TPress
1.
Darter, B. J.; Syrett, E. D.; Foreman, K. B.; Kubiak, E.; Sinclair, S.
In: PLoS ONE, Bd. 18, Nr. 2 February, 2023, ISSN: 1932-6203.
Abstract | Links | Schlagwörter: adult, amputation, article, Axtion, biomechanics, bone plate, cane, clinical article, frontal plane, gait, hip, hip adduction angle, hip angle, human, kinematics, limb prosthesis, male, middle aged, motion analysis system, Ossur Rheo, Ottobock C-Leg, Ottobock Genium, Ottobock X3, pelvic angle, pelvis lab angle, Pro-Flex Pivo, prosthesis implantation, radiographic parameter, Renegade XL, Rush Low Profile, Rush Renegade, software agent, torque, Triton, Triton Low Profile, trunk, trunk flexion angle, trunk lab angle, trunk pelvis angle, tyloxapol, unilateral transfemoral amputation, walker, walking speed, Wave Sport
@article{Darter2023,
title = {Changes in frontal plane kinematics over 12-months in individuals with the Percutaneous Osseointegrated Prosthesis (POP)},
author = {B. J. Darter and E. D. Syrett and K. B. Foreman and E. Kubiak and S. Sinclair},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L2023020092&from=export},
doi = {10.1371/journal.pone.0281339},
issn = {1932-6203},
year = {2023},
date = {2023-01-01},
journal = {PLoS ONE},
volume = {18},
number = {2 February},
address = {B.J. Darter, Department of Physical Therapy, Virginia Commonwealth University, Richmond, VA, United States},
abstract = {Background A bone-anchored prosthesis (BAP) eliminates the need for a conventional socket by attaching a prosthesis directly to the user's skeleton. Currently, limited research addresses changes in gait mechanics post BAP implantation. Objective Examine changes in frontal plane movement patterns after BAP implantation. Methods Participants were individuals with unilateral transfemoral amputation (TFA) enrolled in the US Food and Drug Administration (FDA) Early Feasibility Study examining the Percutaneous Osseointegrated Prosthesis (POP). The participants completed overground gait assessments using their conventional socket and at 6-weeks, 12-weeks, 6-months, and 12- months following POP implantation. Statistical parameter mapping techniques were used in examining changes in frontal plane kinematics over the 12-months and differences with reference values for individuals without limb loss. Results Statistically significant deviations were found pre-implantation compared to reference values for hip and trunk angles during prosthetic limb stance phase, and for pelvis and trunk relative to the pelvis angles during prosthetic limb swing. At 6-weeks post-implantation, only the trunk angle demonstrated a statistically significant reduction in the percent of gait cycle with deviations relative to reference values. At 12-months post-implantation, results revealed frontal plane movements were no longer statistically different across the gait cycle for the trunk angle compared to reference values, and less of the gait cycle was statistically different compared to reference values for all other frontal plane patterns analyzed. No statistically significant within-participant differences were found for frontal plane movement patterns between pre-implantation and 6-weeks or 12-months post-implantation. Conclusions Deviations from reference values displayed prior to device implantation were reduced or eliminated 12-months post-implantation in all frontal plane patterns analyzed, while withinparticipant changes over the 12-month period did not reach statistical significance. Overall, the results suggest the transition to a BAP aided in normalizing gait patterns in a sample of relatively high functioning individuals with TFA.},
keywords = {adult, amputation, article, Axtion, biomechanics, bone plate, cane, clinical article, frontal plane, gait, hip, hip adduction angle, hip angle, human, kinematics, limb prosthesis, male, middle aged, motion analysis system, Ossur Rheo, Ottobock C-Leg, Ottobock Genium, Ottobock X3, pelvic angle, pelvis lab angle, Pro-Flex Pivo, prosthesis implantation, radiographic parameter, Renegade XL, Rush Low Profile, Rush Renegade, software agent, torque, Triton, Triton Low Profile, trunk, trunk flexion angle, trunk lab angle, trunk pelvis angle, tyloxapol, unilateral transfemoral amputation, walker, walking speed, Wave Sport},
pubstate = {published},
tppubtype = {article}
}
