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Lower limb prostheses and ambulation

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Limb Amputation

Part of the book series: Therapy in Practice ((TPS))

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Abstract

During 1985 there were 5606 lower limb amputees referred to the limb fitting centres in England, Wales and Northern Ireland for prosthetic prescription. The majority of these were for prostheses at the aboveknee, transfemoral level (49%) and below-knee, transtibial level (42%) (Ham et al., 1989). Therefore, in the majority of hospital practices, the above-and below-knee amputees are most commonly seen. This chapter will therefore concentrate on these two levels and only discuss briefly amputations at the hip, knee, ankle and foot (Table 12.1).

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References

  • Beckman, C.E. and Axtell, L.A. (1987) Prosthetic use in elderly patients with dysvascular above knee and through knee amputations. Phys. Ther., 67, 1510–1516.

    Google Scholar 

  • Beswick, J.B. (1986) Evaluation of the Seattle foot. J. Rehab. Res. Dev., 23, 77–94.

    Google Scholar 

  • Chi-Tsou, H., Jackson, J.R. and Moore, N.B. (1979) Amputation: energy cost of ambulation. Arch. Phys. Med. Rehabil., 60, 18–24.

    Google Scholar 

  • DuBow, L.L., Witt, P.L., Kadaba, M.P., Reyes, R. and Cochran, G.V.B. (1983) Oxygen consumption of elderly persons with bilateral below knee amputations: Ambulation vs. wheelchair propulsion. Arch. Phys. Med. Rehabil., 64, 255–259.

    CAS  PubMed  Google Scholar 

  • Edelstein, J.E. (1988) Prosthetic feet; state of the art. Phys. Ther., 68, 1874–1881.

    CAS  PubMed  Google Scholar 

  • English, A.W.G. and Dean, A.A.G. (1980) The artificial limb service. Health Trends, 12, 77–82.

    Google Scholar 

  • English, E. (1981) The energy costs of walking for the Lower Extremity Amputee, in Amputation Surgery and Rehabilitation: the Toronto Experience (ed. J.P. Kostuik), Churchill Livingstone, Edinburgh, pp. 311–314.

    Google Scholar 

  • Engstrom, B. and Van de Ven, C. (1985) The through knee levels of amputation, in Physiotherapy for Amputees. The Roehampton Approach, Churchill Livingstone, Edinburgh, pp. 138–147.

    Google Scholar 

  • Fernie, G.R. and Ruder, K. (1981a) Lower limb prosthetics, in Amputation Surgery and Rehabilitation: the Toronto Experience (ed. J.P. Kostuik), Churchill Livingstone, Edinburgh, pp. 267–291.

    Google Scholar 

  • Fernie, G.R. and Ruder, K. (1981b) Biomechanics of gait and prosthetic alignment, in Amputation Surgery and Rehabilitation: the Toronto Experience (ed. J.P. Kostuik), Churchill Livingstone, Edinburgh, pp. 267–291.

    Google Scholar 

  • Fisher, S.V. and Gullickson, G. (1978) Energy cost of ambulation in health and disability. A literature review. Arch. Phys. Med. Rehabil., 59, 124–133.

    CAS  PubMed  Google Scholar 

  • Fishman, S., Edelstein, J.E. and Krebs, D.E. (1987) Icelandic Swedish New York above knee prosthetic sockets: paediatric experience. J. Paed. Orthop., 7, 557–562.

    Article  CAS  Google Scholar 

  • Flandry, F., Beskin, J., Chambers, R.B., Perry, J., Waters, R.L. and Chauez, R. (1989) The effect on the CAT — CAM above knee prosthesis on functional rehabilitation. Clin. Orthop. Rel. Res., 239, 249–262.

    Google Scholar 

  • Goh, J.C.H., Solomonidis, S.E., Spence, W.D. and Paul, J.P. (1984) Biomechanical evaluation of SACH and uniaxial feet. Prosthet. Orthot. Int., 8, 147–154.

    CAS  PubMed  Google Scholar 

  • Gonzalez, E.G., Corcoran, P.J. and Reyes, R.L. (1974) Energy expenditure in below knee amputees; correlation with stump length. Arch. Phys. Med. Rehabil., 55, 111–119.

    CAS  PubMed  Google Scholar 

  • Ham, R.O., Roberts, V.C. and Luff, R. (1989) A five-year review of referrals for prosthetic treatment in England, Wales and Northern Ireland, 1981–85. Health Trends, 21, 2–5.

    Google Scholar 

  • Holden, J.M. and Femie, G.R. (1983) Minimal walking levels for amputees living at home. Physiotherapy Canada, 35, 317–320.

    Google Scholar 

  • Holden, J.M. and Fernie, G.R. (1987) Extent of artificial limb use following rehabilitation. J. Orthopaed. Res., 5, 562–568.

    Article  CAS  Google Scholar 

  • Inman, V.T., Ralston, H.J. and Todd, F. (1981) Human walking. Williams and Wilkins.

    Google Scholar 

  • Isakov, E., Susak, Z. and Becker, E. (1985) Energy expenditure and cardiac response in above knee amputees while using prostheses with open and locked knee mechanisms. Scand. J. Rehab. Med., Suppl. 12, 108–111.

