Clinical Pilates in Practice: Knee Joint Biomechanics in Transtibial Amputees (May 2022)

This study looked at knee joint biomechanics in a young, healthy population with no activity restrictions, with a focus on energy storage and return (ESAR)  prostheses. The authors recognise that the study had a small sample size, and discuss potential sources of error for their data collection, but are confident about the clinical application of their findings.

 

Orekhov G, Robinson AM, Hazelwood SJ, Klisch SM (2019) Knee joint biomechanics in transtibial amputees in gait, cycling, and elliptical training. PLoS ONE 14(12): e0226060.

 

KEY POINTS: KNEE BIOMECHANICS FOR TRANSTIBIAL AMPUTEES

  • There is a high prevalence of joint pain and osteoarthritis (OA) in unilateral transtibial and transfemoral amputee populations.
  • Transtibial amputees are more likely to develop OA in the intact knee.

 

Abnormal gait biomechanics include asymmetric ground reaction forces, muscle activation patterns, and knee joint kinetics between limbs.

 

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