Transitioning to a microprocessor-controlled prosthetic knee: Executive functioning during single and dual-task gait.
Background: Walking with a prosthesis requires substantial concentration on behalf of the user and places increased demands on executive functions. Little is known of the effects that prosthetic knee joint prescription may have on executive functioning.Objectives: Evaluate executive functioning in t...
| Publicado en: | Prosthetics & Orthotics International Vol. 44; no. 1; pp. 27 - 36 |
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| Autores principales: | , , |
| Formato: | Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Feb2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=142285367&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 142285367 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03093646 G8W jtl: Prosthetics & Orthotics International issn: 03093646 maglogo: N pubinfo: dt: Feb2020 vid: 44 iid: 1 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 142285367 142285367 NLM31826702 10.1177/0309364619892773 NLM31826702 142285367 ppf: 27 ppct: 9 formats: tig: atl: Transitioning to a microprocessor-controlled prosthetic knee: Executive functioning during single and dual-task gait. aug: au: Ramstrand, Nerrolyn Rusaw, David F. Möller, Saffran Filippa affil: Department of Rehabilitation, Jönköping University, Jönköping, Sweden sug: subj: Joint Prosthesis Executive Function Limb Prosthesis Microcomputers Gait Prosthesis Design Aged Female Male Adult Middle Age Scales Aged: 65+ years Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Background: Walking with a prosthesis requires substantial concentration on behalf of the user and places increased demands on executive functions. Little is known of the effects that prosthetic knee joint prescription may have on executive functioning.Objectives: Evaluate executive functioning in trans-femoral prosthesis users during single and dual-task walking, before and after they transition to a Microprocessor-controlled prosthetic knee unit.Study Design: Multiple case-study design.Methods: Single and dual task gait was evaluated while recording cortical brain activity. Testing occasion 1 occurred prior to participants receiving their microprocessor-controlled prosthetic knee, while testing occasion 2 was conducted a minimum of 8 months after they had been fitted with an microprocessor-controlled prosthetic knee.Results: During single-task level walking and walking while performing a dual-task key finding test, executive functions, measured as the relative haemodynamic response in the frontal cortex, reduced for most, but not all participants after transitioning to an Microprocessor-controlled prosthetic knee. There did not appear to be any difference when participants performed a trail walk test.Conclusions: Results suggest Microprocessor-controlled prosthetic knee prosthetic knees may have a positive effect on executive functioning for some individuals who have undergone a lower-limb amputation. A larger, longitudinal study with careful control of extraneous variables (e.g. age, training) is needed to confirm results and determine causality.Clinical Relevance: This article provides some evidence to suggest that prosthetic prescription may influence executive functioning and that microprocessor-controlled prosthetic knee mechanisms may reduce cognitive effort when walking. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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