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Vaulting quantification during level walking of transfemoral amputees

Article dans une revue avec comité de lecture
Auteur
DREVELLE, Xavier
251770 CERAH
VILLA, Coralie
BONNET, Xavier
LOIRET, Isabelle
FODÉ, Pascale
251770 CERAH
ccPILLET, Helene
99538 Laboratoire de biomécanique [LBM]

URI
http://hdl.handle.net/10985/9009
DOI
10.1016/j.clinbiomech.2014.04.006
Date
2014
Journal
Clinical Biomechanics

Résumé

Background: Vaulting is a gait compensatory mechanism used by transfemoral amputees to assist toe clearance during the prosthetic swing phase. It is defined by a plantar flexion of the contralateral ankle during the single-limb support phase. The aim of the study is to propose a method to quantify vaulting of transfemoral amputees. Methods: 17 transfemoral amputees and 28 asymptomatic subjects participated in the data collection. Kinematics and kinetics of thewhole bodywere recordedwhile subjectswerewalking on a level surface. Biomechanical gait analysis was focused on a reduced set of parameters linked to the contralateral ankle, the contralateral knee and the trajectory of the center of pressure. The patients were classified in two groups: with orwithout vaulting using video recordings. Differences between both groups and the control group were analyzed. Findings: A higher generated ankle powerwas found during the single support phase of the contralateral limb of transfemoralamputees presenting vaulting. These subjects presented also a higher dissipated knee flexion power before the peak in ankle flexion power. The trajectory of the center of pressurewas also modified by the vaulting. Interpretation: Vaulting for transfemoral amputees is characterized by a propulsive plantar flexion at the contralateral ankle. Quantifying the ankle flexion power during the contralateral single support phase will help in understanding vaulting.

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  • Institut de Biomécanique Humaine Georges Charpak (IBHGC)

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  • APSIC: Training and fitting amputees during situations of daily living 
    Article dans une revue avec comité de lecture
    DREVELLE, Xavier; BONNET, Xavier; VILLA, Coralie; MARTINET, Noël; SAURET, Christophe; BASCOU, Joseph; LOIRET, Isabelle; DJIAN, Francis; RAPIN, Nathalie; MILLE, Jacky; THOREUX, Patricia; FODÉ, Pascal; PAYSANT, Jean; GUÉRIT, Philippe; LAVASTE, François; ccPILLET, Helene (Elsevier BV, 2014)
    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 ...
  • Evolution of vaulting strategy during locomotion of individuals with transfemoral amputation on slopes and cross-slopes compared to level walking 
    Article dans une revue avec comité de lecture
    VILLA, Coralie; DREVELLE, Xavier; BONNET, Xavier; LAVASTE, François; LOIRET, Isabelle; FODÉ, Pascale; ccPILLET, Helene (Elsevier BV, 2015)
    Background: Vaulting is a walking strategy qualitatively characterized in clinics by the sound ankle plantiflexion in midstance to assist prosthetic foot clearance. Even though potentially harmful, this strategy is often ...
  • Cross-Slope and Level Walking Strategies During Swing in Individuals With Lower Limb Amputation 
    Article dans une revue avec comité de lecture
    VILLA, Coralie; LOIRET, Isabelle; LANGLOIS, Karine; BONNET, Xavier; LAVASTE, François; FODÉ, Pascale; ccPILLET, Helene (Elsevier BV, 2017)
    Objective To quantitatively analyze prosthetic limb swing phase gait strategies used to adapt to cross slopes compared with flat surfaces. Design Cross-sectional study. Setting Gait laboratory. Participants A volunteer ...
  • Evolution of vaulting strategy during locomotion of individuals with transfemoral amputation on slopes and cross-slopes compared to level walking 
    Article dans une revue avec comité de lecture
    DREVELLE, Xavier; BONNET, Xavier; LAVASTE, François; LOIRET, Isabelle; FODÉ, Pascale; ccPILLET, Helene (Elsevier, 2015)
    Background: Vaulting is a walking strategy qualitatively characterized in clinics by the sound ankle plantiflexion in midstance to assist prosthetic foot clearance. Even though potentially harmful, this strategy is often ...
  • Normative Data of the External Work of Individual Limbs and of the Distribution of Joint Work During Stair Crossing 
    Article dans une revue avec comité de lecture
    ccPILLET, Helene; ccDAURIAC, Boris; ccVILLA, Coralie; ccLOIRET, Isabelle; LOIRET, Isabelle; LAVASTE, Francois; ccBONNET, Xavier (2023-12)
    Background: Stair walking requires to elevate or lower the body center of mass and results in increased muscle contractions and consumed energy compared to level walking. Mechanical work produced by the body can be quantified ...

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