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Narrative Review

Improving balance and walking ability in community-dwelling people with lower limb loss: a narrative review with clinical suggestions

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References

  • Moxey PW, Gogalniceanu P, Hinchliffe RJ, Loftus IM, Thompson JMM, Holt PJ. Lower extremity amputations–a review of global variability in incidence. Diabet Med. 2011;28:1144–53.10.1111/dme.2011.28.issue-10
  • Carmona GA, Hoffmeyer P, Herrmann FR, Vaucher J, Tschopp O, Lacraz A. Major lower limb amputations in the elderly observed over ten years: the role of diabetes and peripheral arterial disease. Diabetes Metab. 2005;31(5):449–54.10.1016/S1262-3636(07)70215-X
  • Ziegler-Graham K, MacKenzie EJ, Ephraim PL, Travison TG, Brookmeyer R. Estimating the prevalence of limb loss in the United States: 2005 to 2050. Arch Phys Med Rehabil. 2008;89:422–9.10.1016/j.apmr.2007.11.005
  • Sexton S. Rehabilitation of people with disabilities in developing countries[Internet]. [cited 2016 Nov 13]. Available from: http://www.ispoint.org/sites/default/files/rehabilitation_of_people_with_physical_disabilities_in_developing_countries_ispo_dfd-a-00-08-00309-00.pdf
  • Gauthier-Gagnon C, Grisé M, Potvin D. Enabling factors related to prosthetic use by people with transtibial and transfemoral amputation. Arch Phys Med Rehabil. 1999;80(6):706–13.10.1016/S0003-9993(99)90177-6
  • Allison GT, Buchanan J, Roffman CE. Locomotor performance during rehabilitation of people with lower limb amputation and prosthetic nonuse 12 months after discharge. Phys Ther. 2016;96(7):985–94.
  • Wong CK, Chen C, Benoy SA, Rahal R, Blackwell W. The role of balance ability and confidence in prosthetic use for mobility of people with lower limb loss. J Rehabil Res Dev. 2014;51(9):1353–64.10.1682/JRRD.2013.11.0235
  • Wong CK, Gibbs W, Chen E. Use of the Houghton Scale to classify community and household walking ability in people with lower limb amputation: criterion-related validity. Arch Phys Med Rehabil. 2016;97(7):1130–6.10.1016/j.apmr.2016.01.022
  • van Velzen JM, van Bennekom CAM, Polomski W, Slootman JR, van der Woude LHV, Houdijk H. Physical capacity and walking ability after lower limb amputation: a systematic review. Clin Rehabil. 2006;20:999–1016.10.1177/0269215506070700
  • Wong CK, Chen C, Blackwell W, Rahal R, Benoy SA. Balance ability measured with the Berg Balance Scale: a determinant of fall history in community-dwelling adults with leg amputation. J Rehabil Med. 2015;47(1):80–6.
  • Wong CK, Chihuri ST, Li G. Risk of fall-related injury in people with lower limb amputations: a prospective cohort study. J Rehabil Med. 2016;48:80–5.10.2340/16501977-2042
  • Hunter SW, Batchelor F, Hill KD, Hill AM, Mackintosh S, Payne M. Risk factors for falls in people with lower limb amputation: a systematic review. PMR. 2017;9(2):170–80.e1 10.1016/j.pmrj.2016.07.531
  • Wezenberg D, van der Woude LH, Faber WX, de Haan A, Houdijk H. Relation between aerobic capacity and walking ability in older adults with a lower-limb amputation. Arch Phys Med Rehabil. 2013;94(9):1714–20.10.1016/j.apmr.2013.02.016
  • Bhakta B, Neumann V, O’Connor R, Sansam K. Predicting walking ability following lower limb amputation: a systematic review of the literature. J Rehabil Med. 2009;41(8):593–603.
  • Meikle B, Devlin M, Garfinkel S. Interruptions to amputee rehabilitation. Arch Phys Med Rehabil. 2002;83(9):1222–8.10.1053/apmr.2002.33657
  • Wong CK, Ehrlich JE, Ersing JC, Maroldi NJ, Stevenson CE, Varca MJ. Exercise programs to improve gait performance in people with lower limb amputation: a systematic review. Prosthet Orthot Int. 2016;40(1):8–17.10.1177/0309364614546926
  • Erbahçeci F, Yiğiter K, Sener G, Bayar K, Ulger Ö. Balance training in amputees: comparison of the outcome of two rehabilitation approaches. Clin Res. 2001;12(2):194–8.
