Lower extremity kinematics of curve sprinting displayed by runners using a transtibial prosthesis

J Sports Sci. 2018 Feb;36(3):293-302. doi: 10.1080/02640414.2017.1303186. Epub 2017 Mar 21.

Abstract

The purpose of the study was to determine if the kinematics exhibited by skilled runners wearing a unilateral, transtibial prosthesis during the curve section of a 200-m sprint race were influenced by interaction of limb-type (prosthetic limb (PROS-L) vs. nonprosthetic limb (NONPROS-L)) and curve-side (inside and outside limb relative to the centre of the curve). Step kinematics, toe clearance and knee and hip flexion/extension, hip ab/adduction for one stride of each limb were generated from video of 13 males running the curve during an international 200 m transtibial-classified competition. Using planned comparisons (P < 0.05), limb-type and curve-side interactions showed shortest support time and lowest hip abduction displacement by outside-NONPROS-L; shortest step length and longest time to peak knee flexion by the inside-PROS-L. For limb-type, greater maximum knee flexion angle and lower hip extension angles and displacement during support and toe clearance of PROS-Ls occurred. For curve-side, higher hip abduction angles during non-support were displayed by inside-limbs. Therefore, practitioners should consider that, for curve running, these kinematics are affected mostly by PROS-L limitations, with no clear advantage of having the PROS-L on either side of the curve.

Keywords: Running; below-knee amputation; biomechanics; prostheses.

MeSH terms

  • Amputees / rehabilitation*
  • Artificial Limbs*
  • Biomechanical Phenomena
  • Hip / physiology
  • Humans
  • Knee / physiology
  • Lower Extremity / physiology*
  • Male
  • Prosthesis Design
  • Running / physiology*
  • Time and Motion Studies