Comparison of prosthetic mobility and balance in transfemoral amputees with bone-anchored prosthesis vs. socket prosthesis

Robert S. Gailey; Anat Kristal; Munjed Al Muderis; Jennifer Lučarević; Sheila Clemens; E. Brooks Applegate; Brad M. Isaacson; Paul F. Pasquina; Allison Symsack; Ignacio A. Gaunaurd

doi:10.1097/PXR.0000000000000189

Comparison of prosthetic mobility and balance in transfemoral amputees with bone-anchored prosthesis vs. socket prosthesis

Robert S. Gailey, Anat Kristal, Munjed Al Muderis, Jennifer Lučarević, Sheila Clemens, E. Brooks Applegate, Brad M. Isaacson, Paul F. Pasquina, Allison Symsack, Ignacio A. Gaunaurd

Research output: Contribution to journal › Article › peer-review

Abstract

Background:The literature comparing bone-anchored prosthesis (BAP) with socket prosthesis (SP) consistently reports improvement in physical health and quality of life using primarily patient-reported outcome measures (PROMs).Objective:To determine the differences in mobility and balance using performance-based outcome measures and PROMs in people with transfemoral amputations (TFAs) fitted with BAP vs. SP.Study design:Causal comparative.Methods:Two groups of people with TFAs were recruited: one using a BAP (N = 11; mean age ± standard deviation, 44 ± 14.9 years; mean residual limb length as a percentage of the intact femur, 68% ± 15.9) and another group using a SP (N = 11; mean age ± standard deviation, 49.6 ± 16.0 years; mean residual limb length as a percentage of the intact femur, 81% ± 13.9), and completed the 10-meter walk test, component timed-up-and-go, Prosthetic Limb Users Survey of Mobility™ 12-item, and Activities-specific Balance Confidence Scale.Results:There were no statistically significant differences between the BAP and SP groups in temporal spatial gait parameters and prosthetic mobility as measured by the 10-meter walk test and component timed-up-and-go, yet large effect sizes were found for several variables. In addition, Activities-specific Balance Confidence Scale and Prosthetic Limb Users Survey of Mobility™ scores were not statistically different between the BAP and SP groups, yet a large effect sizes were found for both variables.Conclusions:This study found that people with TFA who use a BAP can demonstrate similar temporal spatial gait parameters and prosthetic mobility, as well as self-perceived balance confidence and prosthetic mobility as SP users. Therefore, suggesting that the osseointegration reconstruction surgical procedure provides an alternative option for a specific population with TFA who cannot wear nor have limitations with a SP. Future research with a larger sample and other performance-based outcome measures and PROMs of prosthetic mobility and balance would further determine the differences between the prosthetic options.

Original language	English
Pages (from-to)	130-136
Number of pages	7
Journal	Prosthetics and Orthotics International
Volume	47
Issue number	2
DOIs	https://doi.org/10.1097/PXR.0000000000000189
State	Published - Apr 1 2023

Bibliographical note

Funding Information:
The authors thank Marco Calcagno, CPO, and Brittany Stresing, CPO, FAAOP, of Limbionics, Raleigh, NC, for their participation in this research study. The authors also thank the Amputee Coalition and the members who participated in this research. The authors also acknowledge the support of the staff at the University of Miami Department of Physical Therapy, Bruce W. Carter Veterans Affairs Medical Center, Uniformed Services University of the Health Sciences, Walter Reed National Military Medical Center, Osseointegration Group of Australia, and The Geneva Foundation.

Publisher Copyright:
© 2023 SAGE Publications Inc.. All rights reserved.

ASJC Scopus subject areas

Rehabilitation
Health Professions (miscellaneous)

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10.1097/PXR.0000000000000189

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Gailey, R. S., Kristal, A., Al Muderis, M., Lučarević, J., Clemens, S., Applegate, E. B., Isaacson, B. M., Pasquina, P. F., Symsack, A., & Gaunaurd, I. A. (2023). Comparison of prosthetic mobility and balance in transfemoral amputees with bone-anchored prosthesis vs. socket prosthesis. Prosthetics and Orthotics International, 47(2), 130-136. https://doi.org/10.1097/PXR.0000000000000189

