Bodyweight distribution between limbs, muscle strength, and proprioception in traumatic transtibial amputees: a cross-sectional study
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/191826 |
Resumo: | OBJECTIVES: To evaluate how transtibial amputation (TT) affects bodyweight distribution, voluntary knee joint position sense (JPS), and quadriceps (QUA) and hamstrings (HAM) strength in prosthetized patients. METHODS: Only TT patients who had been prosthetized for more than one year were included, and an agepaired able-bodied group was used as control. The participants stood on force plates with their eyes open to measure bodyweight distribution between the limbs. Knee voluntary JPS was assessed by actively reproducing a set of given arbitrary joint angles using a video analysis approach, and QUA and HAM strength were assessed isometrically with a hand-held dynamometer. RESULTS: Sixteen TT subjects (age: 39.4±4.8 years) and sixteen age-paired control subjects (age: 38.4±4.3 years) participated in the study. The amputees supported their bodyweight majorly on the sound limb (54.8±8.3%, po0.001). The proprioceptive performance was similar between the amputated (absolute error (AE): 2.2±1.6o , variable error (VE): 1.9±1.6o , constant error (CE): -0.7±2.0o ) and non-amputated limbs (AE: 2.6±0.9o , VE: 2.1±0.9o , CE: 0.02±2.3o ), and was not different from that of control subjects (AE: 2.0±0.9o , VE: 1.4±0.4o , CE: -1.1±1.7o ). There was a considerable weakness of the QUA and HAM in the amputated limb compared with the sound limb and control subjects (po0.001 both). CONCLUSIONS: The asymmetric bodyweight distribution in the transtibial amputees was not accompanied by a reduction in knee proprioception. There was significant weakness in the amputated limb, which could be a potential issue when designing rehabilitation programs. |
id |
USP-19_85150c09fc23f9c8841d7b43741a12f4 |
---|---|
oai_identifier_str |
oai:revistas.usp.br:article/191826 |
network_acronym_str |
USP-19 |
network_name_str |
Clinics |
repository_id_str |
|
spelling |
Bodyweight distribution between limbs, muscle strength, and proprioception in traumatic transtibial amputees: a cross-sectional studyBody WeightAmputationMuscle StrengthProprioceptionPosition SenseOBJECTIVES: To evaluate how transtibial amputation (TT) affects bodyweight distribution, voluntary knee joint position sense (JPS), and quadriceps (QUA) and hamstrings (HAM) strength in prosthetized patients. METHODS: Only TT patients who had been prosthetized for more than one year were included, and an agepaired able-bodied group was used as control. The participants stood on force plates with their eyes open to measure bodyweight distribution between the limbs. Knee voluntary JPS was assessed by actively reproducing a set of given arbitrary joint angles using a video analysis approach, and QUA and HAM strength were assessed isometrically with a hand-held dynamometer. RESULTS: Sixteen TT subjects (age: 39.4±4.8 years) and sixteen age-paired control subjects (age: 38.4±4.3 years) participated in the study. The amputees supported their bodyweight majorly on the sound limb (54.8±8.3%, po0.001). The proprioceptive performance was similar between the amputated (absolute error (AE): 2.2±1.6o , variable error (VE): 1.9±1.6o , constant error (CE): -0.7±2.0o ) and non-amputated limbs (AE: 2.6±0.9o , VE: 2.1±0.9o , CE: 0.02±2.3o ), and was not different from that of control subjects (AE: 2.0±0.9o , VE: 1.4±0.4o , CE: -1.1±1.7o ). There was a considerable weakness of the QUA and HAM in the amputated limb compared with the sound limb and control subjects (po0.001 both). CONCLUSIONS: The asymmetric bodyweight distribution in the transtibial amputees was not accompanied by a reduction in knee proprioception. There was significant weakness in the amputated limb, which could be a potential issue when designing rehabilitation programs.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2021-11-09info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/19182610.6061/clinics/2021/e2486Clinics; Vol. 76 (2021); e2486Clinics; v. 76 (2021); e2486Clinics; Vol. 76 (2021); e24861980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/191826/176753Copyright (c) 2021 Clinicsinfo:eu-repo/semantics/openAccessFontes Filho, Carlos Henrique da Silva Laett, Conrado Torres Gavilão, Ubiratã Faleiro Campos Jr., José Carlos de Alexandre, Dângelo José de Andrade Cossich, Victor R. A. Sousa, Eduardo Branco de 2023-07-06T13:04:02Zoai:revistas.usp.br:article/191826Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2023-07-06T13:04:02Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Bodyweight distribution between limbs, muscle strength, and proprioception in traumatic transtibial amputees: a cross-sectional study |
