My prosthesis as a part of me

Lundberg, Mari; Hagberg, Kerstin; Bullington, Jennifer

doi:10.1177/0309364611409795

Cited by 113 publications

(73 citation statements)

References 27 publications

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“…The results showed that cadence, duration of GC, and support-to-swing ratio for all activities with both prostheses were among the best when compared with similar populations using socket-suspended prostheses [36,44]. Prosthetic benefits of the osseointegration fixation were translated into high functional outcomes for this participant [6][7]12,44].…”

Section: Prostheses Comparisonmentioning

confidence: 83%

Load applied on bone-anchored transfemoral prosthesis: Characterization of a prosthesis� A pilot study

Frossard¹,

Häggström²,

Hagberg³

et al. 2013

JRRD

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Abstract-The objectives of this study were to (1) record the inner-prosthesis loading during activities of daily living (ADLs), (2) present a set of variables comparing loading data, and (3) provide an example of characterization of two prostheses. The load was measured at 200 Hz using a multi-axial transducer mounted between the residuum and the knee of an individual with unilateral transfemoral amputation fitted with a bone-anchored prosthesis. The load was measured while using two different prosthetic knees, mechanical (PRO1) and microprocessor-controlled (PRO2), during six ADLs. The characterization of the prostheses was achieved using a set of variables split into four categories, including temporal characteristics, maximum loading, loading slopes, and impulse. Approximately 360 gait cycles were analyzed for each prosthesis. PRO1 showed a cadence improved by 19% and 7%, a maximum force on the long axis reduced by 11% and 19%, and an impulse reduced by 32% and 15% during descent of incline and stairs compared with PRO2, respectively. This work confirmed that the proposed apparatus and characterization can reveal how changes of prosthetic components are translated into inner-prosthetic loading.

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Section: Prostheses Comparisonmentioning

confidence: 83%

Load applied on bone-anchored transfemoral prosthesis: Characterization of a prosthesis� A pilot study

Frossard¹,

Häggström²,

Hagberg³

et al. 2013

JRRD

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“…Moreover, at follow-up the OI group had a lower detection threshold than the group of controls at both 125 and 250 Hz ( Table 3). The improved osseoperception might help to explain why patients with OI prostheses have reported their prosthesis to become "as a part of me" [15], and the result adds to the published benefits of OI prosthesis [10,[39][40][41].…”

Section: Discussionmentioning

confidence: 90%

“…Patients using such osseointegrated (OI) prostheses have reported an improved ability to identify various sensations through their artificial limb [12][13][14][15], a phenomenon called osseoperception. Osseoperception has also been identified regarding the benefit of improved sensory feedback for bite force and oral function in patients with OI implants in the edentulous jaw [13,16].…”

Section: Introductionmentioning

confidence: 99%

Vibrotactile evaluation: Osseointegrated versus socket-suspended transfemoral prostheses

Häggström

Hagberg²,

Rydevik³

et al. 2013

J Rehabil Res Dev

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Abstract-This study investigated detection thresholds of vibrometric stimuli in patients with transfemoral amputation supplied with osseointegrated (OI) and socket-suspended prostheses. It included 17 patients tested preoperatively with socket-suspended prostheses and after 2 yr with OI prostheses and a control group (n = 17) using socket-suspended prostheses, evaluated once. Assessments on the prosthetic and intact feet were conducted at six frequencies (8,16,32, 64, 125, and 250 Hz). Furthermore, measurements were conducted to investigate how vibrometric signals are transmitted through a test prosthesis. The results showed that the OI group had improved ability to detect vibrations through the prosthesis at 125 Hz (p = 0.01) at follow-up compared with the preoperative measurement. Compared with the control group, the OI group at follow-up had better ability to detect high frequency vibrations through the prosthesis (125 Hz, p = 0.02; 250 Hz, p = 0.03). The vibrometric signal transmitted through the test prosthesis was reduced at 8, 125, and 250 Hz but was amplified at 16, 32, and 64 Hz. Differences between the OI and the control groups were found in the highest frequencies in which the test prosthesis showed reduction of the vibrometric signal. The study provides insight into the mechanisms of vibration transmission between the exterior and bone-anchored as well as socketsuspended amputation prostheses.

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“…I en senare studie har Lundberg et al (66) beskrivit vad det innebar för amputerade patienter att få byta till en beninfäst protes. De beskrev att den förbättrade funktion som protesen gav ledde till bättre självkänsla, individerna tyckte bättre om sig själva och återfick sin identitet från tiden före amputationen (81). Behandlingsstudier har undersökt hur patienter upplever B-BAT.…”

Section: Fysioterapeutisk Forskning Som Bygger På "Den Levda Kroppen"unclassified

Att leva med en kropp som värker : samtal med fysioterapeuten

Afrell¹

2014

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Background and aim: Physiotherapists in primary care meet, assess and treat patients with long-standing benign musculoskeletal pain. As a clinical condition, long-standing pain is common but nonetheless it is quite complex. The aim of this thesis has been, from a bodily existential perspective, to investigate and conceptualise the experience of living with longstanding benign musculoskeletal pain, and from there, to work out a method for conversation and assessment within non-specialised physiotherapy. Methods: Our first study was an interview study where we applied a phenomenological approach and investigated the ways individuals suffering from long-standing pain experienced their body and their illness. Four aspects of body experience were described, and based on these aspects, four typologies of attitudes to pain were distinguished. In the second study, we made two group interviews with six physiotherapists about their experiences of using, in their clinical work, questions from the interview guide in study I that had given particularly rich responses. Transcripts were analysed using phenomenography. In the third study, patients’ verbal responses to the key questions, directed to them by physiotherapists in clinical situations, were investigated, and the four aspects of body experience from study I formed the concepts of a deductive analysis. In study IV, finally, the key questions and typologies were tried by a larger group (31), and their experiences and the possible applicability of the method were studied by qualitative content analysis combined with the counting of codes. Results: We created four typologies of attitudes to long-standing pain: “Surrendering to one’s fate”, “Accepting by an active process of change”, “Balancing between hope and resignation” and “Rejecting the body”. These typologies, in turn, were based on four aspects of body experience: “The body as an aspect of identity”. “Body reliance”, “Body awareness”, and “Ways of understanding pain”. In study II, by the aid of key questions, patient and physiotherapist managed to have a conversation on bodily existential matters. The physiotherapist learnt to know the patient as a person, a process appeared to be initiated in the patient, and their relation changed. The patient was willing to talk about her body in pain, and had the words to do this. In study III, the key questions opened ways to reflections on body, existence, and biography. The four aspects of body experience were central to the patients’ descriptions. In study IV, the participating physiotherapists reported by large positive experiences from applying key questions and typologies. The patients reflected, emotions were evoked, and the relation and the communication often improved. The typologies helped in giving a comprehensive perspective of the patient’s problem, and to grasp where in the process of rehabilitation the patient was to be found. Conclusions: The method, seven key questions combined with the tentative frame of interpretation of the answers, seemed to be easily appl...

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My prosthesis as a part of me

Cited by 113 publications

References 27 publications

Load applied on bone-anchored transfemoral prosthesis: Characterization of a prosthesis� A pilot study

Load applied on bone-anchored transfemoral prosthesis: Characterization of a prosthesis� A pilot study

Vibrotactile evaluation: Osseointegrated versus socket-suspended transfemoral prostheses

Att leva med en kropp som värker : samtal med fysioterapeuten

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