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Influence of physical capacities of males with transtibial amputation on gait adjustments on sloped surfaces

Type
Articles dans des revues avec comité de lecture
Author
LANGLOIS, Karine
99538 Laboratoire de biomécanique [LBM]
VILLA, Coralie
99538 Laboratoire de biomécanique [LBM]
BONNET, Xavier
LAVASTE, François
99538 Laboratoire de biomécanique [LBM]
251770 CERAH
FODE, Pascale
251770 CERAH
MARTINET, Noël
PILLET, Hélène
99538 Laboratoire de biomécanique [LBM]

URI
http://hdl.handle.net/10985/8918
DOI
10.1682/JRRD.2013.05.0118
Date
2014
Journal
Journal of Rehabilitation Research and Development

Abstract

The aim of the study was to investigate how kinematic and kinetic adjustments between level and slope locomotion of persons with transtibial amputation are related to their individual muscular and functional capacities. A quantified gait analysis was conducted on flat and slope surfaces for seven patients with transtibial amputation and a control group of eight subjects to obtain biomechanical parameters. In addition, maximal isometric muscular strength (knee and hip extensors) and functional scores were measured. The results of this study showed that most of the persons with transtibial amputation could adapt to ramp ascent either by increasing ankle, knee, and hip flexion angles of the residual limb and/or by recruiting their hip extensors to guarantee enough hip extension power during early stance. Besides, 6-minute walk test score was shown to be a good predictor of adaptation capacities to slope ascent. In ramp descent, the increase of knee flexion moment was correlated with knee extensor strength and residual-limb length. However, no correlation was observed with functional parameters. Results show that the walking strategy adopted by persons with transtibial amputation to negotiate ramp locomotion mainly depends on their muscular capacities. Therefore, muscular strengthening should be a priority during rehabilitation.

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