Publications by authors named "C M Butowicz"

Background: Individuals with lower-limb amputation commonly experience low back pain, which may be associated with altered movement strategies or impaired trunk control during activities of daily living, such as sit-to-stand. The aim of this study was to assess, using wearable sensors, sit-to-stand performance and trunk movement variations of persons with transtibial amputation, with and without low back pain.

Methods: Fifty-eight persons with unilateral transtibial amputation (28 with and 30 without low back pain) performed five sit-to-stand trials while wearing two inertial measurement units affixed to the thigh and sternum.

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Article Synopsis
  • Low back pain (LBP) is common in individuals after lower limb amputation (LLA), significantly affecting their quality of life and functional ability.
  • A study compared lumbar spine conditions and muscle characteristics between two groups of individuals with chronic low back pain – one with LLA and one without, focusing on variables like lordosis angle and intramuscular fat.
  • Results showed that those with LLA had a greater lordosis angle and higher rates of spondylolysis, suggesting a risk for further spinal issues, indicating the need for targeted rehabilitation to improve spinal health and reduce LBP.
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Chronic low back pain (cLBP) is highly prevalent after lower limb amputation (LLA), likely due in part to biomechanical factors. Here, three-dimensional full-body kinematics and kinetics during level-ground walking, at a self-selected and three controlled speeds (1.0, 1.

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Background: Persons who undergo unilateral transtibial amputation are at an increased risk of secondary musculoskeletal joint pain and degeneration, which has been linked to excessive loading rates of the intact-side limb. Tibial axial acceleration, a feasible measure of loading rates with wearable sensors, would be clinically useful to relate to joint pain in persons with unilateral transtibial amputation.

Research Question: What is the relationship between peak tibial axial accelerations and intact-side joint pain in persons with unilateral transtibial amputation during walking?

Methods: Persons with unilateral transtibial amputation (n = 51) were separated into two groups based on the presence of intact-side limb pain (with pain: n = 16; without pain: n = 35).

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Standing sway assessments can detect sensory imbalances which compromise postural control. Persons with lower limb amputation (LLA) often demonstrate impaired postural control, increasing fall risk. Here, principal features of postural sway were identified in persons with unilateral LLA using a single, commercially available wearable sensor.

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