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Patient preference and gait efficiency in a geriatric population with transfemoral amputation using a free-swinging versus a locked prosthetic knee joint.

Abstract：

OBJECTIVE:To investigate patient preference, walking speed, and prosthetic use in a geriatric population with transfemoral amputation using a free-swinging prosthetic knee or a locked knee joint. DESIGN:Before-after trial. SETTING:Ambulatory patients at an amputee rehabilitation facility. PARTICIPANTS:A convenience sample of 14 geriatric individuals with a unilateral dysvascular transfemoral amputation (age range, 61-80y), who were using a prosthesis with a free-swinging knee in the community, 3 months after discharge from an amputee rehabilitation program. INTERVENTION:Change from a free-swinging knee to a locked knee. MAIN OUTCOME MEASURES:Patient preference, distance walked in 2 minutes, and prosthetic use as measured by the Houghton Scale. RESULTS:Eleven of 14 participants preferred the locked knee. Irrespective of preference, the mean 2-minute walk distance was 44.9 +/- 28.9m with the free-swinging knee and 54.4 +/- 35m with the locked knee (P = .001). Prosthetic use was greater with the locked knee (7.8 +/- 2.2) than with the free-swinging knee (6.6 +/- 2.5) (P = .01). CONCLUSIONS:Most geriatric participants with transfemoral amputation preferred locked knees and walked faster and used their prostheses more when using a locked knee prosthesis.

journal_name

Arch Phys Med Rehabil

journal_title

Archives of physical medicine and rehabilitation

authors

Devlin M,Sinclair LB,Colman D,Parsons J,Nizio H,Campbell JE

doi

10.1053/apmr.2002.27464

subject

Has Abstract

pub_date

2002-02-01 00:00:00

pages

246-9

issue

2

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(02)53054-9

journal_volume

83

pub_type

临床试验,杂志文章

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