Walking With a Prosthetic Limb - Prosthetic Step Training - Prosthetic Training: Episode 14
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- Опубликовано: 18 ноя 2020
- Instructional video for lower limb amputees on walking with a prosthetic device, including stance and swing phase training.
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This is the fourteenth episode of our Prosthetic Training video series which covers the spectrum of amputee rehabilitation from immediately post-amputation through running with a prosthesis. They are intended for clinicians and patients and are a great resource for rehabilitation professionals working with lower limb amputees.
View the entire series here: • Prosthetic Training Se...
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If you have questions relating to this topic or notice other questions similar to yours, check out our You Asked Series, where we answer patient questions in short digestible videos.
• You Asked
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Instructor: David Lawrence, MSPT, AT-Ret
David is an internationally renowned rehabilitation professional and educator. In addition to treating patients, he delivers courses in the USA and abroad on knee, hip and foot pathologies, rehabilitation following limb amputation, and disabled sports and recreation. He is founder of The Gait Center, a walking focused physical therapy clinic located in Richmond, VA, USA, as well as the founder and Chief Executive Officer for Mission Gait.
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For more information on Mission Gait, visit our website at: www.MissionGait.org
Subscribe to our RUclips channel at: / missiongait
This video is made possible because of our donors. Consider supporting our work at: www.missiongait.org/donate
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Social Media:
Facebook: / missiongait
Instagram: / missiongait
Twitter: / missiongait
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Video production by Will Riddick, PT, DPT for Mission Gait.
I'm a 52 yr ak left leg and I never had walking explained this thoroughly! ThANK YOU!
I’ve been a through knee amputee for ten years and still find walking difficult. This video is so helpful, I can wait to put it onto practice. Thank you so much. Keep up the good work 😊
I learnt more from this great 20 minute video than I have over the 5 years since I became a below knee amputee. If only I'd been taught that this is how to walk correctly in a prosthetic. Maybe my gait wouldn't be so bad now! Been practicing today whilst out and about here in England.
It can certainly improve now! Great to hear that you are out there practicing your walking.
Do you mean above the knee?
llll ll llllll
So so true
I learned a lot! Thank you for the video!!
I received a C leg over a year ago, I live in a rural community and there are no PT"s who have any experience with a C leg. I gain more from your videos then I have with anyone else. Teach to walk as an amputee and seeing that it is all from the basics is very helpful. I feel I was lead to believe that this microprocessor knee would be life changing. It has not been so and in many ways I have been disappointed. But time to move on and appreciate what I have. Thank you. Practice, practice, practice.
.
I m wearing my prosthetic for 30years. Nobody taught me to walk like this. You are an amazing teacher.
Thank you for the comment!
Hi, I hope you are having a great day! I am Woody, an Industrial Design student from Pratt Institution. I am currently working on an electric prosthesis for transfemoral amputees to do certain sports. It would be really helpful if I could talk to you and ask some questions. My email is in bio.
@@MissionGait hi mam im from Philippines hm cost like this prosthetic
From one PT Amputation Care specialist to another: Great work! Very few understand the importance of initiating swing via the pelvis. Extremely refreshing to see, and will certainly help clinicians and patients avoid some of the common pitfalls which preclude symmetrical gait. Bravo!
These videos helped me a lot. Can you believe that I lost my leg in ‘87 when I was in my late 30s? And this is the first time that I get to learn the right way of doing things. However at 70, I‘be developed arthritis in the areas where there’s trauma from improper use just like he said.
If I’d gotten the right techniques in rehab, I could’ve avoided the falls, sciatica pain, and arthritis in my GOOD LEG!🤬😡
Thank you for this video!
We're so glad that you found these videos helpful! There is definitely a deficit of information for the lower limb amputation population and that is what inspired us to make this content.
These.videos.helped.me.a.lot.can.yo.belive.ilost.my.late..odar
Perfect video! I just got a new vacuum prosthetic and haven't walked in a couple of years ago so I appreciate this
Glad it was helpful!
My lower body never fully came back after an L2S2 laminectomy (bi-lateral tibial and peroneal nerves.) Watching your videos with amputees gives me hope that someday I could walk without an assistive device if I put in the time with a therapist like yourself. Kudos and thanks.
Absolutely great! So much needed
I am new here to leg lost above the knee. This video seems to be very well explained. I start physiotherapy next Tuesday for the broken right leg just fixed the left leg above the knee amputation should start early next year. Thanks for the video. I am living in Italy and so far excellent hospital service. I like how you delivered this lesson. Thank you.
Thank you so much for watching! Good luck to you in physiotherapy.
