PTOtherGait & posture2024

Transhumeral prosthesis use affects upper body kinematics and kinetics.

Julia A Dunn, Nicholas G Gomez, Bob Wong and 4 others

PMID 38744022

WHAT IT FOUND

People with transhumeral limb loss had greater arm swing asymmetry and altered trunk motion than controls, whether the prosthesis was on or off.

Gait speed did not differ from controls.

Key findings

01Walking without the prosthesis increased intact-arm swing compared with walking with it (p = 0.025), and the intact arm swung more than the residual limb in both conditions (p < 0.001).

02Walking with the prosthesis increased trunk flexion (p = 0.013), while walking without it increased trunk rotation moment (p = 0.001).

03Compared with controls, arm-swing asymmetry was greater in both prosthesis conditions (p < 0.001), but overall step length, stride length, cadence, and walking speed were not significantly different.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

Read the rest of this summary

You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.

Already have one?

What it does not show

Only eight men with transhumeral limb loss and eight controls were studied, so the findings are preliminary and may not apply to women or to a wider population. The study was exploratory, with many comparisons and no stringent correction for false positive results. Controls were collected in a separate laboratory with different motion capture cameras, force plates, and recording frequency. Participants used their own prostheses, and residual arm lengths and prosthesis types varied, but the study was too small to analyze whether those differences affected results. The prosthetic elbow was locked in a self-selected position, so results may not apply to unlocked elbow gait. Overground walking produced short trials, and treadmill steady-state walking was not measured. No women were available from the recruitment source, and women are less likely to use a transhumeral prosthesis.

The easy way to misread this

Do not conclude that wearing a transhumeral prosthesis improves walking speed. The study found upper-body movement differences, but no significant differences in walking speed compared with controls, and the findings were exploratory in a small all-male sample.

Read it on PubMed →