  • Rau B, Bonvin F, De Bie R. Short-term effect of physiotherapy rehabilitation on functional performance of lower limb amputees. Prosthet Orthot Int. 2007;31:258–70.10.1080/03093640600994615
  • Corio F, Troiano R, Magel JR. The effects of spinal stabilization exercises on the spatial and temporal parameters of gait in individuals with lower limb loss. J Prosthet Orthot. 2010;22(4):230–6.10.1097/JPO.0b013e3181f2f905
  • Matjaĉić Z, Burger H. Dynamic balance training during standing in people with trans-tibial amputation: a pilot study. Prosthet Orthot Int. 2003;27:214–20.
  • Lee MY, Lin CF, Soon KS. Balance control enhancement using sub-sensory stimulation and visual-auditory biofeedback strategies for amputee subjects. Prosthet Orthot Int. 2007;31(4):342–52.10.1080/03093640601058162
  • Kaufman KR, Wyatt MP, Sessoms PH, Grabiner MD. Task-specific fall prevention training is effective for warfighters with transtibial amputations. Clin Orthop Relat Res. 2014;472:3076–84.10.1007/s11999-014-3664-0
  • Crenshaw JR, Kaufman KR, Grabiner MD. Compensatory-step training of healthy, mobile people with unilateral transfemoral or knee disarticulation amputations: a potential intervention for trip-related falls. Gait Posture. 2013;38:500–6.10.1016/j.gaitpost.2013.01.023
  • Wong CK, Varca MJ, Stevenson CE, Maroldi NJ, Ersing JC, Ehrlich JE. The impact of a 4-session physiotherapy program emphasizing manual therapy and exercise on the balance and prosthetic walking ability of people with lower limb amputation: a pilot study. J Prosthet Orthot. 2016;28(3):95–100.10.1097/JPO.0000000000000099
  • Darter BJ, Nielsen DH, Yack HJ, Janz KF. Home-based treadmill training to improve gait performance in persons with a chronic transfemoral amputation. Arch Phys Med Rehabil. 2013;94(12):2440–7.10.1016/j.apmr.2013.08.001
  • Pauley T, Devlin M, Madan-Sharma P. A single-blind, cross-over trial of hip abductor strength training to improve timed up & go performance in patients with unilateral, transfemoral amputation. J Rehabil Med. 2014;46(3):264–70.10.2340/16501977-1270
  • Sjödahl C, Jarnlo GB, Persson BM. Gait improvement in unilateral transfemoral amputees by a combined psychological and physiotherapeutic treatment. J Rehabil Med. 2001;33:114–8.
  • Nolan L. A training programme to improve hip strength in persons with lower limb amputation. J Rehabil Med. 2012;44(3):241–8.10.2340/16501977-0921
  • Klingenstierna U, Renstrom P, Grimby G, Morelli B. Isokinetic strength training in below-knee amputees. Scand J Rehabil Med. 1990;22:39–43.
  • Geertzen J, van der Linde H, Rosenbrand K, Conradi M, Deckers J, Koning J, et al. Dutch evidence-based guidelines for amputation and prosthetics of the lower extremity: rehabilitation process and prosthetics. Part 2. Prosthet Orthot Int. 2015 Oct;39(5):361–71.10.1177/0309364614542725
  • VA/DoD Clinical practice guidelines for rehabilitation of individuals with lower limb amputation. V2.0. 2017 [cited 2017 Nov 2]. Available from: https://www.healthquality.va.gov/guidelines/Rehab/amp/VADoDLLACPGPocketCard092817.pdf
  • Wong CK, Stern JR, D’Andrea RF Jr, Loven SL, Panjaki S, See AS, et al. The risk of subsequent amputation following an initial lower extremity amputation: a systematic review. Int J Diabetol Vasc Dis Res. 2016;4(5):171–7.
  • Salawu A, Middleton C, Gilbertson A, Kodavali K, Neumann V. Stump ulcers and continued prosthetic limb use. Prosthet Orthot Int. 2006;30(3):279–85.10.1080/03093640600836139
  • Hoffman J, Gabel P. Expanding Panjabi’s stability model to express movement: a theoretical model. Med Hypoth. 2013;80:692–7.10.1016/j.mehy.2013.02.006
  • Esposito ER, Wilken JM. The relationship between pelvis-trunk coordination and low back pain in individuals with transfemoral amputations. Gait Posture. 2014;40:640–6.10.1016/j.gaitpost.2014.07.019
  • Prinsen EC, Nederhand MJ, Rietman JS. Adaptation strategies of the lower extremities of patients with a transtibial or transfemoral amputation during level walking. Arch Phys Med Rehabil. 2011;92:1311–25.10.1016/j.apmr.2011.01.017
  • Jaegers SMHJ, Arendzen JH, De Jongh HJ. Changes in hip muscles after above-knee amputation. Clin Orthop Rel Res. 1995;319:276–84.
  • Raya MA, Gailey RS, Fiebert IM, Roach KE. Impairment variables predicting activity limitation in individuals with lower limb amputation. Prosthet Orthot Int. 2010;34:73–84.10.3109/03093640903585008
  • Wong CK, Chen C, Welsh J. Preliminary assessment of balance with the Berg Balance Scale in adults who have a leg amputation and dwell in the community: Rasch rating scale analysis. Phys Ther. 2013;93(11):1520–9.10.2522/ptj.20130009
  • Richardson JK, Demott T, Allet L, Kim H, Ashton-Miller JA. Hip strength: ankle proprioceptive threshold ratio predicts falls and injury in diabetic neuropathy. Muscle Nerve. 2014;50:437–42.10.1002/mus.v50.3
  • Yiğiter K, Şener G, Erbahçeci F, Bayar K, Ülger OG, Akdoğan S. A comparison of traditional prosthetic training versus proprioceptive neuromuscular facilitation resistive gait training with transfemoral amputees. Prosthet Orthot Int. 2002;26:213–7.10.1080/03093640208726650
  • Collado H, Coudreuse JM, Graziani F, Bensoussan L, Viton JM, Delarque A. Eccentric reinforcement of the ankle evertor muscles after lateral ankle sprain. Scand J Med Sci Sports. 2010;20:241–6.
  • Hess SA. Functional stability of the glenohumeral joint. Man Ther. 2000;5(2):63–71.10.1054/math.2000.0241
  • Neumann DA. Kinesiology of the musculoskeletal system: foundations for rehabilitation. 2nd ed. St. Louis, (MO): Mosby; 2010.
  • Campbell A, Kemp-Smith K, O’Sullivan P, Straker L. Abdominal bracing increases ground reaction forces and reduces knee and hip flexion during landing. J Orthop Sports Phys Ther. 2016;46(4):286–92.10.2519/jospt.2016.5774
  • Hordacre B, Barr C, Crotty M. Use of an activity monitor and GPS device to assess community activity and participation in transtibial amputees. Sensors. 2014;14:5845–59.10.3390/s140405845
  • Miller CA, Hayes DM, Dye K, Johnson C, Meyers J. Using the Nintendo Wii Fit and body weight support to improve aerobic capacity, balance, gait ability, and fear of falling: two case reports. J Geriatr Phys Ther. 2012;35(2):95–104.10.1519/JPT.0b013e318224aa38
  • Sheehan RC, Rábago CA, Rylander JH, Dingwell JB, Wilken JM. Use of perturbation-based gait training in a virtual environment to address mediolateral instability in an individual with unilateral transfemoral amputation. Phys Ther. 2016 Jun 8. [Epub ahead of print]
  • Gailey RS, Roach KE, Applegate EB, Cho B, Cunniffe B, Licht S, et al. The amputee mobility predictor: an instrument to assess determinants of the lower-limb amputee’s ability to ambulate. Arch Phys Med Rehabil. 2002;83:613–27.10.1053/apmr.2002.32309
  • Legro MW, Reiber GD, Smith DG, del Aguila M, Larsen J, Boone D. Prosthesis evaluation questionnaire for persons with lower limb amputations: assessing prosthesis related quality of life. Arch Phys Med Rehabil. 1998;79(8):931–8.10.1016/S0003-9993(98)90090-9
  • Christensen J, Ipsen T, Doherty P, Langberg H. Physical and social factors determining quality of life for veterans with lower-limb amputation(s): a systematic review. Disabil Rehabil. 2016;38(24):2345–53.10.3109/09638288.2015.1129446
  • Resnik L, Borgia M. Reliability of outcome measures for people with lower-limb amputations: distinguishing true change from statistical error. Phys Ther. 2011;91:555–65.10.2522/ptj.20100287
  • Kersten P, McPherson KM, Kayes NM, Theadom A, McCambridge A. Bridging the goal intention-action gap in rehabilitation: a study of if-then implementation intension in neurorehabilitation. Disabil Rehabil. 2015;37(12):1073–81.10.3109/09638288.2014.955137
  • Christiansen CL, Fields T, Lev G, Stephenson RO, Stevens-Lapsley JE. Functional outcomes after the prosthetic training phase of rehabilitation after dysvascular lower extremity amputation. PM&R. 2015;7(11):1118–26.
  • Coffey L, Gallagher P, Desmond D. A prospective study of the importance of life goal characteristics and goal adjustment capacities in longer term psychosocial adjustment to lower limb amputation. Clin Rehabil. 2014;28(2):196–205.10.1177/0269215513497736
  • Weiner SJ, Schwartz A, Sharma G, Binns-Calvey A, Ashley N, Kelly B, et al. Patient-centered decision making and health care outcomes. Annals Intern Med. 2013;158(8):573–80.10.7326/0003-4819-158-8-201304160-00001
  • Fritz NE, Cheek FM, Nichols-Larsen DS. Motor-cognitive dual-task training in persons with neurologic disorders: a systematic review. J Neurol Phys Ther. 2015;39(3):142–53.10.1097/NPT.0000000000000090
  • Kearney FC, Harwood RH, Gladman JR, Lincoln N, Masud T. The relationship between executive function and falls and gait abnormalities in older adults: a systematic review. Dement Geriatr Cogn Disord. 2013;36(1–2):20–35.10.1159/000350031
  • Williams RM, Turner AP, Orendurff M, Segal AD, Klute GK, Pecoraro J, et al. Does having a computerized prosthetic knee influence cognitive performance during amputee walking? Arch Phys Med Rehabil. 2006;87(7):989–94.10.1016/j.apmr.2006.03.006
  • USDOT - US Department of Transportation Federal Highway Administration. Traffic signal timing manual. [cited 2016 Feb 21]. Available from: https://www.fhwa.dot.gov/environment/bicycle_pedestrian/publications/sidewalks/chap4a.cfm and http://ops.fhwa.dot.gov/publications/fhwahop08024/chapter5.htm#5.3
  • Burnfield JM, Eberly VJ, Gronely JK, Perry J, Yule WJ, Mulroy SJ. Impact of stance phase microprocessor-controlled knee prosthesis on ramp negotiation and community-walking function in K2 level transfemoral amputees. Prosthet Orthot Int. 2012;36(1):95–104.10.1177/0309364611431611
  • Jayakaran P, Johnson GM, Sullivan SJ, Nitz JC. Instrumented measurement of balance and postural control in individuals with lower limb amputation: a critical review. Int J Rehabil Res. 2012;35(3):187–96.10.1097/MRR.0b013e3283550ff9
  • Hofstad CJ, van der Linde H, Nienhuis B, Weerdesteyn V, Duysens J, Geurts AC. High failure rates when avoiding obstacles during treadmill walking in patients with a transtibial amputation. Arch Phys Med Rehabil. 2006;87(8):1115–22.10.1016/j.apmr.2006.04.009
  • Murray CD, Forshaw MJ. The experience of amputation and prosthesis use for adults: a metasynthesis. Disabil Rehabil. 2013;35(14):1133–42.10.3109/09638288.2012.723790
  • Alschuler KN, Kratz AL, Ehde DM. Resilience and vulnerability in individuals with chronic pain and physical disability. Rehabil Psychol. 2016;61(1):7–18.10.1037/rep0000055
  • Ephraim PL, Wegener ST, MacKenzie EJ, Dillingham TR, Pezzin LE. Phantom pain, residual limb pain, and back pain in amputees: results of a national survey. Arch Phys Med Rehabil. 2005;86(10):1910–9.10.1016/j.apmr.2005.03.031

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