Background A bone-anchored prosthesis (BAP) eliminates the need for a conventional socket by attaching a prosthesis directly to the user's skeleton. Currently, limited research addresses changes in gait mechanics post BAP implantation. Objective Examine changes in frontal plane movement patterns after BAP implantation. Methods Participants were individuals with unilateral transfemoral amputation (TFA) enrolled in the US Food and Drug Administration (FDA) Early Feasibility Study examining the Percutaneous Osseointegrated Prosthesis (POP). The participants completed overground gait assessments using their conventional socket and at 6-weeks, 12-weeks, 6-months, and 12- months following POP implantation. Statistical parameter mapping techniques were used in examining changes in frontal plane kinematics over the 12-months and differences with reference values for individuals without limb loss. Results Statistically significant deviations were found pre-implantation compared to reference values for hip and trunk angles during prosthetic limb stance phase, and for pelvis and trunk relative to the pelvis angles during prosthetic limb swing. At 6-weeks post-implantation, only the trunk angle demonstrated a statistically significant reduction in the percent of gait cycle with deviations relative to reference values. At 12-months post-implantation, results revealed frontal plane movements were no longer statistically different across the gait cycle for the trunk angle compared to reference values, and less of the gait cycle was statistically different compared to reference values for all other frontal plane patterns analyzed. No statistically significant within-participant differences were found for frontal plane movement patterns between pre-implantation and 6-weeks or 12-months post-implantation. Conclusions Deviations from reference values displayed prior to device implantation were reduced or eliminated 12-months post-implantation in all frontal plane patterns analyzed, while withinparticipant changes over the 12-month period did not reach statistical significance. Overall, the results suggest the transition to a BAP aided in normalizing gait patterns in a sample of relatively high functioning individuals with TFA.
2.
Webster, J. B.
Lower Limb Amputation Care Across the Active Duty Military and Veteran Populations Artikel
In: Phys. Med. Rehabil. Clin. North Am., Bd. 30, Nr. 1, S. 89–109, 2019, ISSN: 1047-9651.
Abstract | Links | Schlagwörter: analgesia, body weight gain, bone density, cardiovascular disease, clinical outcome, cumulative trauma disorder, health care management, human, injury, intermethod comparison, leg amputation, leg injury, limb prosthesis, limb salvage, long term care, low back pain, lower leg prosthesis, mental health, military personnel, obesity, osteoarthritis, osteopenia, patient care, physiotherapy, priority journal, Pro-Flex, prosthetic fitting, range of motion, rehabilitation care, review, skin irritation, traumatic amputation, traumatic brain injury, veteran, wound closure
@article{Webster2019,
title = {Lower Limb Amputation Care Across the Active Duty Military and Veteran Populations},
author = {J. B. Webster},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L2001229794&from=export},
doi = {10.1016/j.pmr.2018.08.008},
issn = {1047-9651},
year = {2019},
date = {2019-01-01},
journal = {Phys. Med. Rehabil. Clin. North Am.},
volume = {30},
number = {1},
pages = {89–109},
abstract = {Traumatic amputation can result from injuries sustained both within and outside the military setting. Individuals with trauma-related amputations have unique needs and require specialized management with an interdisciplinary team approach and care coordination across the continuum of care to facilitate optimal outcomes. Management considerations include issues with the amputation itself, issues related to injury of other body parts, and the management of longer-term secondary conditions. Some of these issues are more prevalent and of greater severity in the early recovery period, whereas others develop later and have the potential for progressive worsening over time.},
keywords = {analgesia, body weight gain, bone density, cardiovascular disease, clinical outcome, cumulative trauma disorder, health care management, human, injury, intermethod comparison, leg amputation, leg injury, limb prosthesis, limb salvage, long term care, low back pain, lower leg prosthesis, mental health, military personnel, obesity, osteoarthritis, osteopenia, patient care, physiotherapy, priority journal, Pro-Flex, prosthetic fitting, range of motion, rehabilitation care, review, skin irritation, traumatic amputation, traumatic brain injury, veteran, wound closure},
pubstate = {published},
tppubtype = {article}
}
Traumatic amputation can result from injuries sustained both within and outside the military setting. Individuals with trauma-related amputations have unique needs and require specialized management with an interdisciplinary team approach and care coordination across the continuum of care to facilitate optimal outcomes. Management considerations include issues with the amputation itself, issues related to injury of other body parts, and the management of longer-term secondary conditions. Some of these issues are more prevalent and of greater severity in the early recovery period, whereas others develop later and have the potential for progressive worsening over time.
