Objective.- Analysis of factors related to locomotor performance level (LPL) of trans-tibial amputees equipped with energy-storing foot. Methods.- “Prosthetic Profile of the Amputee” questionnaire (Gauthier-Gagnon, 1994)was sent to all subjects aged between 30 and 65 years with unilateral transtibial amputation and fitted with an energy-storing foot, living in Nord-Pas de Calais and Picardie. Descriptive analysis of functioning and contextual factors according to the international classification of functioning and disability (ICF). Bivariate and multivariate analysis to determine, within each dimension of the ICF, the factors that are related to high LPL. High LPLwas defined by permanent prosthesis use for mobility outside, with no limitation of walking distance and without any walking assisting device. Results.- 76 questionnaires were analyzed among 295 sent. 51% had a high LPL and 32% had a limited walking distance. High LPL was predicted: at 68% in “structures and functions” dimension by the absence of leg oedema (OR = 9.84 [1.85; 52.27]), the absence of phantom limb pain (OR = 7.66 [1.39, 42.27]) and the absence of stumpwound (OR = 3.96 [1.31, 11.95]); itwas predicted at 72.3% in “activity” dimension by the ability to walk without human aid during bad weather (OR = 36 [9.65, 136.16]); at 76.8% in “participation” dimension by the employment (OR = 5.90 [1.86; 18.66]), sport practice (OR = 5.88 [1.81, 19.12]) and active leisure practice (OR = 4,18 [1.79; 14.86]); and at 36% in “contextual factors” dimension by the good acceptance of amputation by the family (OR = 6 [1.72; 30.72]). Discussion.- In order to maintain a high NPL, there is a need to prevent cardiovascular impairments and to enhance balance capacity. Readaptative follow-up is necessary to readjust physical and human environment to the deterioration of locomotor performance.
Moustapha, A., Sagawa, Y., Watelain, E., & Thevenon, A. (2011). Outcome of trans-tibial amputees equipped with energy-storing foot in Nord-Pas de Calais and Picardie. Annals of Physical and Rehabilitation Medicine, 54, e6. https://doi.org/10.1016/j.rehab.2011.07.934