Avtor/Urednik		Isakov, E; Burger, H; Gregorič, M; Marinček, Č
Naslov		Stump length as realated to atrophy and strength of the thigh muscles in trans-tibial amputees
Tip		članek
Vir		Prosthet Orthot Int
Vol. in št.		Letnik 20
Leto izdaje		1996
Obseg		str. 96-100
Jezik		eng
Abstrakt		Stump length and the thigh muscles strength of the amputated limb are among the major factors influencing outcome of prosthetic rehabilitation of trans-tibial amputees. In the present study the authors evaluated and compared the strength of quadriceps and hamstrings muscles of both limbs in trans-tibial amputees, as measured by means of an electrical dynamometer. The obtained results showed that the thigh muscles of the sound limbs are significantly stronger than those of the amputated limbs (p<0.01). The results obtained for amputees with shorter stumps were compared to those with longer stumps. In the group of amputees (n=9) with a stump shorter than 15.1 cm, values of peak torque (in isokinetic contraction) and maximal average torque (in isometric contraction) were significantly (p<0.5) weaker when compared to those (n=9) with a stump longer than 15.1 cm. The results obtained for amputees with a higher rate of thigh muscle atrophy were compared to those with lesser atrophy. In the group of amputees where muscle atrophy was accompanied by decrease in thigh girth of over 5.9 cm, muscles strength did not significantly decrease (p<0.5) as compared to amputees where thigh girth decrease was less than 5.9 cm. it is concluded that atrophy of the thigh muscles of trans-tibial amputees is accompanied with a significant decrease in strenght. In amputees with a short stump, the short lever action provided by the stump interferes with the ability of the thigh muscles to control the prosthesis efficiently during daily activities such as standing and walking.
Deskriptorji		AMPUTATION STUMPS AMPUTEES MUSCULAR ATROPHY THIGH ADULT ANTHROPOMETRY ARTIFICIAL LIMBS MUSCLE CONTRACTION TREATMENT OUTCOME