Gait asymmetry is associated with performance-based physical function among adults with lower-limb amputation

Author(s)Seth, Mayank
Author(s)Coyle, Peter C.
Author(s)Pohlig, Ryan T.
Author(s)Beisheim, Emma H.
Author(s)Horne, John R.
Author(s)Hicks, Gregory E.
Author(s)Sions, Jaclyn Megan
Date Accessioned2022-06-02T18:19:49Z
Date Available2022-06-02T18:19:49Z
Publication Date2021-10-17
DescriptionThis is an Accepted Manuscript of an article published by Taylor & Francis in Physiotherapy Theory and Practice on 10/17/2021, available at: http://www.tandfonline.com/10.1080/09593985.2021.1990449. This article will be embargoed until 10/17/2022.en_US
AbstractBACKGROUND Adults with lower-limb amputation walk with an asymmetrical gait and exhibit poor functional outcomes, which may negatively impact quality-of-life. OBJECTIVE To evaluate associations between gait asymmetry and performance-based physical function among adults with lower-limb amputation. METHODS A cross-sectional study involving 38 adults with a unilateral transtibial (N = 24; 62.5 ± 10.5 years) or transfemoral amputation (N = 14; 59.9 ± 9.5 years) was conducted. Following gait analysis (capturing step length and stance time asymmetry at self-selected (SSWS) and fast walking speeds (FWS)), participants completed performance-based measures (i.e. Timed Up and Go (TUG), the 10-Meter Walk Test (10mwt), and the 6-Minute Walk Test (6MWT)). RESULTS Step length and stance time asymmetry (at SSWS and FWS) were significantly correlated with each performance-based measure (p < .001 to p = .035). Overall, models with gait measures obtained at SSWS explained 40.1%, 46.8% and 40.1% of the variance in TUG-time (p = .022), 10mwt-speed (p = .003) and 6MWT-distance (p = .010), respectively. Models with gait measures obtained at FWS explained 70.0%, 59.8% and 51.8% of the variance in TUG-time (p < .001), 10mwt-speed (p < .001), and 6MWT-distance (p < .001), respectively. CONCLUSIONS Increases in step length or stance time asymmetry are associated with increased TUG-time, slower 10mwt-speed, and reduced 6MWT-distance. Findings suggest gait asymmetry may be a factor in poor functional outcomes following lower-limb amputation.en_US
SponsorThis work was supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development of the National Institutes of Health [R03HD088668]; Foundation for Physical Therapy Research [Promotion of Doctoral Studies I & II scholarships]; National Institutes of Health [T32HD007490]; Independence Prosthetics-Orthotics, Inc [Postdoctoral Researcher Fund].en_US
CitationMayank Seth, Peter C Coyle, Ryan T Pohlig, Emma H Beisheim, John R Horne, Gregory E Hicks & Jaclyn Megan Sions (2021) Gait asymmetry is associated with performance-based physical function among adults with lower-limb amputation, Physiotherapy Theory and Practice, DOI: 10.1080/09593985.2021.1990449en_US
ISSN1532-5040
URLhttps://udspace.udel.edu/handle/19716/30945
Languageen_USen_US
PublisherPhysiotherapy Theory and Practiceen_US
Keywordsamputationen_US
Keywordsoutcome measuresen_US
Keywordsprosthesis, rehabilitationen_US
Keywordswalking speeden_US
TitleGait asymmetry is associated with performance-based physical function among adults with lower-limb amputationen_US
TypeArticleen_US
Files
Original bundle
Now showing 1 - 2 of 2
Loading...
Thumbnail Image
Name:
Gait asymmetry is associated with performance-based physical function among.pdf
Size:
1.22 MB
Format:
Adobe Portable Document Format
Description:
Main article
Loading...
Thumbnail Image
Name:
Figure 1.pdf
Size:
640.43 KB
Format:
Adobe Portable Document Format
Description:
Supporting information
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
2.22 KB
Format:
Item-specific license agreed upon to submission
Description: