Evaluation of Function, Performance, and Preference as Transfemoral Amputees Transition From Mechanical to Microprocessor Control of the Prosthetic Knee

Hafner BJ, Willingham LL, Buell NC, Allyn KJ, Smith DG. Evaluation of function, performance, and preference as transfemoral amputees transition from mechanical to microprocessor control of the prosthetic knee. To evaluate differences in function, performance, and preference between mechanical and mi...

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Published inArchives of physical medicine and rehabilitation Vol. 88; no. 2; pp. 207 - 217
Main Authors Hafner, Brian J., Willingham, Laura L., Buell, Noelle C., Allyn, Katheryn J., Smith, Douglas G.
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.02.2007
Elsevier
Subjects
Online AccessGet full text
ISSN0003-9993
1532-821X
DOI10.1016/j.apmr.2006.10.030

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Abstract Hafner BJ, Willingham LL, Buell NC, Allyn KJ, Smith DG. Evaluation of function, performance, and preference as transfemoral amputees transition from mechanical to microprocessor control of the prosthetic knee. To evaluate differences in function, performance, and preference between mechanical and microprocessor prosthetic knee control technologies. A-B-A-B reversal design. Home, community, and laboratory environments. Twenty-one unilateral, transfemoral amputees. Mechanical control prosthetic knee versus microprocessor control prosthetic knee (Otto Bock C-Leg). Stair rating, hill rating and time, obstacle course time, divided attention task accuracy and time, Amputee Mobility Predictor score, step activity, Prosthesis Evaluation Questionnaire score, Medical Outcomes Study 36-Item Short-Form Health Survey score, self-reported frequency of stumbles and falls, and self-reported concentration required for ambulation. Stair descent score, hill descent time, and hill sound-side step length showed significant ( P<.01) improvement with the C-Leg. Users reported a significant ( P<.05) decrease in frequency of stumbles and falls, frustration with falling, and difficulty in multitasking while using the microprocessor knee. Subject satisfaction with the C-Leg was significantly ( P<.001) greater than the mechanical control prosthesis. The study population showed improved performance when negotiating stairs and hills, reduced frequency of stumbling and falling, and a preference for the microprocessor control C-Leg as compared with the mechanical control prosthetic knee.
AbstractList Hafner BJ, Willingham LL, Buell NC, Allyn KJ, Smith DG. Evaluation of function, performance, and preference as transfemoral amputees transition from mechanical to microprocessor control of the prosthetic knee. To evaluate differences in function, performance, and preference between mechanical and microprocessor prosthetic knee control technologies. A-B-A-B reversal design. Home, community, and laboratory environments. Twenty-one unilateral, transfemoral amputees. Mechanical control prosthetic knee versus microprocessor control prosthetic knee (Otto Bock C-Leg). Stair rating, hill rating and time, obstacle course time, divided attention task accuracy and time, Amputee Mobility Predictor score, step activity, Prosthesis Evaluation Questionnaire score, Medical Outcomes Study 36-Item Short-Form Health Survey score, self-reported frequency of stumbles and falls, and self-reported concentration required for ambulation. Stair descent score, hill descent time, and hill sound-side step length showed significant ( P<.01) improvement with the C-Leg. Users reported a significant ( P<.05) decrease in frequency of stumbles and falls, frustration with falling, and difficulty in multitasking while using the microprocessor knee. Subject satisfaction with the C-Leg was significantly ( P<.001) greater than the mechanical control prosthesis. The study population showed improved performance when negotiating stairs and hills, reduced frequency of stumbling and falling, and a preference for the microprocessor control C-Leg as compared with the mechanical control prosthetic knee.
