Energy Cost and Gait Efficiency of Below-Knee Amputee and Normal Subject with Similar Physical Parameters & Quality of Life: A Comparative Case Study

Biswas, Durbadal and Roy, Sukumar and Lenka, PK and Kumar, Ratnesh (2010) Energy Cost and Gait Efficiency of Below-Knee Amputee and Normal Subject with Similar Physical Parameters & Quality of Life: A Comparative Case Study. [Journal (On-line/Unpaginated)]

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The study focused on the comparative analysis of energy cost and gait efficiency between a below knee (BK) amputee and a reference subject (without amputation). It also attempted to indicate the specific feature responsible for a controlled gait with optimum energy cost for BK amputees. Selection criteria of the subjects were similar physical parameters and quality of life studied with WHOQOL-100 quality of life assessment. A Cosmed® k4 b2 Respiratory Analyzer system was used for the measurement of Oxygen Uptake (VO2), Energy Expenditure per minute (EE) and Heart Rate (HR). Gait efficiency (p < 0.0002) was found higher for BK amputee than normal subject. The therapeutic activities and mainly walking rhythm contributed to improve the mobility & balance. This ensures the optimum time & co-ordination of movements and hence improves the gait efficiency for the BK amputee. Comparison with control group was performed to validate the data.

Item Type:Journal (On-line/Unpaginated)
Keywords:Energy Cost; Gait Efficiency; Below knee amputee
Subjects:JOURNALS > Online Journal of Health and Allied Sciences
ID Code:7117
Deposited By: Kakkilaya Bevinje, Dr. Srinivas
Deposited On:22 Nov 2010 14:19
Last Modified:11 Mar 2011 08:57

References in Article

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1. Sutherland DH, Olshen R, Cooper L et al. The Development of Mature Gait. J. Bone and Joint Surg. 1980;62:336-353.

2. Fisher SV, Gullickson G. Energy cost of ambulation in health and disability: A literature review. Arch Phys Med Rehabil. 1978;59:124-133.

3. Ganguli S, Datta SR, Chatterjee BB, et al. Performance evaluation of amputee-prosthesis system in below-knee amputees. Ergonomics. 1973;16:797.

4. Gonzalez EG, Corcoran PJ, Reyes RL. Energy expenditure in below-knee amputees: Correlation with stump length. Arch Phys Med Rehabil. 1974;55:111-119.

5. Huang CT, Jackson JR, Moore NB, Fine PR, Kuhlemeier KV, Traugh GH. Amputation. Energy cost of ambulation. Arch Phys Med Rehabil. 1979;60:18-24.

6. Molen NH. Energy-speed relation of below-knee amputees walking on a motor-driven treadmill. Int Z Angrew Physiol. 1973;31:173-185.

7. Nielsen DH, Shurr DG, Golden JC, Meier K. Comparison of energy cost and gait efficiency during ambulation in below-knee amputees using different prosthetic feet-A preliminary report. J Prosthet Orthot. 1988;1:24-31.

8. Waters RL, Perry J, Antonelli D, Hislop H. Energy cost of walking of amputees: The influence of level of amputation. J Bone Joint Surg (Am). 1976;58:42-46.

9. Waters RL, Perry J, Chambers R. Energy expenditure of amputee gait. In: Moore WS, Malone JM, eds. Lower Extremity Amputation. Philadelphia, PA: WB Saunders; 1989:250-260.

10. James, U.: Oxygen Uptake and Heart Rate During Prosthetic Walking in Healthy Male Unilateral Above-Knee Amputees. Scand. J Rehabil. 1973;5:71-80.

11. Traugh GH, Corcoran PJ, Reyes R.L. Energy Expenditure of Ambulation in Patients with Above-Knee Amputations. Arch. Phys. Med. Rehabil. 1975;56:67-71.

12. Pagliarulo MA, Waters R, Hislop HJ. Energy Cost of Walking of Below-Knee Amputees Having no Vascular Disease. Phys. Ther. 1979;59:538-542.

13. WHOQOL-BREF Introduction, Administration, Scoring and Generic Version of the Assessment Orley & Kuyken, 1994; Szabo, 1996; WHOQOL Group 1994a, 1994b, 1995).

14. Buckley JG, Spence WD, Solomonidis SE. Energy cost of walking: comparison of "intelligent prosthesis" with conventional mechanism. Department of Exercise and Sport Science, Manchester Metropolitan University, Stoke-on-Trent, UK.

15. Nielsen DH, Shurr DG, Golden JC, Meier K. Comparison Of Energy Cost And Gait Efficiency During Ambulation In Below-Knee Amputees Using Different Prosthetic Feet-A Preliminary Report. Journal of Prosthetics & Orthotics October 1988;1(1):24-31

16. VanSwearingen JM, Perera S, Brach JS, Cham R, Rosano C, Studenski SA. A Randomized Trial of Two Forms of Therapeutic Activity to Improve Walking: Effect on the Energy Cost of Walking. J Gerontol A Biol Sci Med Sci 2009;64A:1190-1198.


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