Proprioception in Above-the-Knee Amputees with Artificial Limbs

Purpose. To evaluate the lower limb proprioceptive sensation in patients with femoral amputation who received an artificial joint. Materials and Methods. 22 patients (18 men, 4 women), 24–65 years old (mean: 42), who had undergone above-the-knee joint amputation and underwent evaluation of proprio...

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Main Authors: E. P. Latanioti, A. G. Angoules, E. C. Boutsikari
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2013/417982
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author E. P. Latanioti
A. G. Angoules
E. C. Boutsikari
author_facet E. P. Latanioti
A. G. Angoules
E. C. Boutsikari
author_sort E. P. Latanioti
collection DOAJ
description Purpose. To evaluate the lower limb proprioceptive sensation in patients with femoral amputation who received an artificial joint. Materials and Methods. 22 patients (18 men, 4 women), 24–65 years old (mean: 42), who had undergone above-the-knee joint amputation and underwent evaluation of proprioception using joint reposition in a predetermined angle of 15° knee flexion. The measurements were applied using a conventional goniometer to both amputated and healthy knees. The last ones were used as internal control. All patients performed an active knee flexion from hyperextension to 15° in a closed kinetic chain in order to evaluate proprioceptive sensation of the knee joint using the joint position sense (JPS) method during specific controllable circumstances very close to normal gait. Results. JPS at 15° flexion for the amputated knee was calculated to be equal to 13.91 (SD = ±4.74), and for the healthy side it was equal to 14.15 (SD = ±2.61). No statistically significant differences were detected between the amputated and the healthy limb (). Conclusions. The proprioceptive information of the stumps did not appear to be affected significantly after thigh amputation and application of artificial prosthesis when JPS at 15° was evaluated. It seems that these patients compensate the loss of the knee sensory receptors via alternative mechanisms.
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spelling doaj-art-201297bc57114eb495bad0399c748f0b2025-02-03T05:46:48ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/417982417982Proprioception in Above-the-Knee Amputees with Artificial LimbsE. P. Latanioti0A. G. Angoules1E. C. Boutsikari2Asclepeion Voulas Hospital, Department of Physical Therapy, Athens, GreeceGeneral Department of Essential Medical Subjects, Faculty of Health & Caring Professions, Technological Educational Institute, Athens, GreecePhysical Therapy Department, Faculty of Health & Caring Professions, Technological Educational Institute, Athens, GreecePurpose. To evaluate the lower limb proprioceptive sensation in patients with femoral amputation who received an artificial joint. Materials and Methods. 22 patients (18 men, 4 women), 24–65 years old (mean: 42), who had undergone above-the-knee joint amputation and underwent evaluation of proprioception using joint reposition in a predetermined angle of 15° knee flexion. The measurements were applied using a conventional goniometer to both amputated and healthy knees. The last ones were used as internal control. All patients performed an active knee flexion from hyperextension to 15° in a closed kinetic chain in order to evaluate proprioceptive sensation of the knee joint using the joint position sense (JPS) method during specific controllable circumstances very close to normal gait. Results. JPS at 15° flexion for the amputated knee was calculated to be equal to 13.91 (SD = ±4.74), and for the healthy side it was equal to 14.15 (SD = ±2.61). No statistically significant differences were detected between the amputated and the healthy limb (). Conclusions. The proprioceptive information of the stumps did not appear to be affected significantly after thigh amputation and application of artificial prosthesis when JPS at 15° was evaluated. It seems that these patients compensate the loss of the knee sensory receptors via alternative mechanisms.http://dx.doi.org/10.1155/2013/417982
spellingShingle E. P. Latanioti
A. G. Angoules
E. C. Boutsikari
Proprioception in Above-the-Knee Amputees with Artificial Limbs
The Scientific World Journal
title Proprioception in Above-the-Knee Amputees with Artificial Limbs
title_full Proprioception in Above-the-Knee Amputees with Artificial Limbs
title_fullStr Proprioception in Above-the-Knee Amputees with Artificial Limbs
title_full_unstemmed Proprioception in Above-the-Knee Amputees with Artificial Limbs
title_short Proprioception in Above-the-Knee Amputees with Artificial Limbs
title_sort proprioception in above the knee amputees with artificial limbs
url http://dx.doi.org/10.1155/2013/417982
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AT agangoules proprioceptioninabovethekneeamputeeswithartificiallimbs
AT ecboutsikari proprioceptioninabovethekneeamputeeswithartificiallimbs