title |
Bodyweight distribution between limbs, muscle strength, and proprioception in traumatic transtibial amputees: a cross-sectional study |
spellingShingle |
Bodyweight distribution between limbs, muscle strength, and proprioception in traumatic transtibial amputees: a cross-sectional study Fontes Filho, Carlos Henrique da Silva Body Weight Amputation Muscle Strength Proprioception Position Sense |
title_short |
Bodyweight distribution between limbs, muscle strength, and proprioception in traumatic transtibial amputees: a cross-sectional study |
title_full |
Bodyweight distribution between limbs, muscle strength, and proprioception in traumatic transtibial amputees: a cross-sectional study |
title_fullStr |
Bodyweight distribution between limbs, muscle strength, and proprioception in traumatic transtibial amputees: a cross-sectional study |
title_full_unstemmed |
Bodyweight distribution between limbs, muscle strength, and proprioception in traumatic transtibial amputees: a cross-sectional study |
title_sort |
Bodyweight distribution between limbs, muscle strength, and proprioception in traumatic transtibial amputees: a cross-sectional study |
author |
Fontes Filho, Carlos Henrique da Silva |
author_facet |
Fontes Filho, Carlos Henrique da Silva Laett, Conrado Torres Gavilão, Ubiratã Faleiro Campos Jr., José Carlos de Alexandre, Dângelo José de Andrade Cossich, Victor R. A. Sousa, Eduardo Branco de |
author_role |
author |
author2 |
Laett, Conrado Torres Gavilão, Ubiratã Faleiro Campos Jr., José Carlos de Alexandre, Dângelo José de Andrade Cossich, Victor R. A. Sousa, Eduardo Branco de |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Fontes Filho, Carlos Henrique da Silva Laett, Conrado Torres Gavilão, Ubiratã Faleiro Campos Jr., José Carlos de Alexandre, Dângelo José de Andrade Cossich, Victor R. A. Sousa, Eduardo Branco de |
dc.subject.por.fl_str_mv |
Body Weight Amputation Muscle Strength Proprioception Position Sense |
topic |
Body Weight Amputation Muscle Strength Proprioception Position Sense |
description |
OBJECTIVES: To evaluate how transtibial amputation (TT) affects bodyweight distribution, voluntary knee joint position sense (JPS), and quadriceps (QUA) and hamstrings (HAM) strength in prosthetized patients. METHODS: Only TT patients who had been prosthetized for more than one year were included, and an agepaired able-bodied group was used as control. The participants stood on force plates with their eyes open to measure bodyweight distribution between the limbs. Knee voluntary JPS was assessed by actively reproducing a set of given arbitrary joint angles using a video analysis approach, and QUA and HAM strength were assessed isometrically with a hand-held dynamometer. RESULTS: Sixteen TT subjects (age: 39.4±4.8 years) and sixteen age-paired control subjects (age: 38.4±4.3 years) participated in the study. The amputees supported their bodyweight majorly on the sound limb (54.8±8.3%, po0.001). The proprioceptive performance was similar between the amputated (absolute error (AE): 2.2±1.6o , variable error (VE): 1.9±1.6o , constant error (CE): -0.7±2.0o ) and non-amputated limbs (AE: 2.6±0.9o , VE: 2.1±0.9o , CE: 0.02±2.3o ), and was not different from that of control subjects (AE: 2.0±0.9o , VE: 1.4±0.4o , CE: -1.1±1.7o ). There was a considerable weakness of the QUA and HAM in the amputated limb compared with the sound limb and control subjects (po0.001 both). CONCLUSIONS: The asymmetric bodyweight distribution in the transtibial amputees was not accompanied by a reduction in knee proprioception. There was significant weakness in the amputated limb, which could be a potential issue when designing rehabilitation programs. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-11-09 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/191826 10.6061/clinics/2021/e2486 |
url |
https://www.revistas.usp.br/clinics/article/view/191826 |
identifier_str_mv |
10.6061/clinics/2021/e2486 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/191826/176753 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2021 Clinics info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2021 Clinics |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 76 (2021); e2486 Clinics; v. 76 (2021); e2486 Clinics; Vol. 76 (2021); e2486 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222765635076096 |