Prosthetics and Orthotics

Prosthetics and orthotics are fields of study in the allied health sciences. Both share a common rehabilitation goal of improving the mobility and independence of an individual with a physical disability.

Prosthetics concerns itself with the replacement of a lost limb segment (most commonly as a result of trauma or a vascular condition) with an artificial device (prosthesis). Orthotics on the other hand involves the use of external braces (orthosis) to provide support, proper alignment and improve function of regions of the body that have been weakened or deformed as a result of a musculoskeletal or neurological injury.

PITitleDescriptionCo-PIs/ Students involved
Eric Lamberg, PT, Ed.D.Effects of prolonged acclimation to altered weight and center of mass of prosthesis on the performance of a person with trans-tibial amputationThe loss of a lower limb is a traumatic life changing event and imposes restrictions on the individual’s mobility. Through effective rehabilitation with a prosthetic device an individual with transtibial amputation (TTA) may achieve household and community mobility. Prosthetic control however is a challenging task, since only part of the limb remains to control the prosthetic device. Consequently, the gait of an individual with TTA is less efficient. The mass of a prosthesis can influence the energy consumption and gait symmetry of individuals with TTA. Currently however, limited evidence exists about ideal/optimal prosthesis mass, and it is unclear whether a light or heavy prosthesis is suitable for individuals with TTA.This research project aims to examine the effects of increasing prosthesis mass on the performance of individuals with TTA. Using a longitudinal study design the protocol allows comparison of different prosthesis masses. The performance of the participants is quantified using a variety of outcome measures (metabolic, electromyography, gait biomechanics and activity), which should provide a broad perspective on the topic. Ultimately the project hopes to provide evidence on prosthesis mass, which can be useful to clinicians in their prescription and fabrication decisions. Preliminary results from this investigation suggest that increasing prosthesis mass (by a certain percentage) does not negatively influence the metabolic cost and activity of individuals with TTA.Co-PIs:Kelly Warren Ph.D., Erin Vasudevan Ph.D., Mayank Seth, Ms; Student Volunteers:Ms. Laura Goyarts, Mr. James Galassi