2023
Darter, B. J.; Syrett, E. D.; Foreman, K. B.; Kubiak, E.; Sinclair, S.
In: PLoS ONE, Bd. 18, Nr. 2 February, 2023, ISSN: 1932-6203.
Abstract | Links | Schlagwörter: adult, amputation, article, Axtion, biomechanics, bone plate, cane, clinical article, frontal plane, gait, hip, hip adduction angle, hip angle, human, kinematics, limb prosthesis, male, middle aged, motion analysis system, Ossur Rheo, Ottobock C-Leg, Ottobock Genium, Ottobock X3, pelvic angle, pelvis lab angle, Pro-Flex Pivo, prosthesis implantation, radiographic parameter, Renegade XL, Rush Low Profile, Rush Renegade, software agent, torque, Triton, Triton Low Profile, trunk, trunk flexion angle, trunk lab angle, trunk pelvis angle, tyloxapol, unilateral transfemoral amputation, walker, walking speed, Wave Sport
@article{Darter2023,
title = {Changes in frontal plane kinematics over 12-months in individuals with the Percutaneous Osseointegrated Prosthesis (POP)},
author = {B. J. Darter and E. D. Syrett and K. B. Foreman and E. Kubiak and S. Sinclair},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L2023020092&from=export},
doi = {10.1371/journal.pone.0281339},
issn = {1932-6203},
year = {2023},
date = {2023-01-01},
journal = {PLoS ONE},
volume = {18},
number = {2 February},
address = {B.J. Darter, Department of Physical Therapy, Virginia Commonwealth University, Richmond, VA, United States},
abstract = {Background A bone-anchored prosthesis (BAP) eliminates the need for a conventional socket by attaching a prosthesis directly to the user's skeleton. Currently, limited research addresses changes in gait mechanics post BAP implantation. Objective Examine changes in frontal plane movement patterns after BAP implantation. Methods Participants were individuals with unilateral transfemoral amputation (TFA) enrolled in the US Food and Drug Administration (FDA) Early Feasibility Study examining the Percutaneous Osseointegrated Prosthesis (POP). The participants completed overground gait assessments using their conventional socket and at 6-weeks, 12-weeks, 6-months, and 12- months following POP implantation. Statistical parameter mapping techniques were used in examining changes in frontal plane kinematics over the 12-months and differences with reference values for individuals without limb loss. Results Statistically significant deviations were found pre-implantation compared to reference values for hip and trunk angles during prosthetic limb stance phase, and for pelvis and trunk relative to the pelvis angles during prosthetic limb swing. At 6-weeks post-implantation, only the trunk angle demonstrated a statistically significant reduction in the percent of gait cycle with deviations relative to reference values. At 12-months post-implantation, results revealed frontal plane movements were no longer statistically different across the gait cycle for the trunk angle compared to reference values, and less of the gait cycle was statistically different compared to reference values for all other frontal plane patterns analyzed. No statistically significant within-participant differences were found for frontal plane movement patterns between pre-implantation and 6-weeks or 12-months post-implantation. Conclusions Deviations from reference values displayed prior to device implantation were reduced or eliminated 12-months post-implantation in all frontal plane patterns analyzed, while withinparticipant changes over the 12-month period did not reach statistical significance. Overall, the results suggest the transition to a BAP aided in normalizing gait patterns in a sample of relatively high functioning individuals with TFA.},
