Correlation of Stump Length with Temporo-Spatial and Kinematic Outcome in Trans-tibial Amputees

Background: Amputation is the surgical or traumatic removal of extremity or part of body. Limb amputation is the last option to save the patient’s life by removing the dead or the dying part of the limb with trans-tibial amputation commonly known as below knee amputation. Objectives: To determine...

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Main Authors: Hassan Saifullah, Waqar Awan, Mehran Ullah, Arsalan Rasool, Muhammad Kamran, Ghulam Saqulain
Format: Article
Language:English
Published: Faculty of Rehabilitation & Allied health sciences, Riphah International University 2024-01-01
Series:Journal Riphah College of Rehabilitation Sciences
Subjects:
Online Access:https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1636
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author Hassan Saifullah
Waqar Awan
Mehran Ullah
Arsalan Rasool
Muhammad Kamran
Ghulam Saqulain
author_facet Hassan Saifullah
Waqar Awan
Mehran Ullah
Arsalan Rasool
Muhammad Kamran
Ghulam Saqulain
author_sort Hassan Saifullah
collection DOAJ
description Background: Amputation is the surgical or traumatic removal of extremity or part of body. Limb amputation is the last option to save the patient’s life by removing the dead or the dying part of the limb with trans-tibial amputation commonly known as below knee amputation. Objectives: To determine correlation of temporo-spatial and kinemetic trends with stump length in Trans-tibial amputees. Methodology: This correlational cross-sectional study was conducted in the Gait Lab of PIPOS Peshawar after Approval from the Institutional Research Board, Isra University Islamabad. Study recruited N=180 unilateral, male, K3 and K4 level trans tibial amputees, aged 15-30 years of age using purposive sampling. The data was collected under the “Simi Motion Analysis camera system” to measure the gait parameters related to tempura-spatial variables and kinematics. The stump length and stride length was measured using the measuring tape. Correlations of patients’ stump length with temporo-spatial and kinematics were determined using Pearson’s correlation matrix. P-value of 0.05 was considered significant. Results: Study sample with mean age of 25.69±4.17 years, revealed that stump length had no significant correlation with stride length (r=0.032, p=0.665), cadence (r-0.079,p=0.29), velocity (r=-0.039, p=0.6), stance phase (r=-0.068, p=0.363), swing phase (r=0.06, p=0.423), hip joint kinematics of amputated side (r=-0.06, p=0.426), knee joint kinematics ie., flexion at terminal stance (r=-0.129, p=0.085), flexion at mid swing (r=0.004, p=0.954)  of amputated side , pelvic tilt (r=0.049, p=0.517) and trunk bending both lateral trunk flexion (r=0.041, p=0.588) and forward lean (r=-0.036, p=0.634) at mid stance. Conclusion: In conclusion, the stump length had no substantial influence on the temporo-spatial and kinematic gait parameters in subjects with Trans tibial amputation
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spelling doaj.art-3abf6949e6d74abf9159f1f7cf4842052024-04-01T04:28:01ZengFaculty of Rehabilitation & Allied health sciences, Riphah International UniversityJournal Riphah College of Rehabilitation Sciences2226-92152410-888X2024-01-0111042033Correlation of Stump Length with Temporo-Spatial and Kinematic Outcome in Trans-tibial AmputeesHassan Saifullah0Waqar Awan1Mehran Ullah2Arsalan Rasool3Muhammad Kamran4Ghulam Saqulain5Ortho-prosthetist, Secure Logic Tech SDN BHD, Puchong, Selengor, MalaysiaConsultant Physical Therapist, Rand Health Services Rehabilitation centre, Islamabad, PakistanOrtho-prosthetist, Pakistan Institute of Prosthetic and Orthotic Sciences, PakistanOrtho-Prosthetist, Dept. IPMR (prosthetic & Orthotic sciences), Khyber Medical UniversitySenior Ortho-Prosthetist, Chal Foundation Bacha Khan Medical Complex, Shahmansoor Swabi KPK, PakistanHead of Department & Professor, Department of Otorhinolaryngology & CDA Cochlear Implant Centre/Deputy Dean, Capital Hospital PGMI, Islamabad Background: Amputation is the surgical or traumatic removal of extremity or part of body. Limb amputation is the last option to save the patient’s life by removing the dead or the dying part of the limb with trans-tibial amputation commonly known as below knee amputation. Objectives: To determine correlation of temporo-spatial and kinemetic trends with stump length in Trans-tibial amputees. Methodology: This correlational cross-sectional study was conducted in the Gait Lab of PIPOS Peshawar after Approval from the Institutional Research Board, Isra University Islamabad. Study recruited N=180 unilateral, male, K3 and K4 level trans tibial amputees, aged 15-30 years of age using purposive sampling. The data was collected under the “Simi Motion Analysis camera system” to measure the gait parameters related to tempura-spatial variables and kinematics. The stump length and stride length was measured using the measuring tape. Correlations of patients’ stump length with temporo-spatial and kinematics were determined using Pearson’s correlation matrix. P-value of 0.05 was considered significant. Results: Study sample with mean age of 25.69±4.17 years, revealed that stump length had no significant correlation with stride length (r=0.032, p=0.665), cadence (r-0.079,p=0.29), velocity (r=-0.039, p=0.6), stance phase (r=-0.068, p=0.363), swing phase (r=0.06, p=0.423), hip joint kinematics of amputated side (r=-0.06, p=0.426), knee joint kinematics ie., flexion at terminal stance (r=-0.129, p=0.085), flexion at mid swing (r=0.004, p=0.954)  of amputated side , pelvic tilt (r=0.049, p=0.517) and trunk bending both lateral trunk flexion (r=0.041, p=0.588) and forward lean (r=-0.036, p=0.634) at mid stance. Conclusion: In conclusion, the stump length had no substantial influence on the temporo-spatial and kinematic gait parameters in subjects with Trans tibial amputationhttps://journals.riphah.edu.pk/index.php/jrcrs/article/view/1636trans-tibial amputationstump lengthgait parameterskineticstemporo spatialbelow knee amputees
spellingShingle Hassan Saifullah
Waqar Awan
Mehran Ullah
Arsalan Rasool
Muhammad Kamran
Ghulam Saqulain
Correlation of Stump Length with Temporo-Spatial and Kinematic Outcome in Trans-tibial Amputees
Journal Riphah College of Rehabilitation Sciences
trans-tibial amputation
stump length
gait parameters
kinetics
temporo spatial
below knee amputees
title Correlation of Stump Length with Temporo-Spatial and Kinematic Outcome in Trans-tibial Amputees
title_full Correlation of Stump Length with Temporo-Spatial and Kinematic Outcome in Trans-tibial Amputees
title_fullStr Correlation of Stump Length with Temporo-Spatial and Kinematic Outcome in Trans-tibial Amputees
title_full_unstemmed Correlation of Stump Length with Temporo-Spatial and Kinematic Outcome in Trans-tibial Amputees
title_short Correlation of Stump Length with Temporo-Spatial and Kinematic Outcome in Trans-tibial Amputees
title_sort correlation of stump length with temporo spatial and kinematic outcome in trans tibial amputees
topic trans-tibial amputation
stump length
gait parameters
kinetics
temporo spatial
below knee amputees
url https://journals.riphah.edu.pk/index.php/jrcrs/article/view/1636
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