ANALYSIS OF DYNAMIC BALANCE CONTROL IN TRANSTIBIAL AMPUTEES WITH USE OF A POWERED PROSTHETIC FOOT

摘要

Powered prosthetic feet (PPF) are designed to provide transtibial amputees (TTA) with active propulsion and range of motion similar to that of the biological limb. Previous studies have demonstrated the PPF's ability to increase TTA walking speeds while reducing the energetic costs, however, little is known about its effects on dynamic balance control. The purpose of this pilot study was to assess dynamic balance control in TTA subjects during level ground walking and obstacle-crossing tasks. Control subjects (n = 6) and TTA subjects (n = 4) were instructed to complete a series of functional walking tasks. The TTA subjects completed the walking protocol twice, first in their passive energy-storing prosthetic foot (ESPF) and again in the prescribed PPF after two weeks of acclimation. Motion data were collected via a 10-camera system with a 53-marker and 15-segment body model. Whole body medial-lateral center of mass motion (displacement and peak velocity) was analyzed and used as a functional indicator of dynamic balance control. Findings indicate no difference in the dynamic balance control of TTA wearing the PPF compared to the ESPF. However, there was an observed trend of walking speed and obstacle height affecting balance control within the groups.