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2012 | 13 | 3 | 204-210

Article title

Treadmill gait analysis of rehabilitated and independent lower-limb amputees


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Purpose. A description of gait analysis during overground locmotion has been the subject of various studies, in relation to describing both the kinetic and spatial-temporal characteristics of walking. Measuring the gait of amputees using treadmills is a useful test to quantify locomotive ability, and a tool that helps to control gait parameters during rehabilitation. The aim of this study is to describe the kinetic and spatial-temporal characteristics of gait of rehabilitated amputees, measured with an instrumented treadmill. Methods. Twenty-four participants aged between 20 and 40 years were chosen, who had all suffered unilateral traumatic amputation either above or below the knee, and were classified as well-rehabilitated. Following a paperbased assessment form, the participants were subjected to gait analysis on an instrumented treadmill fitted with two force platforms. Results. The first peak vertical force of intact and amputated limbs presented higher values and was significantly (p 0.05) larger than the second peak vertical force for the amputated limb, indicating less propulsion during walking. A significant difference was observed in the load rate in intact and amputated limbs, indicating more overload in the intact limb. The spatial-temporal variables, cadence, step and stride length were significantly greater (p 0.05) in the below-knee than in the above-knee amputees. Conclusions. The kinetic and spatial-temporal characteristics of gait, measured with an instrumented treadmill, which were observed in all lower limb amputees involved in this study, were similar to the ones commonly reported in numerous studies on overground walking. Thus, treadmill gait training and control of the progress of rehabilitation with amputees is recommended.












Physical description


1 - 10 - 2012
01 - 11 - 2012


  • Biomechanics Laboratory Science Center for Health and Sport State University of Santa Catarina Paschoal Simone, 358 Florianópolis, Santa Catarina, Brazil CEP: 88080-350
  • State University of Santa Catarina, Santa Catarina, Brazil
  • State University of Santa Catarina, Santa Catarina, Brazil
  • sState University of Santa Catarina, Santa Catarina, Brazil


