#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Posturographic Evaluation of Functional Adaptability after Lower Extremity Amputation


Authors: B. Kolářová 1,2,3;  M. Janura 1;  A. Krobot 2,3
Authors‘ workplace: Katedra přírodních věd v kinantropologii, Fakulta tělesné kultury UP, Olomouc, vedoucí katedry prof. RNDr. M. Janura, Dr. 1;  Oddělení rehabilitace, Fakultní nemocnice Olomouc, primář MUDr. A. Krobot, Ph. D. 2;  Ústav fyzioterapie, Fakulta zdravotnických věd UP, Olomouc, přednosta ústavu MUDr. A. Krobot, Ph. D. 3
Published in: Rehabil. fyz. Lék., 18, 2011, No. 2, pp. 97-104.
Category: Comprehensive Report

Overview

Computing posturographic examination represents an objectification instrumental method for the analysis of postural control under static and dynamic conditions. The main contribution of this technology for rehabilitation of motoric disorders is the simulation of conditions of real gravitational environment by a standardized way. The dynamic posturography makes it possible to measure parameters of functional adaptation to disturbed conditions of postural control in a very detailed way. The clinical usefulness is not limited to actual results, but especially to analysis of individual strategy and trends of the proband in the process of functional adaptation.

The communication presents the methods, results and interpretation of dynamic posturography in model case reports of the patients who underwent lower extremity amputation and who were subject to posturographic examination in the course of individual phases of rehabilitation. The results make it clear that amputation of lower extremity leads to alteration of postural stabilization and functional preference of the saved lower extremity. The patients differ in the trends of functional adaptation. For prediction of the results of functional adaptation after amputation the length of the stump and the causes of amputation play significant roles. Other factors are of functional character and may be influenced by rehabilitation.

Key words:
dynamic computing posturography, lower extremity amputation, postural control


Sources

1. ANKER, L. C., WEERDESTEYN, V., VAN NES, I. J., NIENHUIS, B., STRAATMAN, H., GEURTS, A. C.: The relation between postural stability and weight distribution in healthy subjects. Gait Posture, 27, 2007, s. 471-477.

2. ARWERT, J. H., DOORN-LOOGMAN, M. H., KONING, J., TERBURG, M. R., ROEBROECK, M. E.: Residual-limb quality and functional mobility 1 year after transtibial amputation caused by vascular insufficiency. J. Rehabil. Res. Dev., 44, 2007, s. 717-722.

3. ARUIN, A. S., NICHOLAS, J. J., LATASH, M. L.: Anticipatory postural adjustments during standing in below-the-knee amputees. Clin. Biomech. (Bristol, Avon), 12, 1997, s. 52-59.

4. BHANGU, S, DEVLIN, M, PAULEY, T.: Outcomes of individuals with transfemoral and contralateral transtibial amputation due to dysvascular etiologies. Prosthet. Orthet. Int., 33, 2009, s. 33-40.

5. BLUMENTRITT, S., SGHMALZ, T., JARASH, R., SCHNEIDER, M.: Effects of sagital plane prosthetic alignment on standing transtibial amputee knee loads. Prosthet. Orthet. Int., 23, 1999, s. 231-238.

6. DUCLOS, C., ROLL, R., KAVOUNOUDIAS, A., ROLL, J. P., FOROT, R.: Vibration-induced post-effects: A means to improve postural asymmetry in lower leg amputees? Gait Posture, 26, 2007, s. 595-602.

7. FANG, L., XIAOHONG, J., WANQ, R.: Modeling and simulation of muslce forces of trans-tibial amputee to study effect of prosthetic alignment. Clin. Biomech. (Bristol, Avon), 22, 2007, s. 1125-1131.

8. GAUTHIER-GAGNON, CH., GRAVEL, D., ST-AMAND, H., MURIE, CH., GOYETTE, M.: Cahnges in ground reaction forces during prosthetic training of people with transfemoral amputations: A pilot study. J. Prosthet. Orthet., 12, 2000, s. 72-79.

9. GEURTS, A. C. H., MULDER, T. W.: Reorganization of postural control following lower limb amputation: Theoretical consideration and implications for rehabilitation. Physiother. Theory Pract., 8, 1992, s. 145-157.

10. GREIVE, A. C., LANKHORST, G. J.: Functional outcome of lower-limb amputees: a prospective descriptive study in a general hospital. Prosthet. Orthet. Int., 20, 1996, s. 79-87.

11. HERMODSSON, Y., EKDAHL, C., PERSSON, B. M., ROZENDAL, G.: Standing balance in trans-tibial amputees following vascular disease or trauma: A comparative study with healthy subjects. Prosthet. Orthit. Int., 18, 1994, s. 150-158.

12. HORAK, F. B., NASHNER, L. M.: Central programming of postural movements: adaptation to altered support-surface configurations. J. Neurophysiol., 55, 1986, s. 1369-1381.

13. HORAK, F. B: Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? Age Ageing, 35, 2006, s. 7-11.

14. ISAKOV, E., MIZRAHI, J., RING, H., SUSAK, Z., HAKIM, N.: Standing sway and weight-bearing distribution in people with below-knee amputation, Arch. Phys. Med. Rehabil., 73, 1992, s. 174-178.

15. JONES, M. E., STEEL, J. R., BASHFORD, G. M, DAVIDSON, I. R.: Static versus dynamic prosthetic weight bearing in elderly transtibial amputees. Prosthet. Orthit. Int., 21, 1997, s. 100-106.

16. MILLER, C., SPEECHLEY, M., DEATHE, B.: Balance confidence among people with lower limb amputation. Physical Therapy, 82, 2002, s. 856-865.

17. NASHNER, L.: Sensory, neuromuscular and biomechanical contributions to human balance. Proceedings of the APTA Forum in Nashville. Alexandria, American Physical Therapy Association, 1990, s. 5-12.

18. NEWTON, R. A.: Validity of the multi-directional reach test: a practical measure for limits of stability in older adults. Gerontol. B psychol. Sci. Soc. Sci., 56, 2001, s. 248-252.

19. NEUROCOM INTERNATIONAL: Smart Eqiutest® system operatoręs manual (version 8). Clackamus (OR), NeuroCom, 1998.

20. POHJOLAINEN, T., ALARANTA, H.: Predictive factors of functional ability after lower-limb amputation. Ann. Chir. Gynaecol., 80, 1991, s. 36-39.

21. VANICEK, N., STRIKE, S., MCNAUGHTON, L., POLMAN, R.: Postural response to dynamic perturbations in amputee fallers versus nonfallers: A comparative study with able-bodied subjects. Arch. Phys. Med. Rehabil., 90, 2009, s. 1018-1025.

22. VITON, J. M., MOUCHNINO, L., MILLE, M., CINCERA, M., DELARQUE, A., PEDOTTI, A., BARDOT, A., MASSION J.: Equilibrum and movement control strategies in trans-tibial amputees. Prosthet. Orthet. Int., 24, 2000, s. 108-116.

23. VRIELING, A. H., KEEKEN, H. G., SCHOPEN, T., OTTEN, E., HOF, A. L., HALBERTSMA, J. P. K., POSTEMA, K.: Balance control on moving platform in unilateral lower limb amputees. Gait Posture, 28, 2008, s. 222-228.

24. SABOLICH, J. A., ORTEGA, G. M.: Sense of feel for lower-limb amputees: A phase-one study. J. Prosthet. Orthet., 6, 1994, s. 36-41.

Labels
Physiotherapist, university degree Rehabilitation Sports medicine
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#