Differences in Gait Patterns of Unilateral Transtibial Amputees With Two Types of Energy Storing Prosthetic Feet

Objective To evaluate if there is a difference in gait pattern when applying two different shapes of energy storing prosthetic feet for trainstibial amputation we conducted a comparative study. Energy storing prosthetic feet for transtibial amputation are increasing in use, but there are few studies...

Full description

Bibliographic Details
Main Authors: Ja Ryung Yang, Hee Seung Yang, Da Hyun Ahn, Dong Young Ahn, Woo Sob Sim, Hea-Eun Yang
Format: Article
Language:English
Published: Korean Academy of Rehabilitation Medicine 2018-08-01
Series:Annals of Rehabilitation Medicine
Subjects:
Online Access:http://www.e-arm.org/upload/pdf/arm-2018-42-4-609.pdf
_version_ 1827835045042192384
author Ja Ryung Yang
Hee Seung Yang
Da Hyun Ahn
Dong Young Ahn
Woo Sob Sim
Hea-Eun Yang
author_facet Ja Ryung Yang
Hee Seung Yang
Da Hyun Ahn
Dong Young Ahn
Woo Sob Sim
Hea-Eun Yang
author_sort Ja Ryung Yang
collection DOAJ
description Objective To evaluate if there is a difference in gait pattern when applying two different shapes of energy storing prosthetic feet for trainstibial amputation we conducted a comparative study. Energy storing prosthetic feet for transtibial amputation are increasing in use, but there are few studies that evaluate the effects of the shape of energy storing feet on gait patterns. Methods Ten unilateral transtibial amputees were recruited. Two different shapes of dynamic response feet were applied to each subject either 1C30 Trias or 1C60 Triton. The main differences between the two are a split forefoot and the presence of a heel wedge. Spatiotemporal, kinematic, and kinetic data was obtained through gait analysis. Differences between intact and prosthetic side and differences between the two prosthetics were assessed. Results On a side to side comparison, cadence asymmetry with 1C30 Trias was observed. Ankle plantarflexion at the end of stance and ankle supination at the onset of preswing was smaller with both prosthetic feet compared to the intact side. Other spatiotemporal, kinematic, and kinetic data showed no significant differences in a side to side comparison. In a comparison between the two prosthetics, stance and swing ratio and ankle dorsiflexion through mid-stance was closer to normal with 1C60 Triton than 1C30 Trias. Other spatiotemporal, kinematic, and kinetic data showed no statistically significant differences between prosthetics. Conclusion Both energy storing feet implants showed symmetric gait in unilateral transtibial amputees who are functionally independent in daily living. And 1C60 Triton showed closer to normal gait patterns than 1C30 Trias in our study.
first_indexed 2024-03-12T06:01:53Z
format Article
id doaj.art-878773b6ed894d098a19014be3aee931
institution Directory Open Access Journal
issn 2234-0645
2234-0653
language English
last_indexed 2024-03-12T06:01:53Z
publishDate 2018-08-01
publisher Korean Academy of Rehabilitation Medicine
record_format Article
series Annals of Rehabilitation Medicine
spelling doaj.art-878773b6ed894d098a19014be3aee9312023-09-03T04:07:09ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06452234-06532018-08-0142460961610.5535/arm.2018.42.4.6094022Differences in Gait Patterns of Unilateral Transtibial Amputees With Two Types of Energy Storing Prosthetic FeetJa Ryung Yang0Hee Seung Yang1Da Hyun Ahn2Dong Young Ahn3Woo Sob Sim4Hea-Eun Yang5 Department of Rehabilitation Medicine, Veterans Health Service Medical Center, Seoul, Korea Department of Rehabilitation Medicine, Veterans Health Service Medical Center, Seoul, Korea Department of Rehabilitation Medicine, Veterans Health Service Medical Center, Seoul, Korea Center of Prosthetics and Orthotics, Veterans Health