Case Report
Year: 2020 | Month: August | Volume: 10 | Issue: 8 | Pages: 120-123
Comparison of Energy Expenditure of a Geriatric Amputee with a Normal Abled Bodied Subject during Prosthetic Rehabilitation with Bilateral Lower Extremity Amputations - A Case Report
Madhusmita Sharma1, Prakash Sahoo2, B N Pani3, P K Lenka4
1Prosthetist & Orthotist, SVNIRTAR, Cuttack, Odisha, India.
2Demonstrator, NIEPMD, Chennai, Tamil Nadu, India.
3Physiotherapist, India.
4Asst. Professor and HoD in DPO, NILD, Kolkata, India.
Corresponding Author: Madhusmita Sharma
ABSTRACT
Background: Bilateral Transfemoral (TF) amputations are a major barrier to walking because patients no longer have direct muscular control of their both knees. Moreover, the high energy expenditure (EE) makes ambulation impractical for patients with bilateral TF amputations, especially for the elderly with dysvascular amputations.
Aim: The aim of this study is to quantify and to compare the energy expenditure during different level of walking (plane surface, stair and ramp) in a bilateral amputee having Right side TF amputation and Left side Transtibial amputation with 90 degree flexion contracture with a Normal Abled body Subject.
Methods: A patient of 62 year old having Right side TF amputation and Left side Transtibial amputation with flexion contracture is fitted with stubbies prosthesis with rocker. Energy expenditure was measured in terms of oxygen uptake, oxygen cost and heart rate by using COSMED K4 b² metabolic analyzer.
Results: The client can able to walk with the support of a walking stick. The result of the present case report shows that no doubt there is a more energy expenditure in all the level of surfaces compared to the normal subject however there is no such difference with our client because of the activeness of the client.
Conclusion: Though walking with stubbies prosthesis requires high energy expenditure, But the client was able to move in various level of walking with greatest confidence and less fear of falling. However the Prosthetist should consider about the light weight phenomenon for less energy conservation.
Clinical relevance: This case report gives an objective prescription of Stubbies prosthesis especially for geriatric population in case of bilateral Transfemoral amputations and provides a kind of inspiration to Bilateral Amputees.
Key words: Energy Expenditure, Geriatric Amputee, Transfemoral Amputation, Stubbies Prosthesis.