@article{7e274d4f80974943a4a8239480d939f8,

title = "Comparison of prosthetic mobility and balance in transfemoral amputees with bone-anchored prosthesis vs. socket prosthesis",

abstract = "Background:The literature comparing bone-anchored prosthesis (BAP) with socket prosthesis (SP) consistently reports improvement in physical health and quality of life using primarily patient-reported outcome measures (PROMs).Objective:To determine the differences in mobility and balance using performance-based outcome measures and PROMs in people with transfemoral amputations (TFAs) fitted with BAP vs. SP.Study design:Causal comparative.Methods:Two groups of people with TFAs were recruited: one using a BAP (N = 11; mean age ± standard deviation, 44 ± 14.9 years; mean residual limb length as a percentage of the intact femur, 68% ± 15.9) and another group using a SP (N = 11; mean age ± standard deviation, 49.6 ± 16.0 years; mean residual limb length as a percentage of the intact femur, 81% ± 13.9), and completed the 10-meter walk test, component timed-up-and-go, Prosthetic Limb Users Survey of Mobility{\texttrademark} 12-item, and Activities-specific Balance Confidence Scale.Results:There were no statistically significant differences between the BAP and SP groups in temporal spatial gait parameters and prosthetic mobility as measured by the 10-meter walk test and component timed-up-and-go, yet large effect sizes were found for several variables. In addition, Activities-specific Balance Confidence Scale and Prosthetic Limb Users Survey of Mobility{\texttrademark} scores were not statistically different between the BAP and SP groups, yet a large effect sizes were found for both variables.Conclusions:This study found that people with TFA who use a BAP can demonstrate similar temporal spatial gait parameters and prosthetic mobility, as well as self-perceived balance confidence and prosthetic mobility as SP users. Therefore, suggesting that the osseointegration reconstruction surgical procedure provides an alternative option for a specific population with TFA who cannot wear nor have limitations with a SP. Future research with a larger sample and other performance-based outcome measures and PROMs of prosthetic mobility and balance would further determine the differences between the prosthetic options.",

author = "Gailey, {Robert S.} and Anat Kristal and {Al Muderis}, Munjed and Jennifer Lu{\v c}arevi{\'c} and Sheila Clemens and Applegate, {E. Brooks} and Isaacson, {Brad M.} and Pasquina, {Paul F.} and Allison Symsack and Gaunaurd, {Ignacio A.}",

note = "Funding Information: The authors thank Marco Calcagno, CPO, and Brittany Stresing, CPO, FAAOP, of Limbionics, Raleigh, NC, for their participation in this research study. The authors also thank the Amputee Coalition and the members who participated in this research. The authors also acknowledge the support of the staff at the University of Miami Department of Physical Therapy, Bruce W. Carter Veterans Affairs Medical Center, Uniformed Services University of the Health Sciences, Walter Reed National Military Medical Center, Osseointegration Group of Australia, and The Geneva Foundation. Publisher Copyright: {\textcopyright} 2023 SAGE Publications Inc.. All rights reserved.",

year = "2023",

month = apr,

day = "1",

doi = "10.1097/PXR.0000000000000189",

language = "English",

volume = "47",

pages = "130--136",

number = "2",

}

Gailey, RS, Kristal, A, Al Muderis, M, Lučarević, J, Clemens, S, Applegate, EB, Isaacson, BM, Pasquina, PF, Symsack, A & Gaunaurd, IA 2023, 'Comparison of prosthetic mobility and balance in transfemoral amputees with bone-anchored prosthesis vs. socket prosthesis', Prosthetics and Orthotics International, vol. 47, no. 2, pp. 130-136. https://doi.org/10.1097/PXR.0000000000000189

TY - JOUR

T1 - Comparison of prosthetic mobility and balance in transfemoral amputees with bone-anchored prosthesis vs. socket prosthesis

AU - Gailey, Robert S.

AU - Kristal, Anat

AU - Al Muderis, Munjed

AU - Lučarević, Jennifer

AU - Clemens, Sheila

AU - Applegate, E. Brooks

AU - Isaacson, Brad M.

AU - Pasquina, Paul F.

AU - Symsack, Allison

AU - Gaunaurd, Ignacio A.