Service Medical Center, Seoul, Korea Center of Prosthetics and Orthotics, Veterans Health Service Medical Center, Seoul, Korea Department of Rehabilitation Medicine, Veterans Health Service Medical Center, Seoul, KoreaObjective To evaluate if there is a difference in gait pattern when applying two different shapes of energy storing prosthetic feet for trainstibial amputation we conducted a comparative study. Energy storing prosthetic feet for transtibial amputation are increasing in use, but there are few studies that evaluate the effects of the shape of energy storing feet on gait patterns. Methods Ten unilateral transtibial amputees were recruited. Two different shapes of dynamic response feet were applied to each subject either 1C30 Trias or 1C60 Triton. The main differences between the two are a split forefoot and the presence of a heel wedge. Spatiotemporal, kinematic, and kinetic data was obtained through gait analysis. Differences between intact and prosthetic side and differences between the two prosthetics were assessed. Results On a side to side comparison, cadence asymmetry with 1C30 Trias was observed. Ankle plantarflexion at the end of stance and ankle supination at the onset of preswing was smaller with both prosthetic feet compared to the intact side. Other spatiotemporal, kinematic, and kinetic data showed no significant differences in a side to side comparison. In a comparison between the two prosthetics, stance and swing ratio and ankle dorsiflexion through mid-stance was closer to normal with 1C60 Triton than 1C30 Trias. Other spatiotemporal, kinematic, and kinetic data showed no statistically significant differences between prosthetics. Conclusion Both energy storing feet implants showed symmetric gait in unilateral transtibial amputees who are functionally independent in daily living. And 1C60 Triton showed closer to normal gait patterns than 1C30 Trias in our study.http://www.e-arm.org/upload/pdf/arm-2018-42-4-609.pdfAmputationProsthesisGait
spellingShingle Ja Ryung Yang
Hee Seung Yang
Da Hyun Ahn
Dong Young Ahn
Woo Sob Sim
Hea-Eun Yang
Differences in Gait Patterns of Unilateral Transtibial Amputees With Two Types of Energy Storing Prosthetic Feet
Annals of Rehabilitation Medicine
Amputation
Prosthesis
Gait
title Differences in Gait Patterns of Unilateral Transtibial Amputees With Two Types of Energy Storing Prosthetic Feet
title_full Differences in Gait Patterns of Unilateral Transtibial Amputees With Two Types of Energy Storing Prosthetic Feet
title_fullStr Differences in Gait Patterns of Unilateral Transtibial Amputees With Two Types of Energy Storing Prosthetic Feet
title_full_unstemmed Differences in Gait Patterns of Unilateral Transtibial Amputees With Two Types of Energy Storing Prosthetic Feet
title_short Differences in Gait Patterns of Unilateral Transtibial Amputees With Two Types of Energy Storing Prosthetic Feet
title_sort differences in gait patterns of unilateral transtibial amputees with two types of energy storing prosthetic feet
topic Amputation
Prosthesis
Gait
url http://www.e-arm.org/upload/pdf/arm-2018-42-4-609.pdf
work_keys_str_mv AT jaryungyang differencesingaitpatternsofunilateraltranstibialamputeeswithtwotypesofenergystoringprostheticfeet
AT heeseungyang differencesingaitpatternsofunilateraltranstibialamputeeswithtwotypesofenergystoringprostheticfeet
AT dahyunahn differencesingaitpatternsofunilateraltranstibialamputeeswithtwotypesofenergystoringprostheticfeet
AT dongyoungahn differencesingaitpatternsofunilateraltranstibialamputeeswithtwotypesofenergystoringprostheticfeet
AT woosobsim differencesingaitpatternsofunilateraltranstibialamputeeswithtwotypesofenergystoringprostheticfeet
AT heaeunyang differencesingaitpatternsofunilateraltranstibialamputeeswithtwotypesofenergystoringprostheticfeet