PTOtherJournal of physical therapy science2018

Biomechanics of single-leg running using lofstrand crutches in amputee soccer.

Hironori Fujishita, Yukio Urabe, Noriaki Maeda and 5 others

PMID 30568340

WHAT IT FOUND

Faster single-leg crutch running was linked to more forward pelvic tilt and shorter crutch stance time.

Six experienced participants simulating amputation ran faster than six beginners, but this small study does not prove training effects.

Key findings

01Experienced participants ran faster than non-experienced participants, with average speeds of 3.3 m/s and 2.9 m/s.

02Faster running was associated with greater anterior pelvic tilt and shorter crutch stance time.

03Horizontal and vertical ground reaction force did not differ significantly between experienced and non-experienced participants.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The study included only 12 participants, and only 6 were experienced. The participants were not amputees; they simulated a lower limb amputation by keeping one knee flexed, so results may not apply to amputee soccer players with prostheses or different stump lengths. The lab allowed only about 15 m of running space, so maximum running speed may not have been reached. Ground reaction force was recorded only during first stance because the lab had only 8 force plates, so forces across the full crutch-and-foot cycle were not measured. The findings are correlations and group differences, not proof that changing pelvic tilt or crutch stance time causes faster running. Only a single basic crutch-to-foot running style was studied.

The easy way to misread this

Do not read the faster speed in the experienced group as proof that crutch training causes improvement. The study measured associations in 12 non-amputees simulating amputation over a short lab distance, not a training effect in actual amputee soccer players.

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