日本財団 図書館

共通ヘッダを読みとばす


Top > 社会科学 > 社会 > 成果物情報

ABSTRACTS

 事業名 国際リハビリテーション医学会第8回世界大会開催
 団体名 日本リハビリテーション医学会 注目度注目度5


F-2-15-05

ROLE OF SURGERY IN KNEE DISARTICULATION AMPUTEE REHABILITATION

Dr. Pradip D. Poonekar (Artificial Limb Centre, Pune, India),

Professor John H. Bowker (University of Miami, Florida, USA)

 

Knee disarticulation is biomechanically and physiologically superior to transfemoral amputation by virtue of being a strong a muscle-balanced and weight bearing stump. However, the distal bulky portion of the stump leads to poor cosmesis and some degree of prosthetic fitting problems. The fitment of knee prosthesis leads to modification of the shank length compared to the other side resulting in pendulum effect when the amputee is sitting. The disadvantages were approached surgically so as to maintain the advantages of a knee disarticulation, by a quantitative study of the effects of reduction osteoplasty of the femoral condyles. The greatest cross sectional area was seen to be at mean distance of 2.4 cms from distal end of femur but it was above the level of femoral cruciate attachment and so not ideal from surgical point of view. At 2 cms level, anterior cruciate was maintained. At 1.5 cms level with medial, lateral and posterior condylar reduction resulted in loss of 40% weight- bearing area but still was almost 600% greater than "end weight bearing intact" condylar area. The combination of osteoplasty with mobile distal coverage by gastrocnemius flaps seems to be an ideal knee disarticulation.

 

F-2-15-06

POSTURAL RESTORATION STRATEGY IN BELOW KNEE AMPUTEES

El-Abd MA; MD, M.ed , Barakat M A ; PhD , Sultan HE; MD , Koryem H Kh ; MD.

(Alexandria Univ., Egypt)

 

Fourty below knee amputees fitted, for at least 6 months, with patellar tendon weight bearing and solid ankle cushion heel foot prosthesis, as well as 10 normal healthy control subjects were tested to determine their postural strategies following antro-posterior horizontal perturbation. Each tested subject stood on a mechanically driven single platform with his bare feet being placed in compliance with his postural preference. The platform was displaced for 10 times. The displacements were sudden and at irregular intervals. The onset of the postural adjusting movements at the ankle, the knee, and the hip joints of the anatomic limb were recorded using electric goniometers connected to electric plotter.

All amputees (100%) and 2 controls (20%) demonstrated hip postural restoration strategies. It is concluded that the below knee amputees restore their erect posture by hip strategies as they lack proprioception from the amputated foot and leg segment as well as the ability to generate torque force around their ankles of the prosthetic limb.

 

 

 

BACK   CONTENTS   NEXT

 






サイトに関するご意見・ご質問・お問合せ   サイトマップ   個人情報保護

日本財団会長笹川陽平ブログはこちら

日本財団図書館は、日本財団が運営しています。

  • 日本財団 THE NIPPON FOUNDATION



ランキング
注目度とは?
成果物アクセスランキング
584位
(35,539成果物中)

成果物アクセス数
19,746

集計期間:成果物公開〜現在
更新日: 2023年2月4日

関連する他の成果物

1.「国際リハビリテーション医学会第8回世界大会開催」の報告書
2.Second Announcement&Call for Papers
3.PROGRAM
4.国際リハビリテーション医学会第8回世界大会報告書
5.生活医学シリーズNo.115「生活習慣病としての心臓病」
  [ 同じカテゴリの成果物 ]


アンケートにご協力
御願いします

この成果物は
お役に立ちましたか?


とても役に立った
まあまあ
普通
いまいち
全く役に立たなかった


この成果物をどのような
目的でご覧になりましたか?


レポート等の作成の
参考資料として
研究の一助として
関係者として参照した
興味があったので
間違って辿り着いただけ


ご意見・ご感想

ここで入力されたご質問・資料請求には、ご回答できません。






その他・お問い合わせ
ご質問は こちら から