Article

Amputee patients spend more energy during walking than able-bodied persons. It is
generally accepted that more proximal amputation is associated with more energy
need. However, the picture is not clear, especially for partial foot amputees.
The purpose of this study was to compare the energy consumption of walking in
traumatic unilateral amputees with three different amputation levels
(trans-femoral, trans-tibial and partial foot amputations). Sixty-four male
unilateral traumatic amputees participated in this study. Energy expenditure
during walking was measured for four different speed and slope combinations: 1.5
km/h and 0 degrees slope, 3 km/h and 0 degrees slope, 1.5 km/h and 5 degrees
slope, 3 km/h and 5 degrees slope. Mean O(2) consumption (ml/kg/min) of the last
2 min of each 5-min session was calculated. In all four combinations, energy
expenditure of trans-tibial amputees was the lowest, and energy expenditure of
trans-femoral amputees was the highest. Statistical significance, however, could
not be obtained for the differences among the groups. In conclusion, walking of
partial foot amputees does not seem to be more energy efficient than that of
higher level amputees.

Langue : ANGLAIS