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A Study of Metabolic Cost Index during Walking and Stair Climbing in Bilateral Transfemoral Amputee

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A Study of Metabolic Cost Index during Walking and Stair Climbing in Bilateral Transfemoral Amputee


Tapas Priyaranjan Behera | Ms Smita Jayavant | Manoj Kumar Sethy



Tapas Priyaranjan Behera | Ms Smita Jayavant | Manoj Kumar Sethy "A Study of Metabolic Cost Index during Walking and Stair Climbing in Bilateral Transfemoral Amputee" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-4 | Issue-6, October 2020, pp.1810-1816, URL: https://www.ijtsrd.com/papers/ijtsrd35753.pdf

Introduction: The rehabilitation of bilateral lower limb amputees is generally more intensive than that of unilateral amputees and poses a great challenge to both there habilitation team and the amputees themselves. Bilateral amputees who are fitted with standard full length prostheses find it difficult to walk fast or climb up and down stairs. Usually stubbies, or short prostheses with non-articulated rocker bottoms, are also provided. Stubbies enables the amputee to use Indian type toilets with the help of a low level folding portable commode; in addition, it helps the amputee to work outdoors in gardens and fields. Stubbies particularly suitable for bilateral amputees in developing countries like India. Objective: To find out the effect of stubbies with gait training in bilateral transfemoral amputee as well as to measure Metabolic cost index during walking and stair climbing in bilateral trans-femoral amputee using stubbies. Design: Post test control group design. Participants: Subjects with bilateral transfemoral amputation (N=10; 8 men, 2women; age, 36.5±5.64 years; range, 25 –45 years) and able bodied subjects(N=10 ; 8men , 2 women; age, 34.5±5.99 years; range,25-45 years) . Intervention: Research participants were fitted with stubbies at NIOH, Kolkata and after the fitment of prosthesis, training for donning & doffing was given and a course of gait training for four week was given. Main Outcome Measures: Objective measurements of energy efficiency were obtained. The Prosthetic assessment form was used to gather subjective information from the participants. Results: The result of the present study shows statistically significant between the two groups which says that in bilateral trans-femoral amputee the metabolic cost index is quite higher than the normal able bodied. In results it was found that the VO2 uptake, Heart rate, VCO2 and Energy Expenditure per minute(EE/min) comparisons were highly significant for both bilateral trans-femoral amputee and normal able bodied in walking(p<0.05) and also in stair climbing(p<0.05) condition. Conclusions: The use of stubbies is a safe, practical and effective method of improving gait as well as less energy consumption than amputee patient in early rehabilitation program. It has also a clinically significant effect on the indoor mobility of users. These findings have implications for the standards of care and clinical use in rehabilitation program.

Transfemoral amputee, Stubbies, Prosthesis, walking, stair climbing, Energy expenditure, Physical effort, Rehabilitation


IJTSRD35753
Volume-4 | Issue-6, October 2020
1810-1816
IJTSRD | www.ijtsrd.com | E-ISSN 2456-6470
Copyright © 2019 by author(s) and International Journal of Trend in Scientific Research and Development Journal. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (http://creativecommons.org/licenses/by/4.0)

International Journal of Trend in Scientific Research and Development - IJTSRD having online ISSN 2456-6470. IJTSRD is a leading Open Access, Peer-Reviewed International Journal which provides rapid publication of your research articles and aims to promote the theory and practice along with knowledge sharing between researchers, developers, engineers, students, and practitioners working in and around the world in many areas like Sciences, Technology, Innovation, Engineering, Agriculture, Management and many more and it is recommended by all Universities, review articles and short communications in all subjects. IJTSRD running an International Journal who are proving quality publication of peer reviewed and refereed international journals from diverse fields that emphasizes new research, development and their applications. IJTSRD provides an online access to exchange your research work, technical notes & surveying results among professionals throughout the world in e-journals. IJTSRD is a fastest growing and dynamic professional organization. The aim of this organization is to provide access not only to world class research resources, but through its professionals aim to bring in a significant transformation in the real of open access journals and online publishing.

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