Exaplanation is awesome .. Thank you sir
you are an amazing teacher, !!, Thank you so much for all the effort you have put in this video !!
You are welcome!
Hi, I hope you are having a great day! I am Woody, an Industrial Design student from Pratt Institution. I am currently working on an electric prosthesis for transfemoral amputees to do certain sports. It would be really helpful if I could talk to you and ask some questions. My email is in bio.
Thaaank You I needed that.
Excellent
Thank you for your video.
well explained. Good trainer.
Awesome! So helpful!
Glad it was helpful!
Great video
Recent below amputation on August 10th have met with prosthesis twice for casting and tomorrow I attempt my first steps! I will certainly apply your teaching techniques to my rehab sessions! Very helpful video it has given me some confidence with my up coming challenges! Thank you much!
We are so happy to be of assistance during this time! Best of luck in your training.
Great video👍
Thanks 👍
These videos are great, I am about to start my therapy with my new above the knee prosthetic and this is preparing me for my journey. God bless you sir.👍
We're so glad that it was helpful!
Hi, my brother had an accident last Saturday (Dec. 18) and he had his right leg amputated. How long did it take for you to get rehab and training to walk with a prosthetic leg? Can I ask if you got prosthetic options or it’s just one kind of prosthetic provided by the hospital?
My brother has insurance but we don’t know if it will cover the prosthetic leg, this is in California.
It’s been 6 days since his accident and he’s already taking a few steps (with crutches, obv.) but we’re looking forward for him to start rehab.
He had an accident with a 99% mortality and he’s the 1% exception.
Merry Christmas Eve.
Hi Jo Valdez I read that you about the knee I am about to need to I need to know where did you get your prosthetic leg because I'm in Houston and I wanted to get something better than what I got the one I have I have a lot of trouble and my leg cuz they didn't do it like I seen him on TV do they put like a sock in the leg and then it would like around and it comes up like heart and from there they make you prosthetic leg mine was not like that I don't know how they did it but it doesn't fit me right and I have a lot of trouble walking with it can you tell me where are you at and I would like to know because I know they have a a nice steady legs there in the lady Dempster Lawrence's teaching she's doing a very good I just got mine and I've been having a lot of trouble with it from the beginning and us you do please help me I don't know what to do I don't have nobody to help me I need help
@@gabrielaserrano7804 I got mine at the Hanger Clinic, good staff there.👍
@@leglessjoe2817 I thank you for answering me back but in Houston we don't have the same company the company that I'm going it's different and they didn't do it the right way and I'm still having trouble they told me to have one at Dallas Texas
Very nice video Sir👌
Hello...tanu shree
I've learned more from this series of videos than I ever have from my "prosthetic" guy. I wish this video in particular dealt more with btk walking - my knee DOES bend but my body and I are flummoxed by the "bounce" and ensuing feeling of instability that happens when I try to walk...so, I'm still on crutches...over a year later. Not fun.
It help me more and more the explanation is also nice.
Great video...I need the kind of this prosthetic leg, but I don't have enough money to buy this product...I am amputee..Thanks for sharing, very inspirational video to all of us with amputated leg..God bless and more power..
Hi, I hope you are having a great day! I am Woody, an Industrial Design student from Pratt Institution. I am currently working on an electric prosthesis for transfemoral amputees to do certain sports. It would be really helpful if I could talk to you and ask some questions. My email is in bio.
Hi...I m above knee amputee n got my prothesis in Oct2023. M learning to walk n still afraid to walk without walker as m scared of falling. Your video had been really helpful to move the pelvis n swing the hand.Will try all this n will update once I can walk without any aid.
We are so happy to hear that the video was helpful to you and we wish you luck in your rehabilitation journey!
Thank you for this video! I am watching it over and over. I am new amputee and so difficult for me to walk!
My prosthetic is so heavy like a ball and chain!
You got this! It is a really tough journey and takes a long time to learn. Make sure to check out our other videos as well. There is quite a bit of work to be done to even prepare for the things covered in this video.
Is it normal for the prostheses to cause you pain underneath your bottom where it stops ?
@@brendagoosen467 l just learned, l was given the wrong FOOT for me, when discharged from hospital.
Plus checkout Tracey's footwear....A cross training shoe, properly calibrated will give you the real chance to walk just like Tracey. Nike even have a program where they will give you free shoes, and a personal choice of finish, including wide fitting for your surviving foot, and something called FLYEASE, it really opens up the shoe, to take that rigid foot.....And it all costs....Nothing more!
A microprocessor gait can be an option AFTER learning this skill.
There is no shortcut, so TRY not to beat yourself up.
