Document Detail


The effects of prosthetic foot roll-over shape arc length on the gait of trans-tibial prosthesis users.
MedLine Citation:
PMID:  17162519     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Shape&Roll prosthetic foot was used to examine the effect of roll-over shape arc length on the gait of 14 unilateral trans-tibial prosthesis users. Simple modifications to the prosthetic foot were used to alter the effective forefoot rocker length, leaving factors such as alignment, limb length, and heel and mid-foot characteristics unchanged. Shortening the roll-over shape arc length caused a significant reduction in the maximum external dorsiflexion moment on the prosthetic side at all walking speeds (p < 0.001 for main effect of arc length), due to a reduction in forefoot leverage (moment arm) about the ankle. Roll-over shape arc length significantly affected the initial loading on the sound limb at normal and fast speeds (p = 0.001 for the main effect of arc length), with participants experiencing larger first peaks of vertical ground reaction forces on their sound limbs when using the foot with the shortest effective forefoot rocker arc length. Additionally, the difference between step lengths on the sound and prosthetic limbs was larger with the shortest arc length condition, although this difference was not statistically significant (p = 0.06 for main effect). It appears that prosthesis users may experience a drop-off effect at the end of single limb stance on prosthetic feet with short roll-over shape arc lengths, leading to increased loading and/or a shortened step on the contralateral limb.
Authors:
Andrew H Hansen; Margrit R Meier; Pinata H Sessoms; Dudley S Childress
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Prosthetics and orthotics international     Volume:  30     ISSN:  0309-3646     ISO Abbreviation:  Prosthet Orthot Int     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-12-12     Completed Date:  2007-03-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7707720     Medline TA:  Prosthet Orthot Int     Country:  England    
Other Details:
Languages:  eng     Pagination:  286-99     Citation Subset:  IM    
Affiliation:
Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611, USA. a-hansen@northwestern.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Amputees / rehabilitation*
Artificial Limbs*
Biomechanics
Female
Foot / anatomy & histology*
Gait / physiology*
Humans
Male
Middle Aged
Prosthesis Design
Range of Motion, Articular
Tibia / surgery*
Weight-Bearing / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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