98%
921
2 minutes
20
Introduction: Lower extremity amputations (LEA) impact the quality of life and physical abilities and increase the risk of developing secondary complications. While most research focuses on major LEA, minor LEA remain understudied despite their rising incidence. These amputations alter the sensorial and mechanical properties of the foot, affecting postural control and stability. Understanding these biomechanical changes is essential for improving rehabilitation strategies.
Objectives: The scoping review will synthesize current research on postural control deficits following a minor LEA, focusing on any resections through or distal to the ankle joint. It will also evaluate whether interventions, such as orthotic devices and balance rehabilitation programs, have been investigated to mitigate balance impairments in this population.
Inclusion Criteria: The scoping review will include studies on individuals with a minor LEA, across various age, levels, and etiologies. The scoping review will focus on quantitative data related to standing balance and postural control, dynamic functional tests, and self-reported questionnaires on balance capacity and confidence. Studies assessing interventions for postural control restoration will be analyzed separately as a secondary outcome.
Methods: A preliminary search of MEDLINE (PubMed) was conducted to develop a full search strategy aimed at compiling all existing scientific articles on postural control and balance in individuals with a minor LEA. The subsequent comprehensive search will be performed across multiple databases and grey literature. Two independent reviewers will independently extract the data. The Joanna Briggs Institute Quality Assessment Tool will be used to assess risk of bias and quality of included studies.
Discussion: By mapping the literature on postural control in individuals with a minor LEA, the scoping review will highlight knowledge gaps and provide guidelines for future biomechanical and postural research protocols. It will also assess the current state of therapeutic intervention research as a secondary outcome, providing insights for clinical rehabilitation strategies.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035671 | PMC |
http://dx.doi.org/10.12688/f1000research.149270.2 | DOI Listing |
Front Neurol
August 2025
Otolaryngology-Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, United States.
Introduction: External continuous perturbations using a motion platform have been developed by employing either sum-of-sines (SoS) or a pseudorandom ternary sequence (PRTS) of numbers to quantify body sway evoked in the medial-lateral (ML) or anterior-posterior (AP) directions, which ultimately helps understand the human postural control system. These stimuli have been provided via pitch tilts of the motion platform for evaluations of AP balance responses or roll tilts for ML balance responses. However, little is known about whether a healthy postural control system responds to 2-dimensional (2D) perturbations similarly when the perturbation stimuli are provided in semicircular canal coordinates (i.
View Article and Find Full Text PDFJ Intensive Care
September 2025
German Center for Vertigo and Balance Disorders, Ludwig-Maximilians-Universitat (LMU), University Hospital Grosshadern, Munich, Germany.
Background: Survivors of critical illness frequently face physical, cognitive and psychological impairments after intensive care. Sensorimotor impairments potentially have a negative impact on participation. However, comprehensive understanding of sensorimotor recovery and participation in survivors of critical illness is limited.
View Article and Find Full Text PDFMed Eng Phys
October 2025
Mechatronics Engineering Department, Sakarya University of Applied Sciences, Serdivan, Sakarya, 54600, Sakarya, Turkey; Systems Engineering Department, Military Technological College, Al Matar, Muscat, 111, Muscat, Oman. Electronic address:
Balance is a critical component of daily activities and overall quality of life. This study aims to develop a cost-effective exercise system for the rehabilitation of balance disorders by combining a sensor module with target-oriented video games. The system, designed using a microcontroller-controlled sensor module and Unity game engine, features a game component that provides visual feedback and is synchronized with the platform movements.
View Article and Find Full Text PDFPLoS One
September 2025
Toronto Rehabilitation Institute - University Health Network, Toronto, Ontario, Canada.
Stroke significantly contributes to long-term disability, one of the problems is with impaired balance control, increasing the risk of falls. The risk of falls may be mitigated using reactive balance training (RBT) which has been shown to effectively reduce fall risk by enhancing reactive stepping following repeated balance perturbations. However, the optimal RBT intensity for people with chronic stroke remains unknown.
View Article and Find Full Text PDFJ Asthma
September 2025
Department of Physical Therapy, School of Medicine, University of São Paulo, São Paulo, Brazil.
Background: Postural balance is impaired in adults with asthma; however, this remains poorly understood in older people with asthma.
Objective: To assess postural balance and the incidence of falls in older individuals with moderate to severe asthma.
Methods: A controlled cross-sectional study with follow-up included individuals aged 65 to 80 years (asthma group,AG; n = 26) and without asthma (control group,CG; n = 27).