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Faculty of Medical Sciences

Gait adaptations during a 60-minute practice using a transfemoral prosthetic limb simulator in able-bodied male adults

Wervelman, T. (Thijs) (2016) Gait adaptations during a 60-minute practice using a transfemoral prosthetic limb simulator in able-bodied male adults. thesis, Human Movement Sciences.

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Abstract

In this study, kinematic and spatiotemporal characteristics belonging to the gait pattern of healthy able-bodied individuals equipped with a prosthetic limb simulator were investigated. These kinematic and spatiotemporal parameters were compared with the subjects normal gait pattern. During a 5-day exercise thirteen participants performed a total of 60 minutes prosthetic gait practice on an instrumented treadmill at 0.9 m/s. Kinematic measures for knee and hip angle of both prosthetic and non-prosthetic limb were captured as well as spatiotemporal parameters like step length, step width, step duration and cadence. During practice participants increased their maximum prosthetic knee angle in swing phase. Also the mean maximum right hip angle was larger than during normal gait. Furthermore the asymmetry in spatial gait parameters reduces during practice, while temporal gait parameters do not alter. Finally, the coefficient of variation reduces in almost all measured gait parameters throughout practice, except for step width and cadence. This study shows how initial prosthetic gait kinematic and spatiotemporal parameters using a prosthetic limb simulator differ from normal gait characteristics in able-bodied subjects. Furthermore, results of a five-day practice intervention are clearly visible, with multiple biomechanical adaptations and a clear learning trajectory, comparable to that of real prosthetic users. Exploring the options a prosthetic limb simulator offers need to be investigated to see at what level prosthetic rehabilitation could benefit from this simulator.

Item Type: Thesis (UNSPECIFIED)
Supervisor name: Keeken, dr. H.G. van and Otter, dr. A.R. den and Vegter, dr. R.K.J. and Woude, prof. dr. L.H.V. van der
Faculty: Medical Sciences
Date Deposited: 04 May 2022 08:31
Last Modified: 04 May 2022 08:31
URI: https://umcg.studenttheses.ub.rug.nl/id/eprint/3211

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