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Weight-bearing asymmetry during sit-to-stand after major lower-limb amputation: A systematic review and meta-analysis.
Le Corre, Tanguy; Bisseriex, Hélène; Pons, Christelle; Rémy-Néris, Olivier.
Afiliación
  • Le Corre T; Physical and Rehabilitation Medicine Department, Fondation Ildys, Roscoff, France.
  • Bisseriex H; Physical and Rehabilitation Medicine Department, Hôpital d'instruction des Armées Clermont-Tonnerre, Brest, France.
  • Pons C; Physical and Rehabilitation Medicine Department, Centre Hospitalier Universitaire de Brest, Brest, France.
  • Rémy-Néris O; Paediatric Physical and Rehabilitation Medicine Department, Fondation Ildys, Brest, France.
Prosthet Orthot Int ; 2024 Sep 04.
Article en En | MEDLINE | ID: mdl-39240037
ABSTRACT
Weight-bearing asymmetry during sit-to-stand (STS) can cause musculoskeletal problems in people with major lower-limb amputation. Does weight-bearing asymmetry differ between individuals with major lower-limb amputation and individuals without amputation? We conducted a systematic review and meta-analysis. We searched PubMed, Cochrane Library, Web of Science, and HAL up to June 2022 using keywords and inclusion/exclusion criteria. Article quality was assessed. Data for population, intervention, weight-bearing asymmetry, and biomechanical analysis were reported. Standardized mean differences (SMDs) were calculated from the outcomes when possible. We included 11 studies (102 people with amputation). Weight-bearing asymmetry was greater in people with amputation than those without amputation (SMD = 1.72 [1.30-2.14] p < 0.00001). It was greater for individuals with transtibial amputation (TTA) and with transfemoral amputation (TFA) than for those without amputation (SMD = 1.20 [0.76-1.65] p < 0.00001 and SMD = 5.32 [4.15-6.50] p < 0.00001, respectively). STS performance time was longer for people with amputation (SMD = 0.52 [0.23-0.81] p = 0.0004) than those without amputation. Trunk motion differed in those with amputation, and lower-limb kinematics differed considerably, especially for people with TFA. Weight-bearing is more asymmetric in people with amputation than in people without amputation. The differences in weight-bearing asymmetry and kinematics during STS between people with TTA and TFA suggest that different strategies are required to improve weight-bearing symmetry improvements in active prosthetic knees in TFA and rehabilitation focused on weight-bearing in TTA.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Prosthet Orthot Int Año: 2024 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Prosthet Orthot Int Año: 2024 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia