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 in | Archives of physical medicine and rehabilitation Vol. 88; no. 2; pp. 207 - 217 | 
|---|---|
| Main Authors | , , , , | 
| Format | Journal Article | 
| Language | English | 
| Published | 
        New York, NY
          Elsevier Inc
    
        01.02.2007
     Elsevier  | 
| Subjects | |
| Online Access | Get full text | 
| ISSN | 0003-9993 1532-821X  | 
| DOI | 10.1016/j.apmr.2006.10.030 | 
Cover
| 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.  | 
    
| Author_xml | – sequence: 1 givenname: Brian J. surname: Hafner fullname: Hafner, Brian J. email: brian.hafner@prs-research.org – sequence: 2 givenname: Laura L. surname: Willingham fullname: Willingham, Laura L. – sequence: 3 givenname: Noelle C. surname: Buell fullname: Buell, Noelle C. – sequence: 4 givenname: Katheryn J. surname: Allyn fullname: Allyn, Katheryn J. – sequence: 5 givenname: Douglas G. surname: Smith fullname: Smith, Douglas G.  | 
    
| BackLink | http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18521932$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/17270519$$D View this record in MEDLINE/PubMed  | 
    
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| 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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| 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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