The effects of prosthetic foot design on physiologic measurements, self-selected walking velocity, and physical activity in people with transtibial amputation.

Abstract:

OBJECTIVE:To investigate the physiologic differences during multispeed treadmill walking and physical activity profiles for the Otto Bock C-Walk foot (C-Walk), Flex-Foot, and solid ankle cushion heel (SACH) foot in people with transtibial amputation. DESIGN:A repeated-measures design with 3 prostheses. SETTING:Research laboratory. PARTICIPANTS:Eight men with unilateral transtibial amputation. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Physiologic responses (energy expenditure, gait efficiency, exercise intensity, rating of perceived exertion [RPE]) during multispeed treadmill walking (53.64, 67.05, 80.46, 93.87, 107.28 m/min) test were analyzed with 2-way repeated-measures analysis of variance (ANOVA). One-way ANOVA was employed to analyze foot-type differences for self-selected walking velocity (SSWV), and steps per day (daily activity). Analysis of covariance was used to analyze foot-type differences with SSWV as the covariable for the physiologic measurements. RESULTS:The C-Walk had a trend of improved physiologic responses compared with the SACH; however, no foot-type differences were statistically significant. Compared with the C-Walk and SACH, the Flex-Foot showed no significant differences in energy expenditure and gait efficiency, but significantly lower percentage of age-predicted maximum heart rate and RPE values. CONCLUSIONS:The energy storing-releasing feet appeared to have certain trends of improved gait performance compared with the SACH; however, not many objective foot-type differences were significantly noted. Further studies with a larger sample size are suggested.

journal_name

Arch Phys Med Rehabil

authors

Hsu MJ,Nielsen DH,Lin-Chan SJ,Shurr D

doi

10.1016/j.apmr.2005.07.310

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

123-9

issue

1

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(05)01136-6

journal_volume

87

pub_type

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