT hargrovelevij functionalmobilitytrainingwithapoweredkneeandankleprosthesis
AT simonannm functionalmobilitytrainingwithapoweredkneeandankleprosthesis