Functional added value of microprocessor-controlled knee joints in daily life performance of Medicare Functional Classification Level-2 amputees.

OBJECTIVE: To assess the effects of using a microprocessor-controlled prosthetic knee joint on the functional performance of activities of daily living in persons with an above-knee leg amputation. OBJECTIVE: To assess the effects of using a microprocessor-controlled prosthetic knee joint on the fun...

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Publicado en:Journal of Rehabilitation Medicine (Medical Journals Sweden AB) Vol. 43; no. 10; pp. 906 - 916
Autores principales: Theeven, Patrick, Hemmen, Bea, Rings, Frans, Meys, Guido, Brink, Peter, Smeets, Rob, Seelen, Henk
Formato: questionnaire/scale research tables/charts randomized controlled trial Journal Article
Publicado: Medical Journals Sweden AB 2011 Oct
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2011 Oct
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      pub: Medical Journals Sweden AB
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        atl: Functional added value of microprocessor-controlled knee joints in daily life performance of Medicare Functional Classification Level-2 amputees.
      aug:
        au:
          Theeven, Patrick
          Hemmen, Bea
          Rings, Frans
          Meys, Guido
          Brink, Peter
          Smeets, Rob
          Seelen, Henk
        affil: Adelante, Centre of Expertise in Rehabilitation and Audiology, Zandbergsweg 111. P.theeven@adelante-zorggroep.nl
      sug:
        subj:
          Activities of Daily Living
          Amputation Rehabilitation
          Joint Prosthesis
          Knee Joint
          Myoelectric Prosthesis
          Amputees Classification
          Crossover Design
          Data Analysis Software
          Functional Status
          Funding Source
          Human
          Kruskal-Wallis Test
          Mann-Whitney U Test
          Prosthesis Design
          Randomized Controlled Trials
          Scales
          Visual Analog Scaling
      ab: OBJECTIVE: To assess the effects of using a microprocessor-controlled prosthetic knee joint on the functional performance of activities of daily living in persons with an above-knee leg amputation. OBJECTIVE: To assess the effects of using a microprocessor-controlled prosthetic knee joint on the functional performance of activities of daily living in persons with an above-knee leg amputation. DESIGN: Randomised cross-over trial. SUBJECTS: Forty-one persons with unilateral above-knee or knee disarticulation limb loss, classified as Medicare Functional Classification Level-2 (MFCL-2). METHODS: Participants were measured in 3 conditions, i.e. using a mechanically controlled knee joint and two types of microprocessor-controlled prosthetic knee joints. Functional performance level was assessed using a test in which participants performed 17 simulated activities of daily living (Assessment of Daily Activity Performance in Transfemoral amputees test). Performance time was measured and self-perceived level of difficulty was scored on a visual analogue scale for each activity. RESULTS: High levels of within-group variability in functional performance obscured detection of any effects of using a microprocessor-controlled prosthetic knee joint. Data analysis after stratification of the participants into 3 subgroups, i.e. participants with a 'low', 'intermediate' and 'high' functional mobility level, showed that the two higher functional subgroups performed significantly faster using microprocessor-controlled prosthetic knee joints. CONCLUSION: MFCL-2 amputees constitute a heterogeneous patient group with large variation in functional performance levels. A substantial part of this group seems to benefit from using a microprocessor-controlled prosthetic knee joint when performing activities of daily living.
      pubtype: Academic Journal
      doctype:
        questionnaire/scale
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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