keywords = {adult, amputation, article, Axtion, biomechanics, bone plate, cane, clinical article, frontal plane, gait, hip, hip adduction angle, hip angle, human, kinematics, limb prosthesis, male, middle aged, motion analysis system, Ossur Rheo, Ottobock C-Leg, Ottobock Genium, Ottobock X3, pelvic angle, pelvis lab angle, Pro-Flex Pivo, prosthesis implantation, radiographic parameter, Renegade XL, Rush Low Profile, Rush Renegade, software agent, torque, Triton, Triton Low Profile, trunk, trunk flexion angle, trunk lab angle, trunk pelvis angle, tyloxapol, unilateral transfemoral amputation, walker, walking speed, Wave Sport},
pubstate = {published},
tppubtype = {article}
}
Background A bone-anchored prosthesis (BAP) eliminates the need for a conventional socket by attaching a prosthesis directly to the user's skeleton. Currently, limited research addresses changes in gait mechanics post BAP implantation. Objective Examine changes in frontal plane movement patterns after BAP implantation. Methods Participants were individuals with unilateral transfemoral amputation (TFA) enrolled in the US Food and Drug Administration (FDA) Early Feasibility Study examining the Percutaneous Osseointegrated Prosthesis (POP). The participants completed overground gait assessments using their conventional socket and at 6-weeks, 12-weeks, 6-months, and 12- months following POP implantation. Statistical parameter mapping techniques were used in examining changes in frontal plane kinematics over the 12-months and differences with reference values for individuals without limb loss. Results Statistically significant deviations were found pre-implantation compared to reference values for hip and trunk angles during prosthetic limb stance phase, and for pelvis and trunk relative to the pelvis angles during prosthetic limb swing. At 6-weeks post-implantation, only the trunk angle demonstrated a statistically significant reduction in the percent of gait cycle with deviations relative to reference values. At 12-months post-implantation, results revealed frontal plane movements were no longer statistically different across the gait cycle for the trunk angle compared to reference values, and less of the gait cycle was statistically different compared to reference values for all other frontal plane patterns analyzed. No statistically significant within-participant differences were found for frontal plane movement patterns between pre-implantation and 6-weeks or 12-months post-implantation. Conclusions Deviations from reference values displayed prior to device implantation were reduced or eliminated 12-months post-implantation in all frontal plane patterns analyzed, while withinparticipant changes over the 12-month period did not reach statistical significance. Overall, the results suggest the transition to a BAP aided in normalizing gait patterns in a sample of relatively high functioning individuals with TFA.
2019
Webster, J. B.
Lower Limb Amputation Care Across the Active Duty Military and Veteran Populations Artikel
In: Phys. Med. Rehabil. Clin. North Am., Bd. 30, Nr. 1, S. 89–109, 2019, ISSN: 1047-9651.
