Thursday, May 26, 2022

Fw: trunk compensations in the gait

Wagner de Godoy

Dear O&P subscriber,

I would like to clearify some subjects on the gait pattern of a patient with amputation, if
possible.

General characteristics:
gender: male
age: 22
AK prosthesis (Left)
knee: Otto Bock 3R80
socket: quadrilateral brim transfemoral suction socket
foot: Flex foot

Muscular strength (Kendall scale – 0 to 5):
Left Right
adductor 5 5
gluteos medius 5 5
gluteos maximus 4 5

Images of the swing phase at link below:
http://www.oandp-l.org/images/10-23-2002a.htm

Notes:
– The patient uses prosthesis since October, 2001.
– He doesn’t mention pain.
– limitation of flexion of the left hip in 60°.
– The prostetic limb is about 1cm longer than the normal limb.
– In an experimental attempt to correct the inclination of the trunk, the patient is using a
FES device in the left gluteos medius.

Subjects:

a. is necessary to use the FES? is the movement of the trunk due to an inadequacy in the
action of the gluteos medius?
b. which the possible reasons for this movement of the trunk?
c. some new alignment can be made in the prosthesis to reduce this problem?

Thank you very much for your attention.
We also thanked Dr. Prusakowski and Mr. Shinn for the important help in the sending of this
message.

I apologize for the translation flaws.
Best regards,

Wagner de Godoy
Gait Laboratory
[email protected]
[email protected]
AACD – Associação de Assistência à Criança Deficiente
Disabled Children Care Association
Brazil

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