Trunk-pelvis motion, joint loads, and muscle forces during walking with a transtibial amputation

Gait & Posture
Adam J YoderAnne K Silverman

Abstract

People with unilateral, transtibial amputation (TTA) have an increased prevalence of chronic low back pain (LBP) relative to able-bodied people. However, a definitive cause of increased LBP susceptibility has not been determined. The purpose of this work was to compare dynamic trunk-pelvis biomechanics between people with (n=6) and without (n=6) unilateral TTA during walking using a computational modeling approach. A generic, muscle-actuated whole body model was scaled to each participant, and experimental walking data were used in a static optimization framework to calculate trunk-pelvis motion, L4L5 joint contact forces, and muscle forces within the trunk-pelvis region. Results included several significant between-group differences in trunk-pelvis biomechanics during different phases of the gait cycle. Most significant was greater lateral bending toward the residual side during residual single-limb stance (p<0.01), concurrent with an elevated L4L5 joint contact force (p=0.02) and greater muscle force from the intact-side obliques (p<0.01) in people with TTA relative to able-bodied people. During both double-limb support phases, people with TTA also had a greater range of axial trunk rotation away from the leading limb, concur...Continue Reading

References

Jun 1, 1978·Annals of the Rheumatic Diseases·M J BurkeV Wright
May 1, 1985·Journal of Biomechanical Engineering·M L Audu, D T Davy
Nov 1, 1993·Journal of the American Podiatric Medical Association·H J Dananberg
Jan 5, 2000·Clinical Biomechanics·J P CallaghanS M McGill
Jan 4, 2001·American Journal of Physical Medicine & Rehabilitation·H SadeghiP M Duhaime
Mar 13, 2001·Manual Therapy·M J Comerford, S L Mottram
Feb 12, 2005·Clinical Rehabilitation·J KulkarniJ Adams
Oct 11, 2005·Archives of Physical Medicine and Rehabilitation·Patti L EphraimLiliana E Pezzin
Aug 12, 2006·Journal of Biomechanics·Mark de ZeeErik B Simonsen
Dec 1, 2006·Clinical Biomechanics·M D Klein HorsmanH E J Veeger
Jan 1, 2008·Archives of Physical Medicine and Rehabilitation·Hélène Goujon-PilletFrançois Lavaste
Mar 24, 2009·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·N P FeyR R Neptune
Jul 22, 2010·American Journal of Physical Medicine & Rehabilitation·David C MorgenrothJoseph M Czerniecki
Oct 2, 2012·Gait & Posture·Francisco Molina RuedaJuan Carlos Miangolarra Page
May 28, 2013·The Spine Journal : Official Journal of the North American Spine Society·John M PopovichKornelia Kulig
Jun 29, 2014·Journal of Biomechanics·Anne K Silverman, Richard R Neptune

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Citations

Mar 24, 2016·Annals of Biomedical Engineering·Friedl De GrooteBenjamin J Fregly
Jun 6, 2019·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Julia FacioneWafa Skalli
Apr 7, 2018·Frontiers in Neuroscience·Chandrasekaran JayaramanArun Jayaraman
Sep 27, 2018·Journal of Neuroengineering and Rehabilitation·Andrea Giovanni CuttiMichele Raggi
Aug 28, 2018·The Spine Journal : Official Journal of the North American Spine Society·M Jason HighsmithJohn M Mayer
Dec 9, 2017·Journal of Biomechanics·Brad D HendershotBabak Bazrgari
Mar 9, 2021·Archives of Physical Medicine and Rehabilitation·Jaclyn M SionsMayank Seth
Jan 30, 2021·Journal of Prosthetics and Orthotics : JPO·Kyle T MillerMatthew J Major

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