The Conventional Non-Articulated SACH or a Multiaxial Prosthetic Foot for Hypomobile Transtibial Amputees? A Clinical Comparison on Mobility, Balance, and Quality of Life
The effects of a non-articulated SACH and a multiaxial foot-ankle mechanism on the performance of low-activity users are of great interest for practitioners in amputee rehabilitation. The aim of this study is to compare these two prosthetic feet and assess possible improvements introduced by the inc...
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Wiley
2015-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2015/261801 |
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| author | Francesco Paradisi Anna Sofia Delussu Stefano Brunelli Marco Iosa Roberto Pellegrini Daniele Zenardi Marco Traballesi |
| author_facet | Francesco Paradisi Anna Sofia Delussu Stefano Brunelli Marco Iosa Roberto Pellegrini Daniele Zenardi Marco Traballesi |
| author_sort | Francesco Paradisi |
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| description | The effects of a non-articulated SACH and a multiaxial foot-ankle mechanism on the performance of low-activity users are of great interest for practitioners in amputee rehabilitation. The aim of this study is to compare these two prosthetic feet and assess possible improvements introduced by the increased degrees of freedom provided by the multiaxial foot. For this purpose, a group of 20 hypomobile transtibial amputees (TTAs) had their usual SACH replaced with a multiaxial foot. Participants’ functional mobility, involving ambulatory skills in overground level walking, ramps, and stairs, was evaluated by performing Six-Minute Walking Test (6MWT), Locomotor Capability Index-5 (LCI-5), Hill Assessment Index (HAI), and Stair Assessment Index (SAI). Balance performances were assessed using Berg Balance Scale (BBS) and analysing upper body accelerations during gait. Moreover, the Prosthesis Evaluation Questionnaire (PEQ) was performed to indicate the prosthesis-related quality of life. Results showed that participants walked faster using the multiaxial foot (p<0.05) maintaining the same upright gait stability. Significant improvements with the multiaxial foot were also observed in BBS, LCI-5, and SAI times and 4 of 9 subscales of the PEQ. Our findings demonstrate that a multiaxial foot represents a considerable alternative solution with respect to the conventional SACH in the prosthetic prescription for hypomobile TTAs. |
| format | Article |
| id | doaj-art-7a1a4c0e97b746d29690b497b8d686c9 |
| institution | Kabale University |
| issn | 2356-6140 1537-744X |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-7a1a4c0e97b746d29690b497b8d686c92025-02-03T00:59:56ZengWileyThe Scientific World Journal2356-61401537-744X2015-01-01201510.1155/2015/261801261801The Conventional Non-Articulated SACH or a Multiaxial Prosthetic Foot for Hypomobile Transtibial Amputees? A Clinical Comparison on Mobility, Balance, and Quality of LifeFrancesco Paradisi0Anna Sofia Delussu1Stefano Brunelli2Marco Iosa3Roberto Pellegrini4Daniele Zenardi5Marco Traballesi6Santa Lucia Foundation, Scientific Institute for Research, Hospitalization and Health Care, Via Ardeatina 306, 00179 Rome, ItalySanta Lucia Foundation, Scientific Institute for Research, Hospitalization and Health Care, Via Ardeatina 306, 00179 Rome, ItalySanta Lucia Foundation, Scientific Institute for Research, Hospitalization and Health Care, Via Ardeatina 306, 00179 Rome, ItalySanta Lucia Foundation, Scientific Institute for Research, Hospitalization and Health Care, Via Ardeatina 306, 00179 Rome, ItalyITOP SpA Officine Ortopediche, Via Prenestina Nuova 163, Palestrina, 00036 Rome, ItalyITOP SpA Officine Ortopediche, Via Prenestina Nuova 163, Palestrina, 00036 Rome, ItalySanta Lucia Foundation, Scientific Institute for Research, Hospitalization and Health Care, Via Ardeatina 306, 00179 Rome, ItalyThe effects of a non-articulated SACH and a multiaxial foot-ankle mechanism on the performance of low-activity users are of great interest for practitioners in amputee rehabilitation. The aim of this study is to compare these two prosthetic feet and assess possible improvements introduced by the increased degrees of freedom provided by the multiaxial foot. For this purpose, a group of 20 hypomobile transtibial amputees (TTAs) had their usual SACH replaced with a multiaxial foot. Participants’ functional mobility, involving ambulatory skills in overground level walking, ramps, and stairs, was evaluated by performing Six-Minute Walking Test (6MWT), Locomotor Capability Index-5 (LCI-5), Hill Assessment Index (HAI), and Stair Assessment Index (SAI). Balance performances were assessed using Berg Balance Scale (BBS) and analysing upper body accelerations during gait. Moreover, the Prosthesis Evaluation Questionnaire (PEQ) was performed to indicate the prosthesis-related quality of life. Results showed that participants walked faster using the multiaxial foot (p<0.05) maintaining the same upright gait stability. Significant improvements with the multiaxial foot were also observed in BBS, LCI-5, and SAI times and 4 of 9 subscales of the PEQ. Our findings demonstrate that a multiaxial foot represents a considerable alternative solution with respect to the conventional SACH in the prosthetic prescription for hypomobile TTAs.http://dx.doi.org/10.1155/2015/261801 |
| spellingShingle | Francesco Paradisi Anna Sofia Delussu Stefano Brunelli Marco Iosa Roberto Pellegrini Daniele Zenardi Marco Traballesi The Conventional Non-Articulated SACH or a Multiaxial Prosthetic Foot for Hypomobile Transtibial Amputees? A Clinical Comparison on Mobility, Balance, and Quality of Life The Scientific World Journal |
| title | The Conventional Non-Articulated SACH or a Multiaxial Prosthetic Foot for Hypomobile Transtibial Amputees? A Clinical Comparison on Mobility, Balance, and Quality of Life |
| title_full | The Conventional Non-Articulated SACH or a Multiaxial Prosthetic Foot for Hypomobile Transtibial Amputees? A Clinical Comparison on Mobility, Balance, and Quality of Life |
| title_fullStr | The Conventional Non-Articulated SACH or a Multiaxial Prosthetic Foot for Hypomobile Transtibial Amputees? A Clinical Comparison on Mobility, Balance, and Quality of Life |
| title_full_unstemmed | The Conventional Non-Articulated SACH or a Multiaxial Prosthetic Foot for Hypomobile Transtibial Amputees? A Clinical Comparison on Mobility, Balance, and Quality of Life |
| title_short | The Conventional Non-Articulated SACH or a Multiaxial Prosthetic Foot for Hypomobile Transtibial Amputees? A Clinical Comparison on Mobility, Balance, and Quality of Life |
| title_sort | conventional non articulated sach or a multiaxial prosthetic foot for hypomobile transtibial amputees a clinical comparison on mobility balance and quality of life |
| url | http://dx.doi.org/10.1155/2015/261801 |
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