title: Dynamic analysis of above-knee amputee gait.
abstract: BACKGROUND
  It is important to understand the characteristics of amputee gait to develop more functional prostheses. The aim of this study is to quantitatively evaluate amputee gait by dynamic analysis of the musculoskeletal system during level walking and stair climbing.
  
  
  METHODS
  Dynamic analysis using gait analysis, electromyography and musculoskeletal modeling for above-knee amputees (n=8) and healthy adults (n=10) was performed to evaluate the muscle balance, muscle force, and moment of each major muscle in each ambulatory task. Time-distance parameters and the kinematic parameter of gait analysis were calculated, and a root mean square electromyogram of major muscles and hamstring and tibialis anterior coactivity was measured using electromyography. Lastly, dynamic analyses of above-knee amputee gaits were performed using musculoskeletal models with scaled bones and redefined muscles for each subject.
  
  
  RESULTS
  Most kinematic parameters showed statistically no difference among the tasks, excluding pelvic tilt, pelvic obliquity, and hip abduction. Major muscle activities and coactivities of the hamstring and tibialis anterior showed that the stair ascent task needed more muscle activity than the stair descent task and level walking. The muscle activity and coactivity of amputees were greater than those of healthy subjects, excluding the hamstring coactivity during stair ascent (P<0.05). Lastly, dynamic analysis showed that weakened abductor and excessive adductor and then inadequate torque during all tasks were quantitatively observed.
  
  
  CONCLUSIONS
  Dynamic analysis of amputee gait enabled us to quantify the contribution of major muscles at the hip and knee joint mainly in daily ambulatory tasks of above-knee amputees and may be helpful in designing functional prostheses.
authors.affiliation: Biomedical Research Centre, Korea Institute of Science and Technology, PO 131, Cheongryang, Seoul, Republic of Korea. bmebae@kist.re.kr
authors.forename: Tae Soo
authors.initials: TS
authors.lastname: Bae
authors.forename: Kuiwon
authors.initials: K
authors.lastname: Choi
authors.forename: Daehie
authors.initials: D
authors.lastname: Hong
authors.forename: Museong
authors.initials: M
authors.lastname: Mun
mesh_terms: D000328:Adult; D000672:Amputation Stumps / Q000503:physiopathology*; D000674:Amputees; D005260:Female; D005684:Gait; D006621:Hip Joint / Q000503:physiopathology*; D006801:Humans; D007719:Knee Joint / Q000503:physiopathology*; D008124:Locomotion; D008297:Male; D008954:Models, Biological; D009119:Muscle Contraction; D018482:Muscle, Skeletal / Q000503:physiopathology*; D016059:Range of Motion, Articular