Abstract | Links | Schlagwörter: analgesia, body weight gain, bone density, cardiovascular disease, clinical outcome, cumulative trauma disorder, health care management, human, injury, intermethod comparison, leg amputation, leg injury, limb prosthesis, limb salvage, long term care, low back pain, lower leg prosthesis, mental health, military personnel, obesity, osteoarthritis, osteopenia, patient care, physiotherapy, priority journal, Pro-Flex, prosthetic fitting, range of motion, rehabilitation care, review, skin irritation, traumatic amputation, traumatic brain injury, veteran, wound closure
@article{Webster2019,
title = {Lower Limb Amputation Care Across the Active Duty Military and Veteran Populations},
author = {J. B. Webster},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L2001229794&from=export},
doi = {10.1016/j.pmr.2018.08.008},
issn = {1047-9651},
year = {2019},
date = {2019-01-01},
journal = {Phys. Med. Rehabil. Clin. North Am.},
volume = {30},
number = {1},
pages = {89–109},
abstract = {Traumatic amputation can result from injuries sustained both within and outside the military setting. Individuals with trauma-related amputations have unique needs and require specialized management with an interdisciplinary team approach and care coordination across the continuum of care to facilitate optimal outcomes. Management considerations include issues with the amputation itself, issues related to injury of other body parts, and the management of longer-term secondary conditions. Some of these issues are more prevalent and of greater severity in the early recovery period, whereas others develop later and have the potential for progressive worsening over time.},
keywords = {analgesia, body weight gain, bone density, cardiovascular disease, clinical outcome, cumulative trauma disorder, health care management, human, injury, intermethod comparison, leg amputation, leg injury, limb prosthesis, limb salvage, long term care, low back pain, lower leg prosthesis, mental health, military personnel, obesity, osteoarthritis, osteopenia, patient care, physiotherapy, priority journal, Pro-Flex, prosthetic fitting, range of motion, rehabilitation care, review, skin irritation, traumatic amputation, traumatic brain injury, veteran, wound closure},
pubstate = {published},
tppubtype = {article}
}
Traumatic amputation can result from injuries sustained both within and outside the military setting. Individuals with trauma-related amputations have unique needs and require specialized management with an interdisciplinary team approach and care coordination across the continuum of care to facilitate optimal outcomes. Management considerations include issues with the amputation itself, issues related to injury of other body parts, and the management of longer-term secondary conditions. Some of these issues are more prevalent and of greater severity in the early recovery period, whereas others develop later and have the potential for progressive worsening over time.
2023
Darter, B. J.; Syrett, E. D.; Foreman, K. B.; Kubiak, E.; Sinclair, S.
In: PLoS ONE, Bd. 18, Nr. 2 February, 2023, ISSN: 1932-6203.
@article{Darter2023,
title = {Changes in frontal plane kinematics over 12-months in individuals with the Percutaneous Osseointegrated Prosthesis (POP)},
author = {B. J. Darter and E. D. Syrett and K. B. Foreman and E. Kubiak and S. Sinclair},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L2023020092&from=export},
doi = {10.1371/journal.pone.0281339},
issn = {1932-6203},
year = {2023},
date = {2023-01-01},
journal = {PLoS ONE},
volume = {18},
number = {2 February},
address = {B.J. Darter, Department of Physical Therapy, Virginia Commonwealth University, Richmond, VA, United States},
abstract = {Background A bone-anchored prosthesis (BAP) eliminates the need for a conventional socket by attaching a prosthesis directly to the user's skeleton. Currently, limited research addresses changes in gait mechanics post BAP implantation. Objective Examine changes in frontal plane movement patterns after BAP implantation. Methods Participants were individuals with unilateral transfemoral amputation (TFA) enrolled in the US Food and Drug Administration (FDA) Early Feasibility Study examining the Percutaneous Osseointegrated Prosthesis (POP). The participants completed overground gait assessments using their conventional socket and at 6-weeks, 12-weeks, 6-months, and 12- months following POP implantation. Statistical parameter mapping techniques were used in examining changes in frontal plane kinematics over the 12-months and differences with reference values for individuals without limb loss. Results Statistically significant deviations were found pre-implantation compared to reference values for hip and trunk angles during prosthetic limb stance phase, and for pelvis and trunk relative to the pelvis angles during prosthetic limb swing. At 6-weeks post-implantation, only the trunk angle demonstrated a statistically significant reduction in the percent of gait cycle with deviations relative to reference values. At 12-months post-implantation, results revealed frontal plane movements were no longer