  • 1. Tonon S.C., Avila A.O.V.A., Gait analysis in amputees with different level of amputation. Rev Bras Biomec, 2000, 1, 27-31.
  • 2. Gallagher P., Horgan O., Franchignoni F., Giordano A., MacLachlan M., Body image in people with lower-limb amputation: a Rasch analysis of the Amputee Body Image Scale. Am J Phys Med Rehabil, 2007, 86 (3), 205-215, doi: 10.1097/PHM.0b013e3180321439.[WoS][PubMed][Crossref]
  • 3. Pell J.P., Donnan P.T., Fowkes F.G., Ruckley C.V., Quality of life following lower limb amputation for peripheral arterial disease. Eur J Vasc Surg, 1993, 7 (4), 448-451.[PubMed][Crossref]
  • 4. Collin C., Wade D.T., Cochrane G.M., Functional outcome of lower limb amputees with peripheral vascular disease. Clin Rehabil, 1992, 6 (1), 13-21, doi: 10.1177/026921559 200600103.[Crossref]
  • 5. Sansam K., Neumann V., O’Connor R., Bhakta B., Predicting walking ability following lower limb amputation: a systematic review of the literature. J Rehabil Med, 2009, 41 (8), 593-603, doi: 10.2340/16501977-0393.[WoS][PubMed][Crossref]
  • 6. Riley P.O., Paolini G., Della Croce U., Paylo K.W., Kerrigan D.C., A kinematic and kinetic comparison of overground and treadmill walking in healthy subjects. Gait Posture, 2007, 26 (1), 17-24, doi: 10.1016/j.gaitpost. 2006.07.003.[PubMed][Crossref][WoS]
  • 7. Starholm I.M., Gjovaag T., Mengshoel A.M., Energy expenditure of transfemoral amputees walking on a horizontal and tilted treadmill simulating different outdoor walking conditions. Prosthet Orthot Int, 2010, 34 (2), 184-194, doi: 10.3109/03093640903585016.[WoS][Crossref][PubMed]
  • 8. Waters R., Perry J., Antonelli D., Hislop H., Energy cost of walking of amputees: the influence of level amputation. J Bone Joint Surg Am, 1976, 58 (1), 42-46.[PubMed]
  • 9. Murray M.P., Spurr G.B., Sepic S.B., Gardner G.M., Mollinger L.A., Treadmill versus floor walking: kinematics, electromyogram, and heart rate. J Appl Physiol, 1985, 59 (1), 87-91.
  • 10. Barbeau H., Locomotor training in neurorehabilitation: emerging rehabilitation concepts. Neurorehabil Neural Repair, 2003,17(1), 3-11, doi: 10.1177/0888439002250442.[Crossref][PubMed]
  • 11. Owings T.M., Grabiner M.D., Step width variability, but not step length variability or step time variability, discriminates gait of healthy young and older adults during treadmill locomotion. J Biomech, 2004, 37 (6), 935-938, doi: 10.1016/j.jbiomech.2003.11.012.[Crossref]
  • 12. Stolze H., Kuhtz-Buschbeck J.P., Mondwurf C., Boczek-Funcke A., Jöhnk K., Deuschl G., Illert M., Gait analysis during treadmill and overground locomotion in children and adults. EEG Clin Neurophysiol, 1997, 105 (6), 490-497.
  • 13. Alton F., Baldey L., Caplan S., Morrissey M.C., A kinematic comparison of overground and treadmill walking. Clin Biomech, 1998, 13 (6), 434-440, doi: 10.1016/S0268-0033(98)00012-6.[Crossref][WoS]
  • 14. Dingwell J.B., Cusumano J.P., Cavanagh P.R., Sternad D., Local dynamic stability versus kinematic variability of continuous overground and treadmill walking. J Biomech Eng, 2001, 123 (1), 27-32.[Crossref][PubMed]
  • 15. Jaergers S.M., Arendzen J.H., Jongh H.J., Changes in hip muscles after above-knee amputation. Clin Orthop Relat Res, 1995, 319, 276-284.
  • 16. Courtemanche R., Teasdale N., Boucher P., Fleury M., Lajoie Y., Bard C., Gait problems in diabetic neuropathic patients. Arch Phys Med Rehabil, 1996, 77 (9), 849-855, doi: 10.1016/S0003-9993(96)90269-5.[Crossref][PubMed]
  • 17. Vanicek N., Strike S., McNaughton L., Polman R., Gait patterns in transtibial amputee fallers vs. non-fallers: Biomechanical differences during level walking. Gait Posture, 2009, 29 (3), 415-420, doi: 10.1016/j.gaitpost. 2008.10.062.[WoS][PubMed][Crossref]
  • 18. Silverman A.K., Fey N.P., Portillo A., Walden J.G., Bosker G., Neptune R.R., Compensatory mechanisms in below-knee amputee gait in response to increasing steadystate walking speeds. Gait Posture, 2008, 28 (4), 602-609, doi: 10.1016/j.gaitpost.2008.04.005.[Crossref][WoS]
  • 19. Perry J., Gait analysis: Normal and pathological function. Slack Inc., Thorofare, NJ, USA, 1992, 192-195.
  • 20. Vrieling A.H., Keeken H.G., Schoppen V., Otten E., Halbertsma J.P.K., Hof A.L., Postema K., Obstacle crossing in lower limb amputees. Gait Posture, 2007, 26 (4), 587-594, doi: 10.1016/j.gaitpost.2006.12.007.[PubMed][Crossref][WoS]
  • 21. Oberg K., Lanshammar H., An investigation of kinematic and kinetic variables for the description of prosthetic gait using the ENOCH system. Prosthet Orthot Int, 1982, 6 (1), 43-47, doi: 10.3109/03093648209167740.[PubMed][Crossref]
  • 22. Skinner H., Effeney D., Gait analysis in amputees: special review. Am J Phys Med Rehabil, 1985, 64 (2), 82-89.
  • 23. R ossi S.A., Doyle W., Skinner H.B., Gait initiation of persons with below-knee amputation: the characterization and comparison of force profiles. J Rehabil Res Dev, 1995, 32 (2), 120-127.[PubMed]
  • 24. Torburn L., Perry J., Ayyappa E., Shanfield S.L., Belowknee amputee gait with dynamic elastic response prosthetic feet: a pilot study. J Rehabil Res Dev, 1990, 27 (4), 369-384.
  • 25. Zuniga E.M., Leavitt L.A., Calvert J.C., Canzoneri J., Peterson C.R., Gait patterns in above-knee amputees. Arch Phys Med Rehabil, 1972, 53 (8), 373-382.[PubMed]
  • 26. Isakov E., Mizrahi J., Bilateral simultaneous measurements of standing ground reaction forces in hemiparetics, below-knee amputees, and healthy adults. Basic Appl Myol, 1997, 7 (2), 97-101.
  • 27. Isakov E., Burger H., Krajnik J., Gregoric M., Marincek C., Double-limb support and step-length asymmetry in belowknee amputees. Scand J Rehab Med, 1997, 29 (2), 75-79.
  • 28. Menard M.R., McBride M.E., Sanderson D.J., Murray D.D., Comparative biomechanical analysis of energy-storing prosthetic feet. Arch Phys Med Rehabil, 1992, 73 (5), 451-458.[PubMed]
  • 29. Burke M.J., Roman V., Wright V., Bone and joint changes in lower limb amputees. Ann Rheum Dis, 1978, 37 (3), 252-254, doi:10.1136/ard.37.3.252.[PubMed][Crossref]
  • 30. Melzer I., Yekutiel M., Sukenik S., Comparative study of osteoarthritis of the contralateral knee joint of male amputees who do and do not play volleyball. J Rheumatol, 2001, 28 (1), 169-172.[PubMed]
  • 31. Winter D.A., Sienko S.E., Biomechanics of below-knee amputee gait. J Biomech, 1988, 21 (5), 361-367, doi: 10.1016/0021-9290(88)90142-X.[Crossref][PubMed]
  • 32. Fey N.P., Silverman A.K., Neptune R.R., The influence of increasing steady-state walking speed on muscle activity in below-knee amputees. J Electromyogr Kinesiol, 2010,[PubMed][WoS]
  • 20 (1), 155-161, doi: 10.1016/j.jelekin.2009.02.004.[Crossref]

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