%0 Journal Article %1 Hagberg2005 %A Hagberg, K. %A Häggström, E. %A Uden, M. %A Brånemark, R. %D 2005 %J Prosthetics and Orthotics International %K Intraosseous Transcutaneous Amputation Prostheses osseointegration %N 2 %P 153-163 %R 10.1080/03093640500238014 %T Socket Versus Bone-Anchored Trans-Femoral Prostheses: Hip Range of Motion and Sitting Comfort %U http://poi.sagepub.com/content/29/2/153.abstract %V 29 %X This is the first study to report on hip range of motion (ROM) among active prosthesis users, when wearing and not wearing a trans-femoral socket prosthesis and to compare with individuals rehabilitated with an osseointegrated bone-anchored prosthesis. In addition, discomfort when sitting with the prosthesis is reported in both groups. The study group all had a non-vascular amputation and were divided into those supplied with a socket prosthesis (S group) (n = 43, mean age 51 years, 74% men) or a bone-anchored prosthesis (OI group) (n = 20, mean age 46 years, 75% men). Active hip ROM was measured with a goniometer, and self-reported problems with discomfort when sitting were recorded. The hip motion decreased in all directions when wearing the socket prosthesis compared to without it (P < 0.001 for all directions), and 37% of the subjects had less than 90° of hip flexion when wearing their prosthesis. Discomfort when sitting was reported among 44% (n = 19) in the S group and was more common among individuals with less than 90° of hip flexion motion (P = 0.025). In the OI group, no restriction in hip motion was measured with the prosthesis, and no subject had less than 90° of flexion and 5% (n = 1) reported discomfort when sitting. This study shows that a trans-femoral prosthetic socket significantly reduces the ROM of the hip and that discomfort when sitting is common among individuals wearing such prostheses. Further, the study confirms that individuals using a bone-anchored prosthesis have no restricted hip motion with the prosthesis and report very few problems with discomfort when sitting.

@article{Hagberg2005, abstract = {This is the first study to report on hip range of motion (ROM) among active prosthesis users, when wearing and not wearing a trans-femoral socket prosthesis and to compare with individuals rehabilitated with an osseointegrated bone-anchored prosthesis. In addition, discomfort when sitting with the prosthesis is reported in both groups. The study group all had a non-vascular amputation and were divided into those supplied with a socket prosthesis (S group) (n = 43, mean age 51 years, 74% men) or a bone-anchored prosthesis (OI group) (n = 20, mean age 46 years, 75% men). Active hip ROM was measured with a goniometer, and self-reported problems with discomfort when sitting were recorded. The hip motion decreased in all directions when wearing the socket prosthesis compared to without it (P < 0.001 for all directions), and 37% of the subjects had less than 90° of hip flexion when wearing their prosthesis. Discomfort when sitting was reported among 44% (n = 19) in the S group and was more common among individuals with less than 90° of hip flexion motion (P = 0.025). In the OI group, no restriction in hip motion was measured with the prosthesis, and no subject had less than 90° of flexion and 5% (n = 1) reported discomfort when sitting. This study shows that a trans-femoral prosthetic socket significantly reduces the ROM of the hip and that discomfort when sitting is common among individuals wearing such prostheses. Further, the study confirms that individuals using a bone-anchored prosthesis have no restricted hip motion with the prosthesis and report very few problems with discomfort when sitting.}, added-at = {2012-01-13T15:52:44.000+0100}, author = {Hagberg, K. and Häggström, E. and Uden, M. and Brånemark, R.}, biburl = {https://www.bibsonomy.org/bibtex/2b61b5b6bed82504d5cf2ad6d7ac03e18/bunke}, doi = {10.1080/03093640500238014}, eprint = {http://poi.sagepub.com/content/29/2/153.full.pdf+html}, file = {Hagberg2005.pdf:Hagberg2005.pdf:PDF}, groups = {public}, interhash = {e97a23f4f45a53339a9ba4716ec374df}, intrahash = {b61b5b6bed82504d5cf2ad6d7ac03e18}, journal = {Prosthetics and Orthotics International}, keywords = {Intraosseous Transcutaneous Amputation Prostheses osseointegration}, number = 2, pages = {153-163}, timestamp = {2012-01-13T15:52:44.000+0100}, title = {Socket Versus Bone-Anchored Trans-Femoral Prostheses: Hip Range of Motion and Sitting Comfort}, url = {http://poi.sagepub.com/content/29/2/153.abstract}, username = {bunke}, volume = 29, year = 2005 }