statistically different across the gait cycle for the trunk angle compared to reference values, and less of the gait cycle was statistically different compared to reference values for all other frontal plane patterns analyzed. No statistically significant within-participant differences were found for frontal plane movement patterns between pre-implantation and 6-weeks or 12-months post-implantation. Conclusions Deviations from reference values displayed prior to device implantation were reduced or eliminated 12-months post-implantation in all frontal plane patterns analyzed, while withinparticipant changes over the 12-month period did not reach statistical significance. Overall, the results suggest the transition to a BAP aided in normalizing gait patterns in a sample of relatively high functioning individuals with TFA.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Background A bone-anchored prosthesis (BAP) eliminates the need for a conventional socket by attaching a prosthesis directly to the user's skeleton. Currently, limited research addresses changes in gait mechanics post BAP implantation. Objective Examine changes in frontal plane movement patterns after BAP implantation. Methods Participants were individuals with unilateral transfemoral amputation (TFA) enrolled in the US Food and Drug Administration (FDA) Early Feasibility Study examining the Percutaneous Osseointegrated Prosthesis (POP). The participants completed overground gait assessments using their conventional socket and at 6-weeks, 12-weeks, 6-months, and 12- months following POP implantation. Statistical parameter mapping techniques were used in examining changes in frontal plane kinematics over the 12-months and differences with reference values for individuals without limb loss. Results Statistically significant deviations were found pre-implantation compared to reference values for hip and trunk angles during prosthetic limb stance phase, and for pelvis and trunk relative to the pelvis angles during prosthetic limb swing. At 6-weeks post-implantation, only the trunk angle demonstrated a statistically significant reduction in the percent of gait cycle with deviations relative to reference values. At 12-months post-implantation, results revealed frontal plane movements were no longer statistically different across the gait cycle for the trunk angle compared to reference values, and less of the gait cycle was statistically different compared to reference values for all other frontal plane patterns analyzed. No statistically significant within-participant differences were found for frontal plane movement patterns between pre-implantation and 6-weeks or 12-months post-implantation. Conclusions Deviations from reference values displayed prior to device implantation were reduced or eliminated 12-months post-implantation in all frontal plane patterns analyzed, while withinparticipant changes over the 12-month period did not reach statistical significance. Overall, the results suggest the transition to a BAP aided in normalizing gait patterns in a sample of relatively high functioning individuals with TFA.
2019
Webster, J. B.
Lower Limb Amputation Care Across the Active Duty Military and Veteran Populations Artikel
In: Phys. Med. Rehabil. Clin. North Am., Bd. 30, Nr. 1, S. 89–109, 2019, ISSN: 1047-9651.
@article{Webster2019,
title = {Lower Limb Amputation Care Across the Active Duty Military and Veteran Populations},
author = {J. B. Webster},
url = {https://www.embase.com/search/results?subaction=viewrecord&id=L2001229794&from=export},
doi = {10.1016/j.pmr.2018.08.008},
issn = {1047-9651},
year = {2019},
date = {2019-01-01},
journal = {Phys. Med. Rehabil. Clin. North Am.},
volume = {30},
number = {1},
pages = {89–109},
abstract = {Traumatic amputation can result from injuries sustained both within and outside the military setting. Individuals with trauma-related amputations have unique needs and require specialized management with an interdisciplinary team approach and care coordination across the continuum of care to facilitate optimal outcomes. Management considerations include issues with the amputation itself, issues related to injury of other body parts, and the management of longer-term secondary conditions. Some of these issues are more prevalent and of greater severity in the early recovery period, whereas others develop later and have the potential for progressive worsening over time.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Traumatic amputation can result from injuries sustained both within and outside the military setting. Individuals with trauma-related amputations have unique needs and require specialized management with an interdisciplinary team approach and care coordination across the continuum of care to facilitate optimal outcomes. Management considerations include issues with the amputation itself, issues related to injury of other body parts, and the management of longer-term secondary conditions. Some of these issues are more prevalent and of greater severity in the early recovery period, whereas others develop later and have the potential for progressive worsening over time.