Clinical Outcomes Comparing Two Prosthetic Knee Designs in Individuals with Unilateral Transfemoral Amputation in Turkey.

Balance Functional Mobility Prosthesis Prosthetic Satisfaction Quality of Life Transfemoral Amputation

Journal

Canadian prosthetics & orthotics journal
ISSN: 2561-987X
Titre abrégé: Can Prosthet Orthot J
Pays: Canada
ID NLM: 101775715

Informations de publication

Date de publication:
2021
Historique:
received: 22 12 2020
accepted: 22 06 2021
medline: 29 6 2021
pubmed: 29 6 2021
entrez: 24 8 2023
Statut: epublish

Résumé

Clinical outcome assessments provide important input for the rehabilitation of individuals with transfemoral amputation. Differences in prosthetic knee designs may influence clinical outcomes. The aim of this study was to compare functional mobility, balance, prosthetic satisfaction and quality of life in individuals with unilateral transfemoral amputation with microprocessor-controlled (MPK) and non-microprocessor knee designs (Non-MPK). The study included ten experienced MPK (Rheo Knee) users (Group 1) and ten experienced Non-MPK (Total Knee 6MWT results of the MPK group were significantly higher than Non-MPK group (p<0.05). In the MPK group a strong negative correlation was found between the FSST and the 6MWT (r=-0.661, p=0.038). No statistically significant differences were found between the groups (p>0.05) comparing balance, prosthesis satisfaction and quality of life values. The findings will inform about the patient's prognosis and the expected clinical outcomes when prescribing an MPK or an Non-MPK. Individuals with unilateral transfemoral amputation covered longer distances using an MPK compared to Non-MPK.

Sections du résumé

BACKGROUND BACKGROUND
Clinical outcome assessments provide important input for the rehabilitation of individuals with transfemoral amputation. Differences in prosthetic knee designs may influence clinical outcomes.
OBJECTIVES OBJECTIVE
The aim of this study was to compare functional mobility, balance, prosthetic satisfaction and quality of life in individuals with unilateral transfemoral amputation with microprocessor-controlled (MPK) and non-microprocessor knee designs (Non-MPK).
METHODOLOGY METHODS
The study included ten experienced MPK (Rheo Knee) users (Group 1) and ten experienced Non-MPK (Total Knee
FINDINGS RESULTS
6MWT results of the MPK group were significantly higher than Non-MPK group (p<0.05). In the MPK group a strong negative correlation was found between the FSST and the 6MWT (r=-0.661, p=0.038). No statistically significant differences were found between the groups (p>0.05) comparing balance, prosthesis satisfaction and quality of life values.
CONCLUSION CONCLUSIONS
The findings will inform about the patient's prognosis and the expected clinical outcomes when prescribing an MPK or an Non-MPK. Individuals with unilateral transfemoral amputation covered longer distances using an MPK compared to Non-MPK.

Identifiants

pubmed: 37614931
doi: 10.33137/cpoj.v4i1.35297
pii: cpoj.v4i1.35297
pmc: PMC10443503
doi:

Types de publication

Journal Article

Langues

eng

Pagination

35297

Informations de copyright

Copyright (c) 2021 Ayse Yazgan, Seval Kutlutürk, Knut Lechler.

Déclaration de conflit d'intérêts

The authors had no interests which might be perceived as posing a conflict or bias.

Références

Acta Orthop Traumatol Turc. 2020 Sep;54(5):502-506
pubmed: 33155559
Technol Innov. 2016 Sep;18(2-3):175-183
pubmed: 28066526
Sensors (Basel). 2020 Nov 26;20(23):
pubmed: 33256247
J Am Podiatr Med Assoc. 2001 Jan;91(1):13-22
pubmed: 11196327
Clin Biomech (Bristol, Avon). 2012 Jan;27(1):40-5
pubmed: 21889241
Int J Rehabil Res. 2000 Mar;23(1):31-8
pubmed: 10826123
Gait Posture. 2014;39(1):424-9
pubmed: 24021523
Clin Orthop Relat Res. 1999 Apr;(361):39-47
pubmed: 10212594
Eur Respir J. 2014 Dec;44(6):1447-78
pubmed: 25359356
J Prosthet Orthot. 2019 Jan;31(1):2-8
pubmed: 30662248
Am J Phys Med Rehabil. 2015 Oct;94(10):804-10
pubmed: 25768067
Clin Rehabil. 2015 Jun;29(6):581-91
pubmed: 25288047
Disabil Rehabil Assist Technol. 2021 Jul;16(5):453-464
pubmed: 31469023
Clin Biomech (Bristol, Avon). 2012 Jun;27(5):460-5
pubmed: 22221344
Arch Phys Med Rehabil. 2007 Feb;88(2):207-17
pubmed: 17270519
J Orthop Trauma. 2018 Apr;32(4):183-189
pubmed: 29315200
Arch Phys Med Rehabil. 2009 Mar;90(3):440-6
pubmed: 19254609
Eur J Vasc Surg. 1993 Jul;7(4):448-51
pubmed: 8359304
Sensors (Basel). 2020 Aug 24;20(17):
pubmed: 32847127
Ann Phys Rehabil Med. 2021 Jan;64(1):101405
pubmed: 32561506
Arch Phys Med Rehabil. 2010 Apr;91(4):644-52
pubmed: 20382300
Scand J Rehabil Med. 1992;24(2):83-90
pubmed: 1604266
Int J Rehabil Res. 2018 Mar;41(1):63-73
pubmed: 29293160
Am J Phys Med Rehabil. 2013 Dec;92(12):1110-8
pubmed: 23900009
Disabil Rehabil. 2003 May 6;25(9):480-6
pubmed: 12745943
Prosthet Orthot Int. 2019 Aug;43(4):396-401
pubmed: 31057092
Arch Phys Med Rehabil. 2013 Nov;94(11):2194-202
pubmed: 23856150
J Rehabil Res Dev. 2012;49(1):175-86
pubmed: 22492346
Arch Phys Med Rehabil. 2010 Oct;91(10):1565-70
pubmed: 20875515

Auteurs

A Yazgan (A)

Orthotics - Prosthetics Master of Science Program, Graduate School of Healthy Sciences, Istanbul Medipol University, Istanbul, Turkey.
Össur Turkey Academy, Istanbul, Turkey.

S Kutlutürk (S)

Department of Physical Therapy and Rehabilitation, School of Healthy Sciences, Istanbul Medipol University, Istanbul, Turkey.

K Lechler (K)

Össur Medical Office, R&D Össur ehf, Reykjavik, Iceland.

Classifications MeSH