The effect of alignment changes on unilateral transtibial amputee's gait: a systematic review
— University of Strathclyde Skip to main navigation Skip to search Skip to main content University of Strathclyde Home Help & FAQ Home Profiles Research Units Research output Projects Datasets Equipment Student theses Impacts Prizes Activities Search by expertise, name or affiliation The effect of alignment changes on unilateral transtibial amputee's gait: a systematic review Niels Jonkergouw, Maarten R. Prins, Arjan W.P. Buis, Peter van der Wurff Biomedical Engineering Research output: Contribution to journal › Article › peer-review 13 Citations (Scopus) 114 Downloads (Pure) Overview Fingerprint Profiles (1) Research output (2) Abstract Introduction: Prosthetic alignment, positioning of a prosthetic foot relative to a socket, is an iterative process in which an amputee’s gait is optimized through repetitive optical gait observation and induction of alignment adjustments when deviations are detected in spatiotemporal and kinematic gait parameters. An important limitation of the current prosthetic alignment approach is the subjectivity and the lack of standardized quantifiable baseline values. The purpose of this systematic review is to investigate if an optimal alignment criterion can be derived from published articles. Moreover, we investigated the effect of alignment changes on spatiotemporal, kinematic and kinetic gait parameters. Results: A total of 11 studies were included, two controlled before-and-after studies and nine-interrupted time series studies. Discussion: The results demonstrate that alignment changes have a predictable influence on the included kinetic parameters. However, the effect of alignment changes on spatio-temporal and kinematic gait parameters are generally unpredictable. These findings suggest that it is imperative to include kinetics in the process of dynamic prosthetic alignment. Partially this can be established by communication with the prosthetic user in terms of perceived socket comfort, but the use of measurement tools should also be considered. While current literature is not conclusive about an optimal alignment, future alignment research should focus on alignment optimisation based on kinetic outcomes. Original language English Article number e0167466 Number of pages 18 Journal PLOS One Volume 11 Issue number 12 DOIs https://doi.org/10.1371/journal.pone.0167466 Publication status Published - 6 Dec 2016 Keywords alignment amputee below the knee gait analysis kinematic kinetic analysis Prosthetics quantification spatio-temporal trans-tibial Access to Document 10.1371/journal.pone.0167466Licence: CC BY 4.0 Jonkergouw-etal-PLOS-2016-The-effect-of-alignment-changes-on-unilateral-transtibial-amputees-gaitFinal published version, 923 KBLicence: CC BY 4.0 Other files and links http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0167466 Profiles Arjan Buis arjan.buis strath.ac uk Biomedical Engineering - Reader Health and Wellbeing Person: Academic Research output Research output per year 1997 1997 2016 2016 13 Citations 1 Article 1 Doctoral Thesis Research output per year Research output per year Effect of alignment perturbations in a trans-tibial prosthesis user: a pilot studyCourtney, A., Orendurff, M. S. & Buis, A., 22 Mar 2016, In: Journal of Rehabilitation Medicine. 48, 4, p. 396-401 6 p. Research output: Contribution to journal › Article › peer-review Open Access File 5 Citations (Scopus) 140 Downloads (Pure) Dynamic Interface Pressure Measurement- Comparing Two Trans-Tibial Socket ConceptsBuis, A., 1997 Research output: Thesis › Doctoral Thesis Cite this APA Author BIBTEX Harvard Standard RIS Vancouver Jonkergouw, N., Prins, M. R., Buis, A. W. P., & van der Wurff, P. (2016). The effect of alignment changes on unilateral transtibial amputee's gait: a systematic review. PLOS One, 11(12), [e0167466]. https://doi.org/10.1371/journal.pone.0167466 Jonkergouw, Niels ; Prins, Maarten R. ; Buis, Arjan W.P. ; van der Wurff, Peter. / The effect of alignment changes on unilateral transtibial amputee's gait : a systematic review. In: PLOS One. 2016 ; Vol. 11, No. 12. @article{416bea5dff4d4315bc860950ef50a3b2, title = "The effect of alignment changes on unilateral transtibial amputee's gait: a systematic review", abstract = "Introduction: Prosthetic alignment, positioning of a prosthetic foot relative to a socket, is an iterative process in which an amputee{\textquoteright}s gait is optimized through repetitive optical gait observation and induction of alignment adjustments when deviations are detected in spatiotemporal and kinematic gait parameters. An important limitation of the current prosthetic alignment approach is the subjectivity and the lack of standardized quantifiable baseline values. The purpose of this systematic review is to investigate if an optimal alignment criterion can be derived from published articles. Moreover, we investigated the effect of alignment changes on spatiotemporal, kinematic and kinetic gait parameters. Results: A total of 11 studies were included, two controlled before-and-after studies and nine-interrupted time series studies.Discussion: The results demonstrate that alignment changes have a predictable influence on the included kinetic parameters. However, the effect of alignment changes on spatio-temporal and kinematic gait parameters are generally unpredictable. These findings suggest that it is imperative to include kinetics in the process of dynamic prosthetic alignment. Partially this can be established by communication with the prosthetic user in terms of perceived socket comfort, but the use of measurement tools should also be considered. While current literature is not conclusive about an optimal alignment, future alignment research should focus on alignment optimisation based on kinetic outcomes.", keywords = "alignment, amputee, below the knee, gait analysis, kinematic, kinetic analysis, Prosthetics, quantification, spatio-temporal, trans-tibial", author = "Niels Jonkergouw and Prins, {Maarten R.