ArticleJournal of neuroengineering and rehabilitation2019
Effects of extended stance time on a powered knee prosthesis and gait symmetry on the lateral control of balance during walking in individuals with unilateral amputation.
Article in Journal of neuroengineering and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 38 citations in OpenAlex.
- Tactile Biofeedback That Targets Stance Time Acutely Modulates Propulsion Mechanics in Healthy Gait.Research square · 2026Article
- The Effect of a Fully Immersive Virtual Reality Training Program on Walking Parameters in People With Unilateral Below-Knee Amputation: An Experimental and a Single-Subject Study.Health science reports · 2026Article
- Biomechanical and Kinematic Gait Analysis in Lower Limb Amputees: Cross-Sectional Study.JMIR rehabilitation and assistive technologies · 2025Article
- Applying bilateral mastoid vibration changes the margin of stability in the anterior-posterior and medial-lateral directions while walking on different inclines.European journal of medical research · 2025Article
- Evidence-based recommendation of a powered knee for transfemoral bone-anchored prostheses: A cross-sectional study.Canadian prosthetics & orthotics journal · 2025Article
- Correlation between gait analysis parameters and joint function prognosis during rehabilitation after anterior cruciate ligament reconstruction: a retrospective study.American journal of translational research · 2025Article
- Inertial Measuring System to Evaluate Gait Parameters and Dynamic Alignments for Lower-Limb Amputation Subjects.Sensors (Basel, Switzerland) · 2024Article
- Investigating the Association of Quantitative Gait Stability Metrics With User Perception of Gait Interruption Due to Control Faults During Human-Prosthesis Interaction.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2023Article
- Changes in frontal plane kinematics over 12-months in individuals with the Percutaneous Osseointegrated Prosthesis (POP).PloS one · 2023Article
- A Review of Current State-of-the-Art Control Methods for Lower-Limb Powered Prostheses.Annual reviews in control · 2023Article
- Human-prosthesis cooperation: combining adaptive prosthesis control with visual feedback guided gait.Journal of neuroengineering and rehabilitation · 2022Article
- Walking asymmetry and its relation to patient-reported and performance-based outcome measures in individuals with unilateral lower limb loss.International biomechanics · 2022Article
- Musculoskeletal pain as the effect of internal compensatory mechanisms on structural and functional changes in body build and posture in elite Polish sitting volleyball players.BMC sports science, medicine & rehabilitation · 2022Article
- The Short-Term Effects of Rhythmic Vibrotactile and Auditory Biofeedback on the Gait of Individuals After Weight-Induced Asymmetry.Canadian prosthetics & orthotics journal · 2022Article
- The Impact of Internal Compensatory Mechanisms on Musculoskeletal Pain in Elite Polish Sitting Volleyball Players - a Preliminary Study.Journal of human kinetics · 2022Article
- Taking Both Sides: Seeking Symbiosis Between Intelligent Prostheses and Human Motor Control during Locomotion.Current opinion in biomedical engineering · 2021Article
- Empowering prosthesis users with a hip exoskeleton.Nature medicine · 2021Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundIndividuals with lower limb amputation commonly exhibit large gait asymmetries that are associated with secondary health issues. It has been shown that they are capable of attaining improved temporal and propulsive symmetry when walking with a powered knee prosthesis and visual feedback, but they perceive this pattern of gait to be more difficult. Rather than improving the efficiency of gait, improved gait symmetry may be increasing individuals' effort associated with maintaining lateral balance.
methodsIn this study, we used a simple visual feedback paradigm to increase the prosthesis-side stance time of six individuals with unilateral TFA or KD as they walked on a powered knee prosthesis at their self-selected speed. As they walked more symmetrically, we evaluated changes in medial-lateral center-of-mass excursion, lateral margin of stability, stride width, and hip abductor activity.
resultsAs the subjects increased their prosthesis-side stance time, their center-of-mass excursion and hip abductor activity significantly increased, while their lateral margin of stability significantly decreased on the prosthesis-side only. Stride width remained relatively unchanged with testing condition.
conclusionsExtended stance time on a powered knee prosthesis (yielding more symmetric gait) challenged the lateral balance of individuals with lower limb amputation. Lateral stability may be a reason they prefer an asymmetric gait, even with more advanced technology. Hip muscular changes post-amputation may contribute to the decline in stability on the prosthesis side. Interventions and advancements in prosthesis control aimed at improving their control of lateral balance may ameliorate the difficulty in walking with improved gait symmetry.
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