A Brief Note On Gait Deviation And Postural Asymmetry

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It was alarming that in the year 2012, one out of two adults in the United States was suffered from musculoskeletal dysfunctions (Lezin and Watkins-Castillo, 2016). Gait deviation and postural asymmetry are constantly observed among people with unilateral lower limb amputation, especially transfemoral amputation. Studies showed, amputees have 52-71% in getting low back pain and transfemoral amputees (TFAs) has 50% more chance of getting knee osteoarthritis (OA) at the intact leg (Ehde et al., 2001, Kulkarni et al., 1998). It is a major issue needs immediate attention as OA and low back pain can severely affect a person’s quality of life (Woolf and Pfleger, 2003), especially this group of population who has already owned a primary disability. Due to such, an in-depth review of how does biomechanical disadvantages expose unilateral transfemoral amputation to these second disabilities and rehabilitation approaches to prevent or delay of the dysfunctions will be discussed here from my perspective as a physiotherapist. To draw a good rehabilitation program, assessment on TFAs frequently is done via visual analysis of static and dynamic alignment. Asymmetry static standing posture and gait deviation is frequently seen among TFAs, inclusive of those have completed rehabilitation programmes. There are 8 phases of in a gait cycle. Transfemoral locomotion is complex and now, the deviations of the prosthetic leg in each gait stage will be analysed with two assumptions, the prosthesis

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