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Prosthesis preference is related to stride-to-stride fluctuations at the prosthetic ankle

Prosthesis preference is related to stride-to-stride fluctuations at the prosthetic ankle. Shane R. Wurdeman, CP, MSPO; Sara A. Myers, PhD; Adam L. Jacobsen, CPO; Nicholas Stergiou, PhD. Aim Determine relationship between stride-to-stride fluctuations and prosthesis preference. Relevance

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Prosthesis preference is related to stride-to-stride fluctuations at the prosthetic ankle

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  1. Prosthesis preference is related to stride-to-stride fluctuations at the prosthetic ankle Shane R. Wurdeman, CP, MSPO; Sara A. Myers, PhD; Adam L. Jacobsen, CPO; Nicholas Stergiou, PhD

  2. Aim • Determine relationship between stride-to-stride fluctuations and prosthesis preference. • Relevance • Stride-to-stride fluctuations in gait cycle may better quantify neuromuscular control related to prosthesis preference.

  3. Method • 13 people with unilateral transtibial amputation walked on treadmill for 3 min with their prescribed and an alternate prosthesis. • Stride-to-stride fluctuations were quantified with largest Lyapunov exponent (LyE) of each joint flexion/extension time series. • Change in LyE was calculated for each major lower-limb joint for both conditions. • Participants indicated preference between prostheses on continuous visual analog scale.

  4. Results • Change in LyE: • Correlated with degree of preference between prostheses at prosthetic ankle. • Change in LyE of prosthetic ankle: • Strongly related to degree of preference (r = 0.629, p = 0.02).

  5. Conclusion • Stride-to-stride fluctuations, quantified by LyE, are strongly related to patient’s perception of prosthesis. • Thus, LyE is first objective measure to detect changes in gait that relate to patient’s perception of prosthesis. • LyE should be further examined as potentially effective prescriptive and outcome measure in prosthetic rehabilitation.

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