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KMID : 0377219990240010112
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Medical Journal of Chosun Univercity
1999 Volume.24 No. 1 p.112 ~ p.123
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Gait Characteristics by Stump Length of Amputees with Unilateral Below-Knee Prosthesis
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조병모/Cho, Byeong Mo
변주남/김기순/김석산/박종/Byun, Ju Nam/Kim, Ki Soon/Kim, Suk San/Park, Jong
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Abstract
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This report studied 31 male patients who were in one hospital in Kwangju or came to a prosthesis clinic and are 15 normal control group to analyze the gait characteristics according to the stump length in the prosthesis users with the unilateral below-knee amputations. The patient group was divided into a short stump subgroup of 13 patients and a long stump subgroup of 18 patients according to the stump length, the control group was randomly sampled from 15 males who have similar age, height and weight to the experimental group. The :results of analysis are summarized as follows.
1. There were no significant statistical differences of the general characteristics between patient and control groups and there was no difference of characteristics by patient groups except the mean gait distance a day.
2. Of 33 patients with amputations. 18 patients (57.8%) had phantom pain and 25 cases (80.6%) had neuroma.
3. Gait velocity, stride length of the affected side, step length of the sound side and base support among gait characteristics show a significant difference according to the stump length in the state excluding the effects of other factors (p(0.05) and the group with long stump showed closer gait characteristics to normal persons than those with short stumps.
In conclusion, among the patients of unilateral below-knee amputations, the stump length affects the gait characteristics such as gait velocity, stride length, step and base of support and it is found that as the stump length gets longer, it shows the similar characteristics to gait characteristics of normal persons and long nilateral below-knee amputation can secure better gait characteristics.
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