Postural asymmetries in transfemoral amputees.

Ignacio Gaunaurd, Robert Gailey, Orlando W Gomez-Marin, Neva J Kirk-Sanchez, Neva Kirk-Sanchez

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Postural asymmetries are thought to lead to impairment of body structure and function such as muscle imbalance, gait asymmetry and possible chronic conditions, which result in limitation of mobility and restriction of daily activity for transfemoral amputees (TFAs). Despite the potential clinical impact, postural asymmetries have not been confirmed or quantified in TFAs. To identify the presence of postural asymmetries in TFAs utilizing clinical evaluation measures. An observational cross-sectional study in which participants were evaluated at a single time point without intervention or follow-up. Forty-seven unilateral TFAs were measured for standing limb length, pelvic innominate inclination (PII), lateral trunk flexion and hip extension. Limb length discrepancy was present in 66% of participants and 57% had a short prosthetic limb. PII was greater than has been reported in the literature, and the shorter the prosthetic lower limb, the greater the PII on the amputated side (r = -0.422, p = 0.004). Limb length discrepancy and decreased lateral trunk flexion accounted for 26% of the variance in amputated side PII. Three postural measurements, namely leg length, pelvic innominate inclination and hip extension, were found to differ between the intact and amputated limb in this study sample. Clinicians should include postural assessment as part of their routine evaluation of TFAs in an effort to achieve postural symmetry and reduce the risk of chronic conditions associated with impairment of body structure and function.

Original languageEnglish
Pages (from-to)171-180
Number of pages10
JournalProsthetics and Orthotics International
Volume35
Issue number2
DOIs
StatePublished - Jun 1 2011

Fingerprint

Amputees
Extremities
Hip
Mobility Limitation
Gait
Lower Extremity
Leg
Cross-Sectional Studies
Muscles

ASJC Scopus subject areas

  • Rehabilitation
  • Health Professions (miscellaneous)

Cite this

Postural asymmetries in transfemoral amputees. / Gaunaurd, Ignacio; Gailey, Robert; Gomez-Marin, Orlando W; Kirk-Sanchez, Neva J; Kirk-Sanchez, Neva.

In: Prosthetics and Orthotics International, Vol. 35, No. 2, 01.06.2011, p. 171-180.

Research output: Contribution to journalArticle

Gaunaurd, Ignacio ; Gailey, Robert ; Gomez-Marin, Orlando W ; Kirk-Sanchez, Neva J ; Kirk-Sanchez, Neva. / Postural asymmetries in transfemoral amputees. In: Prosthetics and Orthotics International. 2011 ; Vol. 35, No. 2. pp. 171-180.
@article{63c06229cfb7462baf49e370a767f985,
title = "Postural asymmetries in transfemoral amputees.",
abstract = "Postural asymmetries are thought to lead to impairment of body structure and function such as muscle imbalance, gait asymmetry and possible chronic conditions, which result in limitation of mobility and restriction of daily activity for transfemoral amputees (TFAs). Despite the potential clinical impact, postural asymmetries have not been confirmed or quantified in TFAs. To identify the presence of postural asymmetries in TFAs utilizing clinical evaluation measures. An observational cross-sectional study in which participants were evaluated at a single time point without intervention or follow-up. Forty-seven unilateral TFAs were measured for standing limb length, pelvic innominate inclination (PII), lateral trunk flexion and hip extension. Limb length discrepancy was present in 66{\%} of participants and 57{\%} had a short prosthetic limb. PII was greater than has been reported in the literature, and the shorter the prosthetic lower limb, the greater the PII on the amputated side (r = -0.422, p = 0.004). Limb length discrepancy and decreased lateral trunk flexion accounted for 26{\%} of the variance in amputated side PII. Three postural measurements, namely leg length, pelvic innominate inclination and hip extension, were found to differ between the intact and amputated limb in this study sample. Clinicians should include postural assessment as part of their routine evaluation of TFAs in an effort to achieve postural symmetry and reduce the risk of chronic conditions associated with impairment of body structure and function.",
author = "Ignacio Gaunaurd and Robert Gailey and Gomez-Marin, {Orlando W} and Kirk-Sanchez, {Neva J} and Neva Kirk-Sanchez",
year = "2011",
month = "6",
day = "1",
doi = "10.1177/0309364611407676",
language = "English",
volume = "35",
pages = "171--180",
journal = "Prosthetics and Orthotics International",
issn = "0309-3646",
publisher = "SAGE Publications Ltd",
number = "2",

}

TY - JOUR

T1 - Postural asymmetries in transfemoral amputees.

AU - Gaunaurd, Ignacio

AU - Gailey, Robert

AU - Gomez-Marin, Orlando W

AU - Kirk-Sanchez, Neva J

AU - Kirk-Sanchez, Neva

PY - 2011/6/1

Y1 - 2011/6/1

N2 - Postural asymmetries are thought to lead to impairment of body structure and function such as muscle imbalance, gait asymmetry and possible chronic conditions, which result in limitation of mobility and restriction of daily activity for transfemoral amputees (TFAs). Despite the potential clinical impact, postural asymmetries have not been confirmed or quantified in TFAs. To identify the presence of postural asymmetries in TFAs utilizing clinical evaluation measures. An observational cross-sectional study in which participants were evaluated at a single time point without intervention or follow-up. Forty-seven unilateral TFAs were measured for standing limb length, pelvic innominate inclination (PII), lateral trunk flexion and hip extension. Limb length discrepancy was present in 66% of participants and 57% had a short prosthetic limb. PII was greater than has been reported in the literature, and the shorter the prosthetic lower limb, the greater the PII on the amputated side (r = -0.422, p = 0.004). Limb length discrepancy and decreased lateral trunk flexion accounted for 26% of the variance in amputated side PII. Three postural measurements, namely leg length, pelvic innominate inclination and hip extension, were found to differ between the intact and amputated limb in this study sample. Clinicians should include postural assessment as part of their routine evaluation of TFAs in an effort to achieve postural symmetry and reduce the risk of chronic conditions associated with impairment of body structure and function.

AB - Postural asymmetries are thought to lead to impairment of body structure and function such as muscle imbalance, gait asymmetry and possible chronic conditions, which result in limitation of mobility and restriction of daily activity for transfemoral amputees (TFAs). Despite the potential clinical impact, postural asymmetries have not been confirmed or quantified in TFAs. To identify the presence of postural asymmetries in TFAs utilizing clinical evaluation measures. An observational cross-sectional study in which participants were evaluated at a single time point without intervention or follow-up. Forty-seven unilateral TFAs were measured for standing limb length, pelvic innominate inclination (PII), lateral trunk flexion and hip extension. Limb length discrepancy was present in 66% of participants and 57% had a short prosthetic limb. PII was greater than has been reported in the literature, and the shorter the prosthetic lower limb, the greater the PII on the amputated side (r = -0.422, p = 0.004). Limb length discrepancy and decreased lateral trunk flexion accounted for 26% of the variance in amputated side PII. Three postural measurements, namely leg length, pelvic innominate inclination and hip extension, were found to differ between the intact and amputated limb in this study sample. Clinicians should include postural assessment as part of their routine evaluation of TFAs in an effort to achieve postural symmetry and reduce the risk of chronic conditions associated with impairment of body structure and function.

UR - http://www.scopus.com/inward/record.url?scp=82255189676&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=82255189676&partnerID=8YFLogxK

U2 - 10.1177/0309364611407676

DO - 10.1177/0309364611407676

M3 - Article

C2 - 21697199

AN - SCOPUS:82255189676

VL - 35

SP - 171

EP - 180

JO - Prosthetics and Orthotics International

JF - Prosthetics and Orthotics International

SN - 0309-3646

IS - 2

ER -