Gait analysis and prosthesis problems in bilateral lower limbs amputations

Mehdi Masoumi1, Hadi Shojaei1, Mostafa Allami1, Mohammad Baghbani2, Mohammad Hasan Azma1, Ehsan Modirian1
1Janbazan medical and engineering research ceter (JMERC)
2shahid beheshti medical university

OBJECTIVES: Bilateral lower limbs amputation is a devastinating subsequent of war. As it occur more commonly in younger individuals in comparing to bilateral lower limbs amputation in general population, So their needs for prosthesis and Gait are too different.

MATERIALS-METHODS: A cross-sectional analytic and descriptive study was designed as a part of a national survey on Iranian bilateral lower limbs amputation in 2006-7.
334 patients were assessed by recording their demographic data and evaluation of their different parts of prosthesis, gait analysis, assistive devices, hygiene of prosthesis and stump disorders.
RESULTS: 326 patients were male and 8 female with mean age of 43 years old. The most frequent amputation level s were bilateral below knees about 37.6 percent, then above knee plus below knee amputation about 24.8 percent, and third common type was bilateral above knees amputation about 22.4 percent.12 patients never used any prosthesis, 54 patients did not use prosthesis at that time of study for different reasons, 33 patients were wearing only unilateral prosthesis for their comfort. The most important reason for refusing to use of prosthesis was inappropriate sockets. Gait analysis showed that the most common problem was forward bending in stance phase in about 25.7 percent and then additional trunk movements in about 24.2 percent.300 patients had assistive devices which the most commons were wheelchairs (bath and standard type)that is very unbelievable statics. Finally the hygiene status study showed that only about half of the patients tended to wash their stump and prosthesis once daily and unfortunately about 39 percent had never washed their prosthesis since their beginning of use.
CONCLUSION: Young bilateral lower limbs amputation needs better care for ambulation by preparing better prosthesis and better education in order to avoid unnecessary assistive devices and having more independency and higher quality of life.

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