N1 - Funding Information: The authors thank Marco Calcagno, CPO, and Brittany Stresing, CPO, FAAOP, of Limbionics, Raleigh, NC, for their participation in this research study. The authors also thank the Amputee Coalition and the members who participated in this research. The authors also acknowledge the support of the staff at the University of Miami Department of Physical Therapy, Bruce W. Carter Veterans Affairs Medical Center, Uniformed Services University of the Health Sciences, Walter Reed National Military Medical Center, Osseointegration Group of Australia, and The Geneva Foundation. Publisher Copyright: © 2023 SAGE Publications Inc.. All rights reserved.

PY - 2023/4/1

Y1 - 2023/4/1

N2 - Background:The literature comparing bone-anchored prosthesis (BAP) with socket prosthesis (SP) consistently reports improvement in physical health and quality of life using primarily patient-reported outcome measures (PROMs).Objective:To determine the differences in mobility and balance using performance-based outcome measures and PROMs in people with transfemoral amputations (TFAs) fitted with BAP vs. SP.Study design:Causal comparative.Methods:Two groups of people with TFAs were recruited: one using a BAP (N = 11; mean age ± standard deviation, 44 ± 14.9 years; mean residual limb length as a percentage of the intact femur, 68% ± 15.9) and another group using a SP (N = 11; mean age ± standard deviation, 49.6 ± 16.0 years; mean residual limb length as a percentage of the intact femur, 81% ± 13.9), and completed the 10-meter walk test, component timed-up-and-go, Prosthetic Limb Users Survey of Mobility™ 12-item, and Activities-specific Balance Confidence Scale.Results:There were no statistically significant differences between the BAP and SP groups in temporal spatial gait parameters and prosthetic mobility as measured by the 10-meter walk test and component timed-up-and-go, yet large effect sizes were found for several variables. In addition, Activities-specific Balance Confidence Scale and Prosthetic Limb Users Survey of Mobility™ scores were not statistically different between the BAP and SP groups, yet a large effect sizes were found for both variables.Conclusions:This study found that people with TFA who use a BAP can demonstrate similar temporal spatial gait parameters and prosthetic mobility, as well as self-perceived balance confidence and prosthetic mobility as SP users. Therefore, suggesting that the osseointegration reconstruction surgical procedure provides an alternative option for a specific population with TFA who cannot wear nor have limitations with a SP. Future research with a larger sample and other performance-based outcome measures and PROMs of prosthetic mobility and balance would further determine the differences between the prosthetic options.

AB - Background:The literature comparing bone-anchored prosthesis (BAP) with socket prosthesis (SP) consistently reports improvement in physical health and quality of life using primarily patient-reported outcome measures (PROMs).Objective:To determine the differences in mobility and balance using performance-based outcome measures and PROMs in people with transfemoral amputations (TFAs) fitted with BAP vs. SP.Study design:Causal comparative.Methods:Two groups of people with TFAs were recruited: one using a BAP (N = 11; mean age ± standard deviation, 44 ± 14.9 years; mean residual limb length as a percentage of the intact femur, 68% ± 15.9) and another group using a SP (N = 11; mean age ± standard deviation, 49.6 ± 16.0 years; mean residual limb length as a percentage of the intact femur, 81% ± 13.9), and completed the 10-meter walk test, component timed-up-and-go, Prosthetic Limb Users Survey of Mobility™ 12-item, and Activities-specific Balance Confidence Scale.Results:There were no statistically significant differences between the BAP and SP groups in temporal spatial gait parameters and prosthetic mobility as measured by the 10-meter walk test and component timed-up-and-go, yet large effect sizes were found for several variables. In addition, Activities-specific Balance Confidence Scale and Prosthetic Limb Users Survey of Mobility™ scores were not statistically different between the BAP and SP groups, yet a large effect sizes were found for both variables.Conclusions:This study found that people with TFA who use a BAP can demonstrate similar temporal spatial gait parameters and prosthetic mobility, as well as self-perceived balance confidence and prosthetic mobility as SP users. Therefore, suggesting that the osseointegration reconstruction surgical procedure provides an alternative option for a specific population with TFA who cannot wear nor have limitations with a SP. Future research with a larger sample and other performance-based outcome measures and PROMs of prosthetic mobility and balance would further determine the differences between the prosthetic options.

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Comparison of prosthetic mobility and balance in transfemoral amputees with bone-anchored prosthesis vs. socket prosthesis

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