A Review of Clinical Outcome Assessment Instruments for Gait, Balance, and Fall Risk in Persons With Lower Extremity Amputation

Frequency and Circumstances of Falls Reported by Ambulatory Unilateral Lower Limb Prosthesis Users: A Secondary Analysis

“…Therefore, new prosthetic designs with active powered control might be necessary for LLP users to successfully use the full range of available balance response strategies . Clinical balance tests that probe responses to BoS disruptions might be needed to improve fall risk assessment in LLP users .…”

“…What activities are LLP users most commonly engaged in at the time of a fall? Answers to these questions could help direct treatment to the most prevalent and consequential types of falls , prioritize research needs in areas related to fall assessment (eg, screening methods and diagnostic tests) , and generate evidence to develop and revise reimbursement policies (eg, prosthetic components that decrease falls). Therefore, the primary objective of this project was to provide an initial characterization of the circumstances of falls in ambulatory unilateral LLP users.…”

Risk Factors for Falls in People With a Lower Limb Amputation: A Systematic Review

“…In the current review, however, only 2 prospective studies were found that evaluated functional mobility measures. Dite et al [19] used 3 tests (TUG, FSST, and Turn 180°) to predict falls risk, but these tests have not been validated beyond unilateral transtibial amputee involvement [28] and therefore the threshold values should be limited in application to that population. Another study used the L test, developed specifically for evaluating functional mobility in people with a LLA [29], but there is no literature to support predictive validity to future falls.…”

Community activity and participation are reduced in transtibial amputee fallers: a wearable technology study

“…Nevertheless, given the prevalence of falls observed in this study (35%), and also reported previously,14 these findings further emphasise the importance of clinical falls assessment for lower limb amputees (for a review of amputee falls assessments, see ref. 24). Not only is there likely to be some form of physical or psychological injury result from a fall,25 but also evidence from the current study demonstrates that fallers achieve suboptimal levels of community activity and participation and may therefore not successfully achieve the rehabilitation goal of functional mobility 18.…”