International Clinical Neuroscience Journal

Vol. 2 No. 1 (2015)

The Need for Stump-Socket Interface Pressure Measurment during Bidirectionally Perturbed Stance In Transtibial Amputees

International Clinical Neuroscience Journal, Vol. 2 No. 1 (2015), 3 March 2015 , Page 8-11
https://doi.org/10.22037/icnj.v2i1.6750

Abstract

Recent studies show significant reduction of postural stability in transtibial amputees (TTAs) especially when a perturbation is applied. However, no record has been seen on the consequences of such perturbation on the Stump-Socket Interface Pressure (SSIP). Our objective was to investigate whether such perturbation impose excessive pressures on the stump. We were also interested on the type of the response and direction in which TAs may face more difficulties. A 52-year-old TA participated in the study. The trial was performed using a custom bidirectional perturbing mechanism in the pitch and roll axes of ankle. Center of Pressure and were recorded by two force platforms and five resistive pressure sensors respectively. Right and anterior perturbations imposed the maximum SSIP while several CoP measures were considerably greater for the prosthetic leg just in left perturbations. This supports the necessity of measurement of SSIP as well as CoP to provide a better understanding about the new situations of TAs in postural stability

Keywords:
  • postural stability
  • prosthesis
  • soft tissue
  • perturbation

How to Cite

1.
Shirazi S, Safaeepour Z, Seddighi AS, Fatouraee N. The Need for Stump-Socket Interface Pressure Measurment during Bidirectionally Perturbed Stance In Transtibial Amputees. Int Clin Neurosci J [Internet]. 2015 Feb. 26 [cited 2024 Oct. 15];2(1):8-11. Available from: https://journals.sbmu.ac.ir/neuroscience/article/view/6750

References

van der Kooij H, van Asseldonk E, van der Helm FC. Comparison of different methods to identify and quantify balance control. J Neurosci Methods. 2005 Jun 30;145(1-2):175-203.

Muir JW, Kiel DP, Hannan M, Magaziner J, Rubin CT. Dynamic parameters of balance which correlate to elderly persons with a history of falls. PLoS One. 2013 Aug 5;8(8):e70566.

Winter DA, Prince F, Frank JS, Powell C, Zabjek KF. Unified theory regarding A/P and M/L balance in quiet stance. J Neurophysiol. 1996 Jun;75(6):2334-43.

Mackey, D.C. and S.N. Robinovitch, Postural steadiness during quiet stance does not associate with ability to recover balance in older women. Clin Biomech (Bristol, Avon). 2005. 20(8): p. 776-83.

Visser JE, Carpenter MG, van der Kooij H, Bloem BR. The clinical utility of posturography. Clin Neurophysiol. 2008 Nov;119(11):2424-36.

Bowker, JH. Transtibial Amputation: Surgical Management, in Atlas of amputations and limb deficiencies surgical, prosthetic and rehabilitation principles, D.G. Smith, J.W. Michael, and J.H. Bowker, Editors. 2004, American Academy of Orthopaedic Surgeons: Rosemont, IL. p. 481-501.

Buckley JG, O'Driscoll D, Bennett SJ. Postural sway and active balance performance in highly active lower-limb amputees. Am J Phys Med Rehabil. 2002 Jan;81(1):13-20.

Nederhand MJ, Van Asseldonk EH, van der Kooij H, Rietman HS. Dynamic Balance Control (DBC) in lower leg amputee subjects; contribution of the regulatory activity of the prosthesis side. Clin Biomech (Bristol, Avon). 2012 Jan;27(1):40-5.

Nederhand MJ, van Asseldonck EHF, van der Kooij H. Dynamic balance control in transfemoral amputees: Individual contribution of the prosthesis side. Gait Posture, 2006; 24: S125-S126.

Vrieling AH, van Keeken HG, Schoppen T, Otten E, Hof AL, Halbertsma JP, et al. Balance control on a moving platform in unilateral lower limb amputees. Gait Posture. 2008 Aug;28(2):222-8.

Pitkin MR. Biomechanics of lower limb prostheses. 2010, Berlin Heidelberg: Springer-Verlag.

Dou P, Jia X, Suo S, Wang R, Zhang M. Pressure distribution at the stump/socket interface in transtibial amputees during walking on stairs, slope and non-flat road. Clin Biomech (Bristol, Avon). 2006 Dec;21(10):1067-73.

Palmieri R M, Ingersoll C D, Stone M B, Krause B A. Center-of-pressure parameters used in the assessment of postural control. J Sport Rehabil. 2002;11:51–66.

Ali S, Abu Osman NA, Eshraghi A, Gholizadeh H, Abd Razak NA, Wan Abas WA. Interface pressure in transtibial socket during ascent and descent on stairs and its effect on patient satisfaction. Clinical Biomechanics. 2013;28(9):994–999.

Miller WC, Speechley M, Deathe B. The prevalence and risk factors of falling and fear of falling among lower extremity amputees. Arch Phys Med Rehabil. 2001; 82(8): 1031-7.

Kulkarni J, Toole C, Hirons R, Wright S and Morris J. Falls in patients with lower limb limb amputations: Prevalence and contributing factors. Physiotherapy 1996; 82: 130–136

Mak AF, Zhang M, Tam EW. Biomechanics of pressure ulcer in body tissues interacting with external forces during locomotion. Annu Rev Biomed Eng. 2010; 12: 29-53.

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