Article

Following amputation, people with transfemoral amputation (TFA) and transtibial
amputation (TTA) adapt with asymmetrical movements in the spinal and lower-limb
joints. The aim of this review is to describe the trunk, lumbopelvic, and hip
joint movement asymmetries of the amputated limb of people with TFA and TTA
during functional tasks as compared with the intact leg and/or referent leg of
nondisabled controls. Electronic databases were searched from inception to
February 2014. Studies with kinematic data comparing (1) amputated and intact leg
and (2) amputated and referent leg of nondisabled controls were included (26
articles). Considerable heterogeneity in the studies precluded data pooling.
During stance phase of walking in participants with TFA, there is moderate
evidence for increased trunk lateral flexion toward the amputated limb as
compared with the intact leg and increased anterior pelvic tilt as compared with
nondisabled controls. None of the studies investigated spinal kinematics during
other functional tasks such as running, ramp walking, stair climbing, or obstacle
crossing in participants with TFA or TTA. Overall, persons with TFA adapt with
trunk and pelvic movement asymmetries at the amputated limb to facilitate weight
transfer during walking. Among participants with TTA, there is limited evidence
of spinal and pelvic asymmetries during walking.

Langue : ANGLAIS