Article

Primary disabling conditions, such as amputation, not only limit mobility, but
also predispose individuals to secondary musculoskeletal impairments, such as
osteoarthritis (OA) of the intact limb joints, that can result in additive
disability. Altered gait biomechanics that cause increased loading of the intact
limb have been suggested as a cause of the increased prevalence of intact limb
knee and hip osteoarthritis in this population. Optimizing socket fit and
prosthetic alignment, as well as developing and prescribing prosthetic feet with
improved push-off characteristics, can lead to reduced asymmetric loading of the
intact limb and therefore are potential strategies to prevent and treat
osteoarthritis in the amputee population. Research on disabled populations
associated with altered biomechanics offers an opportunity to focus on the
mechanical risk factors associated with this condition. Continued research into
the causes of secondary disability and the development of preventive strategies
are critical to enable optimal rehabilitation practices to maximize function and
quality of life in patients with disabilities.
CI - Copyright (c) 2012 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS