Effect of Flared Out Sole in Gait Parameters and QOL in Trans Tibial Amputees

Introduction Non use or limited use of prosthetic devices is concern for rehabilitation of amputees. The ultimate goal of rehabilitation after a limb loss is to gain independence at the highest level with the most efficient gait possible with the use of prosthesis and to return to a high level of social integration the loss of a lower limb has severe implications for a person's mobility, and ability to perform activities of daily living. This negatively impacts on their participation and integration into society. Objective To investigate the functional and gait parameters improved through flared outsole provided to the trans tibial prosthetic user.Design Two group post test experimental study designParticipants A total number of 30 participants 30 Transtibial amputee were recruited for the study with age range from 25 to 50 years. There were 23 male and 7female patients in the study. 15 participants with flared outsole were included in Group A whereas another 15 participants without flared outsole included in Group B. Main Outcome Measures Gait parameters Stride length, Step length, and Cadence and Velocity Locomotor capabilities index. And WHO QOL BREFResults the mean value of locomotor capabilities index of Group A is 35.73 and in group B the mean of locomotor capabilities index is 42.26. The above result was analysed by using related t test was found to be significant p 0.001, as there is significant difference between the both Group. Experimental group shows the better Quality of life than control group.Conclusions Ultimately, though, there is no substitute for firsthand experience with flared outsole alternatives. The time spent in fitting trials and dynamic alignment should be sufficient to rule out particular type of flared outsole that are totally unacceptable to the amputee, and an alternative type of flared outsole can be chosen before delivering the prosthesis. But, it is only after wearing the prosthesis day after day during a full range of activities that the subtle differences become clear to the wearer. Each time the prosthesis is replaced, the amputee and prosthetist should once again discuss the perfectly suitable flared outsole option and jointly determine the best course of action based on real world experience to date. Mr Sajal Das | Dr. P K Lenka | Mr Manoj Kumar Sethy "Effect of Flared Out Sole in Gait Parameters and QOL in Trans-Tibial Amputees" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-1 , December 2020, URL: https://www.ijtsrd.com/papers/ijtsrd37986.pdf Paper URL : https://www.ijtsrd.com/medicine/other/37986/effect-of-flared-out-sole-in-gait-parameters-and-qol-in-transtibial-amputees/mr-sajal-das