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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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2025-12-01
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| Series: | Annals of Medicine |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/07853890.2024.2447408 |
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| author | Imre Cikajlo Jovana Mitić Helena Burger |
| author_facet | Imre Cikajlo Jovana Mitić Helena Burger |
| author_sort | Imre Cikajlo |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-1dff2756c0ca4a6ea645aaf868d2f54d |
| institution | Kabale University |
| issn | 0785-3890 1365-2060 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Annals of Medicine |
| spelling | doaj-art-1dff2756c0ca4a6ea645aaf868d2f54d2024-12-31T13:42:57ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602025-12-0157110.1080/07853890.2024.2447408The effect of weight-bearing training with visual feedback on balance and prosthetic loading in trans-tibial amputees following vascular disease – a pilot randomized control trialImre Cikajlo0Jovana Mitić1Helena Burger2University Rehabilitation Institute Republic of Slovenia Soča, Ljubljana, SloveniaUniversity Rehabilitation Institute Republic of Slovenia Soča, Ljubljana, SloveniaUniversity Rehabilitation Institute Republic of Slovenia Soča, Ljubljana, SloveniaPurpose 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.https://www.tandfonline.com/doi/10.1080/07853890.2024.2447408Biofeedbackprosthesisweight-bearingcentre of pressure |
| spellingShingle | Imre Cikajlo Jovana Mitić Helena Burger 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 Annals of Medicine Biofeedback prosthesis weight-bearing centre of pressure |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | Biofeedback prosthesis weight-bearing centre of pressure |
| url | https://www.tandfonline.com/doi/10.1080/07853890.2024.2447408 |
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