rhroughout the United States and Canada an estimated 80 percent of all major elective civilian amputations result from ischemia. All but a relatively few involve the lower extremity. Significant improvements in below-knee prostheses and important advances in surgical and postsurgical management now allow amputation below the knee in a majority of patients. In a consecutive series of 96 unselect...

Abstract Purpose of Review This systematic review aims to evaluate physical performance outcome tools that are used most frequently assess rehabilitation interventions. The scope this paper focused on outcomes with established lower limb amputees when assessing interventions such as exercise programs or changes in prescription published the last 5 years. Recent Findings recorded measures across...

This study describes the injuries, complications, functional limitations, and rehabilitative needs of amputees managed at Walter Reed Army Medical Center during the Persian Gulf conflict (1991). Fourteen amputees were treated sustaining 21 amputations with 18 lower-limb and 3 upper-limb amputations. In six casualties there were multiple amputations. Battle injuries were the cause in 79%. Nerve ...

Until some years ago, running in lower limb amputees was basically restricted by the inadequate dimensions of available prosthetic components that usually did not allow for the adequate dynamics necessary for running at lower speeds. Newly developed prosthetic components for recreational sports have enabled a great number of lower limb amputees to participate in running as an endurance sport. T...

The purpose of this investigation was to compare intersegmental knee and hip forces for below-knee amputee (BKA) and able-bodied children during standing. Three unilateral BKA children and 10 able-bodied children (7-9 years) were tested on four separate occasions at six month intervals. Three trials of external force and spatial data during standing were collected from each subject for each ses...

During the last few years considerable attention has been given to the use of gait analysis as a tool for clinical use. The instrumentation for measurement of the kinetics and kinematics of human locomotion was originally designed for research use. Extension of its use into the clinical field calls for simplified methodology and clearly defined protocols with precise identification of the relev...

INTRODUCTION This review addresses the different prosthetic socket designs for trans-tibial amputees, the biomechanics behind the designs and the current state of the field. Of particular focus is the classic patella-tendon bearing (PTB) socket and the more recent sockets manufactured using pressure casting techniques and the theory, biomechanics and clinical implications of the two designs. Me...

A project to provide sensation from an upper-limb amputation prosthesis has been underway at Duke University since early 1971 . This was initially made possible through the generosity of Mrs . Carlton Hooks of Thomasville, North Carolina, who provided funds for a pilot study. Since December 1, 1972, the project has been aided by contract from the Veterans Administration with an expected termina...

Accurate and objective assessment of amputation level in the lower limb plays an important role in patient management. Laser Doppler flowmetry (LDF) is a new and noninvasive technique for skin blood flow measurement and has been used pre-operatively in 25 patients undergoing amputation for vascular disease and in five normal controls. Baseline flux measurements were made at room temperature on ...