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Lower limb strength in sports-active transtibial amputees 

Author: Lee Nolan a
Affiliation:   a Karolinska Institute and GIH, Biomechanics and Motor Control, Stockholm, and Joumlnkoumlping University, Rehabilitation, Joumlnkoumlping, Sweden
DOI: 10.1080/03093640903082118
Publication Frequency: 4 issues per year
Published in: journal Prosthetics and Orthotics International, Volume 33, Issue 3 September 2009 , pages 230 - 241
Formats available: HTML (English) : PDF (English)
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Abstract

The aim of this study was to compare hip strength in sports-active transtibial (TT) amputees, sedentary TT amputees and sports-active non-amputees. Three 'active' (exercising recreationally at least three times per week) TT amputees, four 'inactive' or sedentary TT amputees and nine 'active' able-bodied persons (AB) underwent concentric and eccentric hip flexion and extension strength testing on both limbs on an isokinetic dynamometer at 60 and 120°/s. Little strength asymmetry was noted between the limbs of the active TT amputees (8% and 14% at 60 and 120°/s, respectively), their residual limb being slightly stronger. Inactive TT amputees demonstrated up to 49% strength asymmetry, their intact limb being the stronger. Active TT amputees demonstrated greater peak hip torques (Nm/kg) for all conditions and speeds compared to inactive TT amputees. Peak hip torques (Nm/kg), were greater in the active TT amputees' residual limb compared to AB. While inactive TT amputees and AB had similar flexion/extension ratios, active TT amputees exhibited a lower ratio indicating overdeveloped hip extensors with respect to their hip flexors. It is not known whether this is due to the demands of sport or exercise with a prosthetic limb, or remaining residual thigh atrophy.
Keywords: Biomechanics; rehabilitation of amputees; exercise; sport; isokinetic
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