Amputees and Tightropes: A Pilot Study to Measure Postural Control Post-Amputation

Abstract

It is widely accepted that postural instability increases with age, making falls and subsequent injury likely. Amputees have been identified as having a higher risk of falling than comparable non-amputees. A few laboratory studies have examined postural changes post-amputation, but no clinical study has been identified. This pilot study tested whether clinical balance tools used with elderly populations could be used to measure postural changes in recent transtibial amputees. Seven subjects were tested during their initial rehabilitation, using the Berg balance scale, the 'timed up and go' (TUG) test and Tinetti's Falls Efficacy Scale (FES). Any falls or near misses were also recorded. The TUG test and FES showed changes over time. The Berg scale showed a possible floor and ceiling effect. Patients did experience falls during the study time. Larger studies are needed to determine whether these are appropriate clinical tools for use with amputees.