Proprioception in Above-the-Knee Amputees with Artificial LimbsReport as inadecuate




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The Scientific World JournalVolume 2013 2013, Article ID 417982, 5 pages

Clinical Study

Asclepeion Voulas Hospital, Department of Physical Therapy, Athens, Greece

General Department of Essential Medical Subjects, Faculty of Health & Caring Professions, Technological Educational Institute, Athens, Greece

Physical Therapy Department, Faculty of Health & Caring Professions, Technological Educational Institute, Athens, Greece

Received 20 August 2013; Accepted 26 September 2013

Academic Editors: M. A. Fernandez del Olmo and C.-Y. Wu

Copyright © 2013 E. P. Latanioti et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. To evaluate the lower limb proprioceptive sensation in patients with femoral amputation who received an artificial joint. Materials and Methods. 22 patients 18 men, 4 women, 24–65 years old mean: 42, who had undergone above-the-knee joint amputation and underwent evaluation of proprioception using joint reposition in a predetermined angle of 15° knee flexion. The measurements were applied using a conventional goniometer to both amputated and healthy knees. The last ones were used as internal control. All patients performed an active knee flexion from hyperextension to 15° in a closed kinetic chain in order to evaluate proprioceptive sensation of the knee joint using the joint position sense JPS method during specific controllable circumstances very close to normal gait. Results. JPS at 15° flexion for the amputated knee was calculated to be equal to 13.91 SD = ±4.74, and for the healthy side it was equal to 14.15 SD = ±2.61. No statistically significant differences were detected between the amputated and the healthy limb . Conclusions. The proprioceptive information of the stumps did not appear to be affected significantly after thigh amputation and application of artificial prosthesis when JPS at 15° was evaluated. It seems that these patients compensate the loss of the knee sensory receptors via alternative mechanisms.





Author: E. P. Latanioti, A. G. Angoules, and E. C. Boutsikari

Source: https://www.hindawi.com/



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