The clinical phenomena in amputees can be clearly divided into phantom pain, painful stumps and stump pulsation. The various causal mechanisms are described as a basis for the differing assessments of treatment and also compared with our own observations and results.
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http://dx.doi.org/10.1055/s-0028-1090393 | DOI Listing |
PLoS One
January 2025
Faculty of Design, Kyushu University, Fukuoka, Japan.
Cycling is a beneficial physical activity for rehabilitating individuals with lower-limb amputations and serves as a feasible leisure sport. However, the optimal bicycle configuration for cycling with a unilateral transtibial prosthesis at leisure levels has not been investigated. For saddle height at professional cycling levels, existing literature suggests utilizing the same configuration as that used by intact cyclists, where the knee reaches 25-35° at maximum extension.
View Article and Find Full Text PDFJ R Soc Interface
January 2025
Department of Mechanical Engineering, Imperial College London, London, UK.
Following lower limb amputation residuum skin from the lower leg is used to reconstruct the residual limb. Unlike skin on the sole of the foot (plantar skin), leg skin is not inherently load bearing. Despite this, leg skin is required to be load bearing in the prosthetic socket.
View Article and Find Full Text PDFPLoS One
January 2025
Laboratory for Biomechanics and Biomaterials, Department of Orthopedic Surgery, DIAKOVERE Annastift, Hannover Medical School, Hannover, Germany.
Prosthetic gait differs considerably from the unimpaired gait. Studying alterations in the gait patterns could help to understand different adaptation mechanisms adopted by these populations. This study investigated the effects of induced stiff-knee gait (SKG) on prosthetic and healthy gait patterns and the capabilities of predictive simulation.
View Article and Find Full Text PDFNat Commun
December 2024
Department of Advanced Manufacturing and Robotics, College of Engineering, Peking University, Beijing, China.
Prosthetic knees represent a prevalent solution for above-knee amputation rehabilitation. However, satisfying the ambulation requirements of users while achieving their comfort needs in terms of lightweight, bionic, shock-absorbing, and user-centric, remains out of reach. Soft materials seem to provide alternative solutions as their properties are conducive to the comfort aspect.
View Article and Find Full Text PDFJ Neuroeng Rehabil
November 2024
Department of Bioengineering, Imperial College London, London, UK.
Background: Direct skeletal fixation, a surgical technique enabling the attachment of an external prosthesis directly to the bone through a percutaneous implant, offers an enticing solution for patients with lower limb amputations facing socket-related issues. However, understanding of its impact on musculoskeletal function remains limited.
Methods: This study compares pre- and 1-year post-osseointegration surgery outcomes, focusing on patient-reported measures and musculoskeletal system function during level-ground walking.
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