Article

Balance is an important variable to consider during the
rehabilitation process of individuals with trans-tibial amputation. Limited
evidence exists on the balance abilities of people with trans-tibial amputation
due to vascular causes.
The purpose of this article is to review
literature and determine if standing balance is diminished in people with
trans-tibial amputation due to vascular causes. STUDY DESIGN: Literature review.
METHODS: Data were obtained from PubMed, Google Scholar, OandP.org , CINHAL, and
Science Direct. Studies were selected only if they included standing balance
assessment of people with unilateral trans-tibial amputation due to vascular
causes. RESULTS: The review yielded seven articles that met the inclusion
criteria. The general test methodology required participants to stand still on
force platforms, with feet together, while center of pressure or postural sway
was recorded. CONCLUSION: According to the findings of this review, individuals
with trans-tibial amputees due to vascular causes have diminished balance
abilities. Limited evidence suggests their balance might be further diminished as
compared to individuals with trans-tibial amputation due to trauma. Although the
evidence is limited, because of the underlying pathology and presence of
comorbidities in individuals with trans-tibial amputation due to vascular causes,
one cannot ignore these findings, as even a minor injury from a fall may develop
into a non-healing ulcer and affect their health and well-being more severely
than individuals with trans-tibial amputation due to trauma. Clinical relevance
Individuals with trans-tibial amputation due to vascular causes have diminished
balance abilities compared to healthy individuals and individuals with
trans-tibial amputation due to trauma. This difference should be considered when
designing and fabricating prostheses. Prosthetists and rehabilitation clinicians
should consider designing amputation cause-specific rehabilitation interventions,
focussing on balance and other functional limitations related to comorbidities of amputation.

Langue : ANGLAIS