Mediation of the mediolateral ground reaction force profile to maintain straight running among unilateral transfemoral amputees

Sci Rep. 2023 May 15;13(1):7823. doi: 10.1038/s41598-023-34288-4.

Abstract

The mediolateral ground reaction force (M-L GRF) profile that realizes a symmetrical mediolateral ground reaction impulse (M-L GRI) between both limbs is essential for maintaining a straight movement path. We aimed to examine the M-L GRF production across different running speeds in unilateral transfemoral amputees (TFA) to identify strategies for maintaining straight running. The average medial and lateral GRF, contact time (tc), M-L GRI, step width, and center of pressure angle (COPANG) were analyzed. Nine TFAs performed running trials at 100% speed on an instrumented treadmill. Trials were set at 30-80% speed with an increment of 10%. Seven steps from the unaffected and affected limbs were analyzed. Overall, the unaffected limbs exhibited a higher average medial GRF than the affected limbs. The M-L GRI were similar between both limbs at all speeds, implying that the participants were able to maintain a straight running path. The affected limb exhibited a longer tc and a lower M-L GRF profile than the unaffected limb. The results showed that unilateral TFAs adopted limb-specific strategies to maintain a straight running path, and that these limb-specific strategies were consistent across different running speeds.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amputees*
  • Artificial Limbs*
  • Biomechanical Phenomena
  • Gait
  • Humans
  • Leg
  • Running*