The effect of weight-bearing training with visual feedback on balance and prosthetic loading in trans-tibial amputees following vascular disease – a pilot randomized control trial
Purpose Asymmetrical weight-bearing on trans-tibial prosthesis at the initial prosthetic fitting results in a modified gait and secondary disorders. The pilot study will examine the feasibility of the weight-bearing training with visual feedback in trans-tibial prosthesis loading and its potential e...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2025-12-01
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| Series: | Annals of Medicine |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/07853890.2024.2447408 |
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| Summary: | Purpose Asymmetrical weight-bearing on trans-tibial prosthesis at the initial prosthetic fitting results in a modified gait and secondary disorders. The pilot study will examine the feasibility of the weight-bearing training with visual feedback in trans-tibial prosthesis loading and its potential effectiveness.Methods Weight-bearing of the prosthesis was evaluated by centre of pressure (COP). Twenty participants with unilateral initial trans-tibial prosthesis were randomized into test and control group; the control received conventional rehabilitation training; the test group weight-bearing training with real-time feedback in 10 sessions over 2 weeks. Clinical tests 10 m walk test and L-Test were carried out in both groups at baseline and after 2 weeks.Results Statistical differences were found between the groups in COP postural sway and frontal plane COP sway path (p < 0.05). The maximal movement in the frontal plane in the test group substantially decreased indicating improvement in loading of the prosthesis. The clinical tests demonstrated significant improvement in both groups (p < 0.001).Conclusions The differences in pre–post changes of the intervention demonstrated changes in medial–lateral weight transfer and thus loading of the prosthesis after the weight-bearing training program with visual feedback. Values were sufficiently large and meaningful to pursue a larger clinical trial for suggested initial fitting of trans-tibial prosthesis. |
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| ISSN: | 0785-3890 1365-2060 |