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Title: Significance of non-level walking on transtibial prosthesis fitting with particular reference to the effects of anterior-posterior alignment
Authors: Sin, SW
Chow, DHK
Cheng, CY
Issue Date: Jan-2001
Source: Journal of rehabilitation research and development, Jan./Feb. 2001, v. 38, no. 1, p. 1-6
Abstract: Despite the fact that non-level walking is known to be important for prosthesis fitting, its clinical significance has not been investigated. In this study, the acceptable prosthesis alignment ranges of six subjects with transtibial amputation on level and non-level walking were determined and compared. With the aid of a recently developed alignment jig, prosthesis fitting was performed for each subject with varied anterior-posterior (AP) alignments. Conventional assessments and the subjects' comment were used to determine whether the alignment was acceptable or not. The results showed that the acceptable alignment range for non-level walking consistently fell within and was significantly smaller than that for level walking with p<0.05. It was evident that non-level walking is important for better approximation of optimum alignment and should be included in routine prosthesis fitting.
Keywords: Non-level walking
Prosthesis alignment
Prosthesis fitting
Transtibial amputation
Publisher: U.S. Department of Veterans Affairs, Rehabilitation Research and Development Service
Journal: Journal of rehabilitation research and development 
ISSN: 0748-7711
Rights: The article is available at http://www.rehab.research.va.gov/jour/01/38/1/abssin.html
Appears in Collections:Journal/Magazine Article

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