Abstract
INTRODUCTION: Enhancing the quality of life of people with a lower limb amputation is critical in prosthetic development
and rehabilitation. Yet, no overview is available concerning the impact of passive, quasi-passive and active ankle-foot
prostheses on quality of life. Therefore, the aim of this study was to systematically review the therapeutic benefits of performing daily activities with passive, quasi-passive and active ankle-foot prostheses in people with a lower limb amputation.
METHODS: We searched the Pubmed, Web of Science, Scopus and Pedro databases and backward citations until November 3, 2021. Only English-written randomised controlled trials, cross-sectional, cross-over and cohort studies were
included when the population comprised individuals with a unilateral transfemoral or transtibial amputation, wearing
passive, quasi-passive or active ankle-foot prostheses. The intervention and outcome measures had to include any aspect of quality of life assessed while performing daily activities. We synthesised the participants characteristics, type of
prosthesis, intervention, outcome and main results and conducted a risk of bias assessment using the Cochrane risk of
bias tool. This study is registered on PROSPERO, number CRD42021290189.
RESULTS: We identified 4281 records and included 34 studies in total. Results indicate that quasi-passive and active prostheses are favoured over passive prostheses in the short-term. None of the included studies investigated the long-term
effects of the prostheses, and none of the studies compared active with quasi-passive prostheses. Among the included
studies, quality of life has been evaluated in the short term using biomechanical (n = 26), physiological (n = 10), performance-related (n = 19) or subjective measures (n = 10). These measures were collected during level walking (n = 34),
slope walking (n = 9), standing (n = 2), circuit walking (n = 1), stair climbing (n = 1), standardized clinical tests (n = 1) and
rock climbing (n = 1). All studies had a moderate or high risk of bias.
CONCLUSION: Compared to passive ankle-foot prostheses, quasi-passive and active prostheses significantly enhance
the quality of life during the performance of daily activities. Although short-term therapeutic benefits have been established favouring more advanced prostheses, outcome measures discrepancies prevail, and the long-term benefits remain unknown. Investigating these aspects within prosthetic evaluations may improve the quality of life of people with a
lower limb amputation.
and rehabilitation. Yet, no overview is available concerning the impact of passive, quasi-passive and active ankle-foot
prostheses on quality of life. Therefore, the aim of this study was to systematically review the therapeutic benefits of performing daily activities with passive, quasi-passive and active ankle-foot prostheses in people with a lower limb amputation.
METHODS: We searched the Pubmed, Web of Science, Scopus and Pedro databases and backward citations until November 3, 2021. Only English-written randomised controlled trials, cross-sectional, cross-over and cohort studies were
included when the population comprised individuals with a unilateral transfemoral or transtibial amputation, wearing
passive, quasi-passive or active ankle-foot prostheses. The intervention and outcome measures had to include any aspect of quality of life assessed while performing daily activities. We synthesised the participants characteristics, type of
prosthesis, intervention, outcome and main results and conducted a risk of bias assessment using the Cochrane risk of
bias tool. This study is registered on PROSPERO, number CRD42021290189.
RESULTS: We identified 4281 records and included 34 studies in total. Results indicate that quasi-passive and active prostheses are favoured over passive prostheses in the short-term. None of the included studies investigated the long-term
effects of the prostheses, and none of the studies compared active with quasi-passive prostheses. Among the included
studies, quality of life has been evaluated in the short term using biomechanical (n = 26), physiological (n = 10), performance-related (n = 19) or subjective measures (n = 10). These measures were collected during level walking (n = 34),
slope walking (n = 9), standing (n = 2), circuit walking (n = 1), stair climbing (n = 1), standardized clinical tests (n = 1) and
rock climbing (n = 1). All studies had a moderate or high risk of bias.
CONCLUSION: Compared to passive ankle-foot prostheses, quasi-passive and active prostheses significantly enhance
the quality of life during the performance of daily activities. Although short-term therapeutic benefits have been established favouring more advanced prostheses, outcome measures discrepancies prevail, and the long-term benefits remain unknown. Investigating these aspects within prosthetic evaluations may improve the quality of life of people with a
lower limb amputation.
| Original language | English |
|---|---|
| Title of host publication | EUROPEAN COLLEGE OF SPORT SCIENCE 2023: Book of Abstracts |
| Publisher | ECSS |
| Pages | 40 |
| Number of pages | 1 |
| ISBN (Print) | 978-3-9818414-6-6 |
| Publication status | Published - 3 Jul 2023 |
| Event | 28th Annual Congress of the EUROPEAN COLLEGE OF SPORT SCIENCE - Paris, France Duration: 4 Jul 2023 → 7 Jul 2023 |
Conference
| Conference | 28th Annual Congress of the EUROPEAN COLLEGE OF SPORT SCIENCE |
|---|---|
| Country/Territory | France |
| City | Paris |
| Period | 4/07/23 → 7/07/23 |
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