Walking ability of individuals fitted with transfemoral bone-anchored prostheses: A comparative study of gait parameters

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Ranaldi, Simone
Naaim, Alexandre
Marchis, Cristiano De
Robert, Thomas
Dumas, Raphael
Conforto, Silvia
Frossard, Laurent
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2023
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Abstract

Objective: This study presents the walking abilities of participants fitted with transfemoral bone-anchored prostheses using a total of 14 gait parameters. Design: Two-centre retrospective cross-sectional comparative study. Setting: Research facilities equipped with tridimensional motion capture systems. Participants: Two control arms included eight able-bodied participants arm (54 ± 9 years, 1.75 ± 0.07 m, 76 ± 7 kg) and nine participants fitted with transfemoral socket-suspended prostheses arm (59 ± 9 years, 1.73 ± 0.07 m, 80 ± 16 kg). The intervention arm included nine participants fitted with transfemoral bone-anchored prostheses arm (51 ± 13 years, 1.78 ± 0.09 m, 87.3 ± 16.1 kg). Intervention: Fitting of transfemoral bone-anchored prostheses. Main measures: Comparisons were performed for two spatio-temporal, three spatial and nine temporal gait parameters. Results: The cadence and speed of walking were 107 ± 6 steps/min and 1.23 ± 0.19 m/s for the able-bodied participants arm, 88 ± 7 steps/min and 0.87 ± 0.17 m/s for the socket-suspended prosthesis arm, and 96 ± 6 steps/min and 1.03 ± 0.17 m/s for bone-anchored prosthesis arm, respectively. Able-bodied participants and bone-anchored prosthesis arms were comparable in age, height, and body mass index as well as cadence and speed of walking, but the able-bodied participant arm showed a swing phase 31% shorter. Bone-anchored and socket-suspended prostheses arms were comparable for age, height, mass, and body mass index as well as cadence and speed of walking, but the bone-anchored prosthesis arm showed a step width and duration of double support in seconds 65% and 41% shorter, respectively. Conclusions: Bone-anchored and socket-suspended prostheses restored equally well the gait parameters at a self-selected speed. This benchmark data provides new insights into the walking ability of individuals using transfemoral bionics bone-anchored prostheses.

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Clinical Rehabilitation

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© The Author(s) 2023. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).

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Biomedical and clinical sciences

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Ranaldi, S; Naaim, A; Marchis, CD; Robert, T; Dumas, R; Conforto, S; Frossard, L, Walking ability of individuals fitted with transfemoral bone-anchored prostheses: A comparative study of gait parameters, Clinical Rehabilitation, 2023

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