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APSIC: Training and fitting amputees during situations of daily living

Article dans une revue avec comité de lecture
Author
DREVELLE, Xavier
564850 Institution Nationale des Invalides - Centre d’Etudes et de Recherche sur l’Appareillage des Handicapés [INI/CERAH]
BONNET, Xavier
1043694 Proteor
VILLA, Coralie
MARTINET, Noël
268037 Institut Régional de Médecine Physique et de Réadaptation Louis Pierquin [Nancy] [IRR Louis Pierquin]
SAURET, Christophe
564850 Institution Nationale des Invalides - Centre d’Etudes et de Recherche sur l’Appareillage des Handicapés [INI/CERAH]
BASCOU, Joseph
564850 Institution Nationale des Invalides - Centre d’Etudes et de Recherche sur l’Appareillage des Handicapés [INI/CERAH]
LOIRET, Isabelle
268037 Institut Régional de Médecine Physique et de Réadaptation Louis Pierquin [Nancy] [IRR Louis Pierquin]
DJIAN, Francis
1043694 Proteor
RAPIN, Nathalie
268037 Institut Régional de Médecine Physique et de Réadaptation Louis Pierquin [Nancy] [IRR Louis Pierquin]
MILLE, Jacky
1043694 Proteor
THOREUX, Patricia
FODÉ, Pascal
564850 Institution Nationale des Invalides - Centre d’Etudes et de Recherche sur l’Appareillage des Handicapés [INI/CERAH]
PAYSANT, Jean
268037 Institut Régional de Médecine Physique et de Réadaptation Louis Pierquin [Nancy] [IRR Louis Pierquin]
GUÉRIT, Philippe
1043694 Proteor
LAVASTE, François
ccPILLET, Helene
99538 Laboratoire de biomécanique [LBM]

URI
http://hdl.handle.net/10985/21317
DOI
10.1016/j.irbm.2014.02.005
Date
2014
Journal
IRBM

Abstract

Today, the prevalence of major amputation in France can be estimated between 90,000 and 100,000 and the incidence is about 8300 new amputations per year (according to French National Authority for Health estimation). This prevalence is expected to increase in the next decade due to the ageing of the population. Even if prosthetic fitting allows amputee people recovering the walking ability, their autonomy remains limited when crossing obstacles such as slopes, stairs or cross-slopes frequently encountered during outdoors displacements. The aim of the project APSIC was to complete scientific knowledge about adaptation strategies to situations of daily living compared to level walking through an extensive motion analysis study of transtibial and transfemoral amputee compared to non-amputee people. APSIC succeeded in identifying physiologic joint functions and current prosthetic joint limitations in the studied situations, which notably resulted in the design of a prototype of ankle-knee prosthesis adapted to multimodal locomotion of transfemoral amputee. Perspectives of the clinical use of motion analysis within the rehabilitation process were explored and proved to be relevant for personalized approach of motor learning.

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