} and Buis, {Arjan W.P.} and {van der Wurff}, Peter", year = "2016", month = dec, day = "6", doi = "10.1371/journal.pone.0167466", language = "English", volume = "11", journal = "PLOS One", issn = "1932-6203", number = "12", } Jonkergouw, N, Prins, MR, Buis, AWP & van der Wurff, P 2016, 'The effect of alignment changes on unilateral transtibial amputee's gait: a systematic review', PLOS One, vol. 11, no. 12, e0167466. https://doi.org/10.1371/journal.pone.0167466 The effect of alignment changes on unilateral transtibial amputee's gait : a systematic review. / Jonkergouw, Niels; Prins, Maarten R.; Buis, Arjan W.P.; van der Wurff, Peter. In: PLOS One, Vol. 11, No. 12, e0167466, 06.12.2016. Research output: Contribution to journal › Article › peer-review TY - JOUR T1 - The effect of alignment changes on unilateral transtibial amputee's gait T2 - a systematic review AU - Jonkergouw, Niels AU - Prins, Maarten R. AU - Buis, Arjan W.P. AU - van der Wurff, Peter PY - 2016/12/6 Y1 - 2016/12/6 N2 - Introduction: Prosthetic alignment, positioning of a prosthetic foot relative to a socket, is an iterative process in which an amputee’s gait is optimized through repetitive optical gait observation and induction of alignment adjustments when deviations are detected in spatiotemporal and kinematic gait parameters. An important limitation of the current prosthetic alignment approach is the subjectivity and the lack of standardized quantifiable baseline values. The purpose of this systematic review is to investigate if an optimal alignment criterion can be derived from published articles. Moreover, we investigated the effect of alignment changes on spatiotemporal, kinematic and kinetic gait parameters. Results: A total of 11 studies were included, two controlled before-and-after studies and nine-interrupted time series studies.Discussion: The results demonstrate that alignment changes have a predictable influence on the included kinetic parameters. However, the effect of alignment changes on spatio-temporal and kinematic gait parameters are generally unpredictable. These findings suggest that it is imperative to include kinetics in the process of dynamic prosthetic alignment. Partially this can be established by communication with the prosthetic user in terms of perceived socket comfort, but the use of measurement tools should also be considered. While current literature is not conclusive about an optimal alignment, future alignment research should focus on alignment optimisation based on kinetic outcomes. AB - Introduction: Prosthetic alignment, positioning of a prosthetic foot relative to a socket, is an iterative process in which an amputee’s gait is optimized through repetitive optical gait observation and induction of alignment adjustments when deviations are detected in spatiotemporal and kinematic gait parameters. An important limitation of the current prosthetic alignment approach is the subjectivity and the lack of standardized quantifiable baseline values. The purpose of this systematic review is to investigate if an optimal alignment criterion can be derived from published articles. Moreover, we investigated the effect of alignment changes on spatiotemporal, kinematic and kinetic gait parameters. Results: A total of 11 studies were included, two controlled before-and-after studies and nine-interrupted time series studies.Discussion: The results demonstrate that alignment changes have a predictable influence on the included kinetic parameters. However, the effect of alignment changes on spatio-temporal and kinematic gait parameters are generally unpredictable. These findings suggest that it is imperative to include kinetics in the process of dynamic prosthetic alignment. Partially this can be established by communication with the prosthetic user in terms of perceived socket comfort, but the use of measurement tools should also be considered. While current literature is not conclusive about an optimal alignment, future alignment research should focus on alignment optimisation based on kinetic outcomes. KW - alignment KW - amputee KW - below the knee KW - gait analysis KW - kinematic KW - kinetic analysis KW - Prosthetics KW - quantification KW - spatio-temporal KW - trans-tibial UR - http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0167466 U2 - 10.1371/journal.pone.0167466 DO - 10.1371/journal.pone.0167466 M3 - Article VL - 11 JO - PLOS One JF - PLOS One SN - 1932-6203 IS - 12 M1 - e0167466 ER - Jonkergouw N, Prins MR, Buis AWP, van der Wurff P. The effect of alignment changes on unilateral transtibial amputee's gait: a systematic review. PLOS One. 2016 Dec 6;11(12). e0167466. https://doi.org/10.1371/journal.pone.0167466 Powered by Pure, Scopus & Elsevier Fingerprint Engine™ © 2022 Elsevier B.V. We use cookies to help provide and enhance our service and tailor content. By continuing you agree to the use of cookies Log in to Pure About web accessibility Contact us
