Sports and recreation for persons with limb deficiency

Webster, Joseph B.; Levy, Charles E.; Bryant, Phillip R.; Prusakowski, Paul E.

doi:10.1053/apmr.2001.22243

Cited by 6 publications

(14 citation statements)

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“…[ 4 , 5 ] While RSF are well-suited for running and sprinting, the absence of a heel and split keel decreases stability in standing, walking, and other low- and moderate-impact activities. [ 6 ] Thus, active users often require a primary prosthesis with an ESF and a sports prosthesis with an RSF or other specialized foot to participate optimally in a broad range of activities ( Fig 2 ). [ 6 , 7 ]…”

Section: Introductionmentioning

confidence: 99%

“…[ 6 ] Thus, active users often require a primary prosthesis with an ESF and a sports prosthesis with an RSF or other specialized foot to participate optimally in a broad range of activities ( Fig 2 ). [ 6 , 7 ]…”

Section: Introductionmentioning

confidence: 99%

“…Prosthesis users must regularly return to their prosthetist for adjustments as components wear or the fit of their prosthesis changes over time. [ 6 , 7 , 9 ] These adjustments can be time-consuming, particularly when a second prosthesis must be modified. Another barrier to use of sports prostheses is the inconvenience of switching back and forth between prostheses as users transition among different activities.…”

Section: Introductionmentioning

confidence: 99%

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Laboratory- and community-based health outcomes in people with transtibial amputation using crossover and energy-storing prosthetic feet: A randomized crossover trial

et al. 2018

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Contemporary prosthetic feet are generally optimized for either daily or high-level activities. Prosthesis users, therefore, often require multiple prostheses to participate in activities that span a range of mobility. Crossover feet (XF) are designed to increase the range of activities that can be performed with a single prosthesis. However, little evidence exists to guide clinical prescription of XF relative to traditional energy storing feet (ESF). The objective of this study was to assess the effects of XF and ESF on health outcomes in people with transtibial amputation. A randomized crossover study was conducted to assess changes in laboratory-based (endurance, perceived exertion, walking performance) and community-based (step activity and self-reported mobility, fatigue, balance confidence, activity restrictions, and satisfaction) outcomes. Twenty-seven participants were fit with XF and ESF prostheses with standardized sockets, interfaces, and suspensions. Participants were not blinded to the intervention, and wore each prosthesis for one month while their steps were counted with an activity monitor. After each accommodation period, participants returned for data collection. Endurance and perceived exertion were measured with the Six-Minute Walk Test and Borg-CR100, respectively. Walking performance was measured using an electronic walkway. Self-reported mobility, fatigue, balance confidence, activity restrictions, and satisfaction were measured with survey instruments. Participants also reported foot preferences upon conclusion of the study. Differences between feet were assessed with a crossover analysis. While using XF, users experienced improvements in most community-based outcomes, including mobility (p = .001), fatigue (p = .001), balance confidence (p = .005), activity restrictions (p = .002), and functional satisfaction (p < .001). Participants also exhibited longer sound side steps in XF compared to ESF (p < .001). Most participants (89%) reported an overall preference for XF; others (11%) reported no preference. Results indicate that XF may be a promising alternative to ESF for people with transtibial amputation who engage in a range of mobility activities.Trial registration: ClinicalTrials.gov NCT02440711

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Laboratory- and community-based health outcomes in people with transtibial amputation using crossover and energy-storing prosthetic feet: A randomized crossover trial

et al. 2018

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“…Three articles 7 , 16 , 17 are based on the experience of the authors and their evaluation of the fitting of prostheses to patients ( n = 7847 total). Two articles 1 , 18 describe the design of a specific prosthesis and six articles 8 , 19 – 23 are reviews which include passive prostheses. These six articles are either dated, do not provide a clear review of the peer-reviewed literature on passive hand prostheses, or do not indicate clear directions for improvement of passive devices.…”

Section: Resultsmentioning

confidence: 99%

Passive prosthetic hands and tools

Maat

Smit

Plettenburg

et al. 2018

Prosthetics &Amp; Orthotics International

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Background:The group of passive prostheses consists of prosthetic hands and prosthetic tools. These can either be static or adjustable. Limited research and development on passive prostheses has been performed although many people use these prosthesis types. Although some publications describe passive prostheses, no recent review of the peer-reviewed literature on passive prostheses is available.Objective:Review the peer-reviewed literature on passive prostheses for replacement of the hand.Study design:Literature review.Methods:Four electronic databases were searched using a Boolean combination of relevant keywords. English-language articles relevant to the objective were selected.Results:In all, 38 papers were included in the review. Publications on passive prosthetic hands describe their users, usage, functionality, and problems in activities of daily living. Publications on prosthetic tools mostly focus on sport, recreation, and vehicle driving.Conclusion:Passive hand prostheses receive little attention in prosthetic research and literature. Yet one out of three people with a limb deficiency uses this type of prosthesis. Literature indicates that passive prostheses can be improved on pulling and grasping functions. In the literature, ambiguous names are used for different types of passive prostheses. This causes confusion. We present a new and clear classification of passive prostheses.Clinical relevanceThis review provides information on the users of passive prosthetic hands and tools, their usage and the functionality. Passive prostheses receive very little attention and low appreciation in literature. Passive prosthetic hands and tools show to be useful to many unilateral amputees and should receive more attention and higher acceptance.

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“…The rehabilitation team has provided education and information on recreation skills or resources, organizations with opportunities for adaptive recreational activities, long-term sport specific, prostheses or assistive devices available (e.g. specially designed prosthetic legs for running) [30]. …”

Section: Stages Of Rehabilitationmentioning

confidence: 99%

Bilateral transtibial amputation with concomitant thoracolumbar vertebral collapse in a Sichuan earthquake survivor

Wong

Law

et al. 2010

J Orthop Surg Res

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The devastating earthquake in Sichuan, China on 12 May 2008 left thousands of survivors requiring medical care and intensive rehabilitation. In view of this great demand, the Chinese Speaking Orthopaedic Society established the "Stand Tall" project to provide voluntary services to aid amputee victims in achieving total rehabilitation and social integration. This case report highlights the multidisciplinary rehabilitation of a girl who suffered thoracolumbar vertebral collapse and underwent bilateral transtibial amputation. The rehabilitation team was involved in all stages of the care process from the pre-operative phase, through amputation, into prosthetic training, and during her life thereafter. Despite this catastrophic event, early rehabilitation and specially designed bilateral prostheses allowed her a high level of functional ability. The joint efforts of the multidisciplinary team and the advancement of new technology have revolutionized the care process for amputees.

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Sports and recreation for persons with limb deficiency

Abstract: To review the development and scope of sport and recreational opportunities available to persons with limb deficiency.

Cited by 6 publications

References 0 publications

Laboratory- and community-based health outcomes in people with transtibial amputation using crossover and energy-storing prosthetic feet: A randomized crossover trial

Laboratory- and community-based health outcomes in people with transtibial amputation using crossover and energy-storing prosthetic feet: A randomized crossover trial

Passive prosthetic hands and tools

Bilateral transtibial amputation with concomitant thoracolumbar vertebral collapse in a Sichuan earthquake survivor

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