    CAS  Google Scholar 

  • Karacoloff, L.A. (1985) Prosthetic training, in Lower Extremity Amputation: a Guide to Functional Outcomes in Physical Therapy Management, pp. 65–82. Aspen Publication, Rockville, Maryland.

    Google Scholar 

  • Kerstein, M.D., Zimmer, H., Dungdale, F.E. and Lerner, E. (1975) What influence does age have on rehabilitation of amputees. Geriatrics, December, 39, 67–71.

    Google Scholar 

  • Kerstein, M.D., Zimmer, H., Dugdale, F.E. and Lerner, E. (1977) Successful rehabilitation following amputation of dominant versus non dominant extremities. Am. J. Occup. Ther., 31, 313–315.

    CAS  PubMed  Google Scholar 

  • Mensch, G. (1983) Physiotherapy following through knee amputation. Prosthet. Orthot. Int., 7, 79–87.

    CAS  PubMed  Google Scholar 

  • Mensch, G. (1984) ISPO seminar features new flexible socket for amputees. Physiotherapy Canada, 36, 208–209.

    Google Scholar 

  • Mensch, G. and Ellis, P.M. (1987d) Prosthetics and prosthetic gait, in Physical Therapy Management of Lower Extremity Amputations, Heinemann Physiotherapy, London, pp. 201–335.

    Google Scholar 

  • Mueller, M.J. and Delitto, A. (1985) Selective criteria for successful long-term prosthetic use. Phys. Ther., 65, 1037–1040.

    CAS  PubMed  Google Scholar 

  • Öberg, K.E.T. and Kamwendo, K. (1988) Knee components for the above knee amputation, in Amputation Surgery and Lower Limb Prosthetics, Blackwell Scientific, Oxford, pp. 152–171.

    Google Scholar 

  • Picken, R.R. (1985) The above knee prosthesis, in Lower Extremity Amputation: a Guide to Functional Outcomes in Physical Therapy Management, pp. 31–36. Aspen Publication, Rockville, Maryland.

    Google Scholar 

  • Radcliffe, C.W. (1977) Above knee prosthesis. Prosthet. Orthot. Int., 1, 146–160.

    CAS  PubMed  Google Scholar 

  • Renström, P. (1981) Below knee amputees at an Amputee Training Centre, in The Below-knee Amputee, University of Göteborg, Sweden, pp. 31–44.

    Google Scholar 

  • Roberts, R.A. (1986) Suction socket suspension for below knee amputees. Arch. Phys. Med. Rehabil., 67, 196–199.

    Article  CAS  PubMed  Google Scholar 

  • Rubin, G., Fischer, E. and Dixon, M. (1986) Prescription of above-knee and below-knee prostheses. Prosthet. Orthot. Int., 10, 117–124.

    CAS  PubMed  Google Scholar 

  • Sanders, G.T. (1986a) Statistics, in Lower Limb Amputation: a Guide to Rehabilitation, F.A. Davis Co., Philadelphia, pp. 135–55, (b) Above knee, pp. 1231–254, (c) Knee mechanisms, pp. 1258–274, (d) Ankle/foot mechanisms, pp. 1143–160, (e) Below knee, pp. 1163–204, (f) Hip disarticulations, pp. 277–294, (g) Ankle disarticulation and Syme, pp. 121–140.

    Google Scholar 

  • Staats, T.B. and Lundir, J. (1987) The UCLA total surface bearing suction below knee prosthesis. Clin. Pros. and Orthotics, 11, (3), 118–130.

    Google Scholar 

  • Sulzle, H., Pagliarulo, M., Rodgers, M. and Jordan, C. (1978) Energetics of amputee gait. Orthop. Clin. North Am., 9. 358–362.

    CAS  PubMed  Google Scholar 

  • University of Strathclyde (1980a) Above knee gait analysis, in Lower Limb Prosthetics, National Centre for Training and Education in Prosthetics and Orthotics, Glasgow.

    Google Scholar 

  • University of Strathclyde (1980b) Below knee gait analysis and deviations, in Lower Limb Prosthetics, National Centre for Training and Education in Prosthetics and Orthotics, Glasgow.

    Google Scholar 

  • Waldes, J.D. and Davis, B.C. (1979) Prosthetic sitting and points of rehabilitation for hindquarter and hip disarticulation patients. Physiotherapy, 65, 4–6.

    Google Scholar 

  • Waters, R.L., Perry, J., Antonelli, D. and Hislop, H. (1976) Energy cost of walking of amputees: the influence of level of amputation. J. Bone Joint Surg., 58, 42–46.

    CAS  PubMed  Google Scholar 

  • Weaver, P.C. and Marshall, S.A. (1973) A functional and social review of lower limb amputees. Br. J. Surg., 60, 732–737.

    Article  CAS  PubMed  Google Scholar 

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© 1991 R. Ham and L. Cotton

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Ham, R., Cotton, L. (1991). Lower limb prostheses and ambulation. In: Limb Amputation. Therapy in Practice. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3152-8_12

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  • DOI: https://doi.org/10.1007/978-1-4899-3152-8_12

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-412-34610-1

  • Online ISBN: 978-1-4899-3152-8

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