Kinesiology Commons^™

Functional Changes Through The Usage Of 3d-Printed Transitional Prostheses In Children, Jorge Zuniga, Jean Peck, Rakesh Srivastava, James E. Pierce, Drew Dudley, Nicholas T. Than, Nicholas Stergiou

Journal Articles

Introduction: There is limited knowledge on the use of 3 D-printed transitional prostheses, as they relate to changes in function and strength. Therefore, the purpose of this study was to identify functional and strength changes after usage of 3 D-printed transitional prostheses for multiple weeks for children with upper-limb differences.

Materials and methods: Gross manual dexterity was assessed using the Box and Block Test and wrist strength was measured using a dynamometer. This testing was conducted before and after a period of 24 ± 2.61 weeks of using a 3 D-printed transitional prosthesis. The 11 children (five girls and six …

Dynamic Balance Changes Within Three Weeks Of Fitting A New Prosthetic Foot Component, Jenny A. Kent, Nicholas Stergiou, Shane R. Wurdeman

Journal Articles

Balance during walking is of high importance to prosthesis users and may affect walking during baseline observation and evaluation. The aim of this study was to determine whether changes in walking balance occurred during an adaptation period following the fitting of a new prosthetic component.

Margin of stability in the medial-lateral direction (MOSML) and an anterior instability margin (AIM) were used to quantify the dynamic balance of 21 unilateral transtibial amputees during overground walking. Participants trialled two prosthetic feet presenting contrasting movement/balance constraints; a Higher Activity foot similar to that of their own prosthesis, and a Lower Activity foot. Participants …

Patients With Chronic Obstructive Pulmonary Disease Walk With Altered Step Time And Step Width Variability As Compared With Healthy Control Subjects, Jennifer M. Yentes, Stephen I. Rennard, Kendra K. Schmid, Daniel Blanke, Nikolaos Stergiou

Journal Articles

Rationale: Compared with control subjects, patients with chronic obstructive pulmonary disease (COPD) have an increased incidence of falls and demonstrate balance deficits and alterations in mediolateral trunk acceleration while walking. Measures of gait variability have been implicated as indicators of fall risk, fear of falling, and future falls.

Objectives: To investigate whether alterations in gait variability are found in patients with COPD as compared with healthy control subjects.

Methods: Twenty patients with COPD (16 males; mean age, 63.6 ± 9.7 yr; FEV1/FVC, 0.52 ± 0.12) and 20 control subjects (9 males; mean age, 62.5 ± 8.2 yr) walked for 3 …

Step Activity And 6-Minute Walk Test Outcomes When Wearing Low-Activity Or High-Activity Prosthetic Feet, Shane Wurdeman, Kendra K. Schmid, Sara A. Myers, Adam L. Jacobsen, Nicholas Stergiou

Journal Articles

Objective

To determine changes in average daily step count (ADSC) and 6-minute walk test (6MWT) due to use of low-activity feet (LA) and high-activity energy-storage-and-return (ESAR) feet, and examine the sensitivity of these measures to properly classify different prosthetic feet.

Design

Individuals with transtibial amputations (n = 28) participated in a 6-week, randomized crossover study. During separate 3-week periods, participants wore either a LA foot (eg, solid-ankle-cushioned-heel) or an ESAR foot. Differences in 6MWT and ADSC at the end of the 3-week period were recorded.

Results

Subjects performed similarly in the 6MWT with the LA and ESAR foot (P …

Children With Moderate To Severe Cerebral Palsy May Not Benefit From Stochastic Vibration When Developing Independent Sitting, Anastasia Kyvelidou, Regina T. Harbourne, Joshua L. Haworth, Kendra K. Schmid, Nicholas Stergiou

Journal Articles

Purpose: Determine sitting postural control changes for children with cerebral palsy (CP), using a perceptual-motor intervention and the same intervention plus stochastic vibration through the sitting surface. Methods: Two groups of children with moderate or severe CP participated in the 12 week interventions. The primary outcome measure was center of pressure data from which linear and nonlinear variables were extracted and the gross motor function measure (GMFM). Results: There were no significant main effects of intervention or time or an interaction. Both treatment groups increased the Lyapunov exponent values in the medial–lateral direction three months after the …