Review of secondary physical conditions associated with lower-limb amputation and long-term prosthesis use

Robert Gailey, Kerry Allen, Julie Castles, Jennifer Kucharik, Mariah Roeder

Research output: Contribution to journalArticle

265 Citations (Scopus)

Abstract

Musculoskeletal imbalances or pathologies often develop into secondary physical conditions or complications that may affect the mobility and quality of life of people with lower-limb amputation. Using one or more prostheses causes people with amputation to alter the biomechanics of their movement. For example, people with lower-limb amputation often favor and stress their intact lower limb more during everyday activities. This can lead to degenerative changes such as osteoarthritis of the knee and/or hip joints of the intact limb. Since people with amputation spend less time on their residual limb, osteopenia and subsequent osteoporosis often occur secondary to insufficient loading through the long bones of the lower limb. A proper prosthetic fit increases the probability of equal force distribution across the intact and prosthetic limbs during ambulation, thus decreasing the risk of osteoarthritis. People with limb loss commonly complain of back pain, which is linked to poor prosthetic fit and alignment, postural changes, leg-length discrepancy, amputation level, and general deconditioning. We review the literature on secondary complications among people with lower-limb loss who are long-term prosthesis wearers.

Original languageEnglish
Pages (from-to)15-30
Number of pages16
JournalJournal of Rehabilitation Research and Development
Volume45
Issue number1
DOIs
StatePublished - Dec 1 2008

Fingerprint

Amputation
Prostheses and Implants
Lower Extremity
Extremities
Hip Osteoarthritis
Knee Osteoarthritis
Metabolic Bone Diseases
Hip Joint
Back Pain
Knee Joint
Biomechanical Phenomena
Osteoarthritis
Osteoporosis
Walking
Leg
Quality of Life
Pathology
Bone and Bones

Keywords

  • Back pain
  • Fracture
  • Leg-length discrepancy
  • Lower-limb amputation
  • Osteoarthritis
  • Osteopenia
  • Osteoporosis
  • Prosthetics
  • Rehabilitation
  • Secondary complications

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Review of secondary physical conditions associated with lower-limb amputation and long-term prosthesis use. / Gailey, Robert; Allen, Kerry; Castles, Julie; Kucharik, Jennifer; Roeder, Mariah.

In: Journal of Rehabilitation Research and Development, Vol. 45, No. 1, 01.12.2008, p. 15-30.

Research output: Contribution to journalArticle

Gailey, Robert ; Allen, Kerry ; Castles, Julie ; Kucharik, Jennifer ; Roeder, Mariah. / Review of secondary physical conditions associated with lower-limb amputation and long-term prosthesis use. In: Journal of Rehabilitation Research and Development. 2008 ; Vol. 45, No. 1. pp. 15-30.
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