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

@article{Gailey2008ReviewOS,
  title={Review of secondary physical conditions associated with lower-limb amputation and long-term prosthesis use.},
  author={Robert S. Gailey and Kerry Allen and Julie Castles and Jennifer Kucharik and Mariah Roeder},
  journal={Journal of rehabilitation research and development},
  year={2008},
  volume={45 1},
  pages={
          15-29
        }
}
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… 

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References

SHOWING 1-10 OF 131 REFERENCES

Use of lower limb prosthesis among elderly amputees.

Both the present age of patient and the age at amputation were found not to be a factor in deciding the frequency of usage of prosthesis, and the outcome of success in rehabilitation of the amputee.

Biomechanical significance of the correct length of lower limb prostheses: A clinical and radiological study

  • O. Friberg
  • Medicine
    Prosthetics and orthotics international
  • 1984
Physical activity and chronic pain symptoms of the lower limb amputees seemed to correlate with the suitability of the length of the prosthesis, and was unrelated to thelength of the amputation stump.

Mobility of persons after traumatic lower limb amputation.

It is concluded that successful fitting and usage of a prosthesis by persons after lower limb amputation promotes independent walking and mobility in everyday life.

Hip and knee frontal plane moments in persons with unilateral, trans-tibial amputation.

Association between amputation, arthritis and osteopenia in British male war veterans with major lower limb amputations.

Male war veterans with unilateral major lower limb amputations develop significantly more osteoarthritis of the hip than expected on both ipsi- and contralateral sides and above-knee amputees develop significantly less bone density than normal age- and sex-matched population.

Phantom limb, residual limb, and back pain after lower extremity amputations.

The results support the importance of looking at pain as a multidimensional rather than a unidimensional construct and suggest that back pain after lower extremity amputation may be an overlooked but very important pain problem warranting additional clinical attention and study.

Osteoarthritis and elderly amputee gait.

The role of the contralateral limb in below-knee amputee gait

The results suggest that, providing the adult amputee has a good prosthetic fit, there will not be increased forces across the joints of the contralateral limb and consequently no predisposition for the long-term wearer to develop premature degenerative arthritis.
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