To evaluate differences in function, performance, and preference between mechanical and microprocessor prosthetic knee control technologies.OBJECTIVETo evaluate differences in function, performance, and preference between mechanical and microprocessor prosthetic knee control technologies.A-B-A-B reversal design.DESIGNA-B-A-B reversal design.Home, community, and laboratory environments.SETTINGHome, community, and laboratory environments.Twenty-one unilateral, transfemoral amputees.PARTICIPANTSTwenty-one unilateral, transfemoral amputees.Mechanical control prosthetic knee versus microprocessor control prosthetic knee (Otto Bock C-Leg).INTERVENTIONMechanical control prosthetic knee versus microprocessor control prosthetic knee (Otto Bock C-Leg).Stair rating, hill rating and time, obstacle course time, divided attention task accuracy and time, Amputee Mobility Predictor score, step activity, Prosthesis Evaluation Questionnaire score, Medical Outcomes Study 36-Item Short-Form Health Survey score, self-reported frequency of stumbles and falls, and self-reported concentration required for ambulation.MAIN OUTCOME MEASURESStair rating, hill rating and time, obstacle course time, divided attention task accuracy and time, Amputee Mobility Predictor score, step activity, Prosthesis Evaluation Questionnaire score, Medical Outcomes Study 36-Item Short-Form Health Survey score, self-reported frequency of stumbles and falls, and self-reported concentration required for ambulation.Stair descent score, hill descent time, and hill sound-side step length showed significant (P<.01) improvement with the C-Leg. Users reported a significant (P<.05) decrease in frequency of stumbles and falls, frustration with falling, and difficulty in multitasking while using the microprocessor knee. Subject satisfaction with the C-Leg was significantly (P<.001) greater than the mechanical control prosthesis.RESULTSStair descent score, hill descent time, and hill sound-side step length showed significant (P<.01) improvement with the C-Leg. Users reported a significant (P<.05) decrease in frequency of stumbles and falls, frustration with falling, and difficulty in multitasking while using the microprocessor knee. Subject satisfaction with the C-Leg was significantly (P<.001) greater than the mechanical control prosthesis.The study population showed improved performance when negotiating stairs and hills, reduced frequency of stumbling and falling, and a preference for the microprocessor control C-Leg as compared with the mechanical control prosthetic knee.CONCLUSIONSThe study population showed improved performance when negotiating stairs and hills, reduced frequency of stumbling and falling, and a preference for the microprocessor control C-Leg as compared with the mechanical control prosthetic knee.
To evaluate differences in function, performance, and preference between mechanical and microprocessor prosthetic knee control technologies. A-B-A-B reversal design. Home, community, and laboratory environments. Twenty-one unilateral, transfemoral amputees. Mechanical control prosthetic knee versus microprocessor control prosthetic knee (Otto Bock C-Leg). Stair rating, hill rating and time, obstacle course time, divided attention task accuracy and time, Amputee Mobility Predictor score, step activity, Prosthesis Evaluation Questionnaire score, Medical Outcomes Study 36-Item Short-Form Health Survey score, self-reported frequency of stumbles and falls, and self-reported concentration required for ambulation. Stair descent score, hill descent time, and hill sound-side step length showed significant (P<.01) improvement with the C-Leg. Users reported a significant (P<.05) decrease in frequency of stumbles and falls, frustration with falling, and difficulty in multitasking while using the microprocessor knee. Subject satisfaction with the C-Leg was significantly (P<.001) greater than the mechanical control prosthesis. The study population showed improved performance when negotiating stairs and hills, reduced frequency of stumbling and falling, and a preference for the microprocessor control C-Leg as compared with the mechanical control prosthetic knee.
Abstract Hafner BJ, Willingham LL, Buell NC, Allyn KJ, Smith DG. Evaluation of function, performance, and preference as transfemoral amputees transition from mechanical to microprocessor control of the prosthetic knee. Objective To evaluate differences in function, performance, and preference between mechanical and microprocessor prosthetic knee control technologies. Design A-B-A-B reversal design. Setting Home, community, and laboratory environments. Participants Twenty-one unilateral, transfemoral amputees. Intervention Mechanical control prosthetic knee versus microprocessor control prosthetic knee (Otto Bock C-Leg). Main Outcome Measures Stair rating, hill rating and time, obstacle course time, divided attention task accuracy and time, Amputee Mobility Predictor score, step activity, Prosthesis Evaluation Questionnaire score, Medical Outcomes Study 36-Item Short-Form Health Survey score, self-reported frequency of stumbles and falls, and self-reported concentration required for ambulation. Results Stair descent score, hill descent time, and hill sound-side step length showed significant ( P <.01) improvement with the C-Leg. Users reported a significant ( P <.05) decrease in frequency of stumbles and falls, frustration with falling, and difficulty in multitasking while using the microprocessor knee. Subject satisfaction with the C-Leg was significantly ( P <.001) greater than the mechanical control prosthesis. Conclusions The study population showed improved performance when negotiating stairs and hills, reduced frequency of stumbling and falling, and a preference for the microprocessor control C-Leg as compared with the mechanical control prosthetic knee.
Author Buell, Noelle C.
Hafner, Brian J.
Smith, Douglas G.
Willingham, Laura L.
Allyn, Katheryn J.
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  fullname: Hafner, Brian J.
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  surname: Willingham
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  fullname: Allyn, Katheryn J.
– sequence: 5
  givenname: Douglas G.
  surname: Smith
  fullname: Smith, Douglas G.
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https://www.ncbi.nlm.nih.gov/pubmed/17270519$$D View this record in MEDLINE/PubMed
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IsPeerReviewed true
IsScholarly true
Issue 2
Keywords Knee
Artificial limbs
Amputees
Patient satisfaction
Rehabilitation
Performance evaluation
Obstacle
Prognosis
Questionnaire
Self evaluation
Prosthesis
Mobility
Accuracy
Regulation(control)
Technology
Community home
Attention
Stair
Leg
Survey
Orthopedic surgery
Treatment
Preference
Unilateral
Environment
Predictive factor
Comparative study
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PublicationTitle Archives of physical medicine and rehabilitation
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Johansson, Sherrill, Riley, Bonato, Herr (bib11) 2005; 84
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Zahedi (10.1016/j.apmr.2006.10.030_bib2) 1993
Taylor (10.1016/j.apmr.2006.10.030_bib4) 1996; 20
Datta (10.1016/j.apmr.2006.10.030_bib8) 2005; 19
Klute (10.1016/j.apmr.2006.10.030_bib18) 2006; 87
Legro (10.1016/j.apmr.2006.10.030_bib17) 1998; 79
Buell (10.1016/j.apmr.2006.10.030_bib15) 2004
Johansson (10.1016/j.apmr.2006.10.030_bib11) 2005; 84
Gailey (10.1016/j.apmr.2006.10.030_bib14) 2002; 83
English (10.1016/j.apmr.2006.10.030_bib19) 1995; 32
Chin (10.1016/j.apmr.2006.10.030_bib6) 2003; 82
Buell (10.1016/j.apmr.2006.10.030_bib16) 2004
Datta (10.1016/j.apmr.2006.10.030_bib3) 1998; 22
Chin (10.1016/j.apmr.2006.10.030_bib12) 2006; 30
Schmalz (10.1016/j.apmr.2006.10.030_bib13) 2002; 7
Chin (10.1016/j.apmr.2006.10.030_bib7) 2005; 87
Michael (10.1016/j.apmr.2006.10.030_bib1) 1999
Heller (10.1016/j.apmr.2006.10.030_bib9) 2000; 14
Buckley (10.1016/j.apmr.2006.10.030_bib5) 1997; 78
Arch Phys Med Rehabil. 2007 Apr;88(4):544
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Snippet Hafner BJ, Willingham LL, Buell NC, Allyn KJ, Smith DG. Evaluation of function, performance, and preference as transfemoral amputees transition from mechanical...
Abstract Hafner BJ, Willingham LL, Buell NC, Allyn KJ, Smith DG. Evaluation of function, performance, and preference as transfemoral amputees transition from...
To evaluate differences in function, performance, and preference between mechanical and microprocessor prosthetic knee control technologies. A-B-A-B reversal...
To evaluate differences in function, performance, and preference between mechanical and microprocessor prosthetic knee control technologies.OBJECTIVETo...
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SubjectTerms Activities of Daily Living
Adult
Aged
Amputees
Amputees - rehabilitation
Artificial Limbs
Biological and medical sciences
Cognition - physiology
Female
Humans
Knee
Knee Prosthesis
Male
Medical sciences
Microcomputers
Middle Aged
Miscellaneous
Orthopedic surgery
Patient Satisfaction
Physical Medicine and Rehabilitation
Prosthesis Design
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Rehabilitation
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surveys and Questionnaires
Walking - physiology
Title Evaluation of Function, Performance, and Preference as Transfemoral Amputees Transition From Mechanical to Microprocessor Control of the Prosthetic Knee
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https://dx.doi.org/10.1016/j.apmr.2006.10.030
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