| Author/Editor | Cergol, Sergeja; Zadravec, Matjaž; Podlogar, Veronika; Matjačić, Zlatko; Burger, Helena | |
| Title | The influence of hydraulic prosthetic ankle on walking of a person after bilateral transtibial amputation | |
| Translated title | Vpliv hidravličnega stopala za protezo na hojo osebe po obojestranski transtibialni amputaciji | |
| Type | članek | |
| Vol. and No. | Letnik 21, št. 1 | |
| Publication year | 2022 | |
| Volume | str. 71-79 | |
| ISSN | 1580-9315 - Rehabilitacija | |
| Language | eng | |
| Abstract | Background: Several articles about hydraulic ankles can be found in the PubMed bibliographic database, but we did not find any study about the influence of passive hydraulic ankle on walking upand downhill in persons after bilateral transtibial amputation. The aim of our study was to assess this influence in a person after bilateral transtibial amputation. Methods: The subject in our study was a 50-years old woman after bilateral transtibial amputation performed five years before the study due to complications of type I diabetes. Most measurements were performed three times ‐ on the admission day with the patient’s previous prostheses, after two weeks of training with the new prostheses with hydraulic prosthetic feet, and three months after discharge. We performed a structured interview, clinical tests, patient-reported outcome measures (PROMs) and kinesiological measurements during walking on flat, up- and downhill surfaces. Results: While the patient reported subjective improvement on all questions of the structured interview and PROMs, we did not detect any objective improvement with clinical tests and only very small, probably clinically not important differences with kinesiological measurements. Conclusions: Clinical tests and kinesiologic measurements did not confirm the subjective improvement felt by the patient. It is not possible to generalise our results to other subjects after bilateral transtibial amputation.Izhodišča: V bibliografski podatkovni zbirki PubMed je več člankov o hidravličnih stopalih za proteze, vendar nismo našli nobene študije o vplivu pasivnega hidravličnega stopala na hojo navkreber in navzdol pri osebah po obojestranski transtibialni amputaciji. V študiji smo želeli oceniti morebitni vpliv hidravličnega stopala na protezi pri hoji pacientke po obojestranski transtibialni amputaciji. Metode: V raziskavo smo vključili petdesetletno žensko po obojestranski transtibialni amputaciji, opravljeni pet let pred raziskavo zaradi zapletov sladkorne bolezni tipa I. Večino meritev smo opravili trikrat ‐ na dan sprejema z njenima prejšnjima protezama, z novima protezama s hidravličnim proteznim stopalom po dveh tednih vadbe in tri mesece po odpustu. Opravili smo strukturiran intervju, klinične teste, izpolnila je številne vprašalnike in naredili smo kineziološke meritve hoje po ravnem, po klančini navzgor in navzdol. Rezultati: Medtem ko je pacientka poročala o subjektivnem izboljšanju pri vseh vprašanjih strukturiranega intervjuja in na vseh vprašalnikih, s kliničnimi testi nismo ugotovili nobenega objektivnega izboljšanja, s kineziološkimi meritvami pa zelo majhne, verjetno klinično nepomembne razlike. Zaključek: Klinični testi in kineziološke meritve niso potrdili subjektivnega izboljšanja, ki ga je občutila pacientka. Naših rezultatov ni mogoče posplošiti na druge osebe po obojestranski transtibialni amputaciji. | |
| Descriptors | Amputation Gait Prostheses and Implants rehabilitation | |
| Keywords | obojestranska transtibialna amputacija pasivno hidravlično protezno stopalo hoja navzdol bilateral transtibial amputation passive hydraulic prosthetic ankle walking downhill |