I am where you are, but a new shoe, a new foot, with the same knee mechanism, and will shortly have a silicone sleeve,(which can be trimmed, in length) attached, so losing this long hard glass fibre cast which digs into my bottom too.
My rehabilitation trainer also knew NONE of these techniques.
We are the most experienced, because we live with this every second of our future. There is just a block in sharing knowledge, and sometimes rejecting what you have been given, in both lesson and equipment, causes you to search, and find resource as great as this.
I have repeatedly watched several of Mission Gait’s videos, which have been hugely helpful and motivating. I got my RAK prosthetic last November but got a little behind because had to get a stem cell transplant. I’m back at it now. Keep up the great work!
Hi, I hope you are having a great day! I am Woody, an Industrial Design student from Pratt Institution. I am currently working on an electric prosthetic for transfemoral amputees to do certain sports. It would be really helpful if I could talk to you and ask some questions. My email is in bio.
Great video!!! Could you make a video on gait training for bilateral below knee amputees.
Thanks for the compliment! Much of the progression is very similar, with the exception that this process is occurring simultaneously on both sides. We will definitely see if this is a possibility in our future videos. Thanks again.
I am in the process of learning how to walk. I have a problem of putting all my weight on my arms on the walker. How can I stop doing that ?
Thank you am learning how to walk with AK my leg was amputated in 2021
That's amazing to hear, keep up the great work!
Is there a similar video for below knee amputees or are the principles sound enough to be true for above and below knee?
Amazing video. Thank you for sharing your knowledge. I would love to learn more about outpatients treatment. If possible, would you be able to share a link for me?
We do not provide outpatient treatment, as we are only focused on education and research to empower clinicians that do. If you are looking for more videos in this series here is that link: ruclips.net/p/PLSF3akWhiajETHoRj1O7k6nHg8M7VanjQ
Thank you so much
I love will love to learn still trying
Great video. I’m a RAKA and wondering how long has this client been walking since receiving her prosthetic?
What would it look like if a patient has prosthetics for both legs? Do you have a video for how training with that would look like?
I’ve always wondered how walking with prosthetics worked. Great video
Thank you!
How long should each phase be practiced and how do I stop limping?
I am fairly comfortable with walking without my cane or walker around my apt but still have a significant limp. my glute muscles are strong according to my Prosthetist but my balance sucks. I'd love to walk smoothly and can't help but wonder if balance plays a role in that. I can't stand on that one leg with my good leg lifted up unless I'm holding onto something and putting weight on that arm when I lift my good leg.
Excellent video! The instructions are so clear and thorough...is it okay if I share this with physio students?
Thanks for the compliment! As long as they remain within RUclips, that is highly encouraged!
@@MissionGait Yup...will just give them the link or ask them to google Mission Gait. I've also shared the links with my co-workers. We are appreciative of the time and effort that went into making all the videos :)
@@colleenbudzinski2536 Thank you so much!
What would you recommend if a patient has a transfemoral prosthesis but that has a manual lever to go from sitting to standing. She wants to return to ambulation (uses a walker) but this seems rather difficult with a stiff knee. 4 years out of her amputation.
any advise for hip disartation?
im also above the knee amputee sir and what it should be my prosthesis is higher than my original leg and im having a hard time to walk it
I lost both my legsfrom the knee down last year and and any advised for me
Can you tell me where can i buy this leg?
I needed this bit i can say its first time reality actually is hitting me. With tears also.lol baby i know but i cant wait til i finally start im like 5 6 months out from above the knee amputee i gotta find docs yet also. Its so much just i feel very mentally like lost latley ughh like were to even start
It is a lot. We always recommend getting connected with others going through the same thing. If you haven't heard of them before, we highly recommend connecting with the Amputee Coalition: www.amputee-coalition.org/new-amputee-limb-loss-limb-difference/
I know how you feel. I had my right leg amputated below the knee 2 months ago and before I went in for surgery I didn’t even want to watch videos or even think about it. Now that I had it done and talking to docs and watching videos and talking to a couple other amputees I feel good and relieved this part is over. Good luck man!
I had my below the amputation 2 months ago and I’m almost all healed up now and was wondering how long is it usually for someone to actually start using a prosthetic leg. Thanks.
The recovery process is highly variable, depending on healing, secondary conditions, current health status, and much more. People who have had below knee amputations and take well to a prosthetic leg (tolerate pressure, healthy skin) do begin using it fairly quickly. This timeline is depend on when you acquire a prosthetic and how well you are healing. Confidence in walking is another thing altogether which can often come 6 months to a year following the start of rehabilitation. Again everybody is different, but the important thing is that it is a process that can be done! Glad to see you have found our video. Make sure to check out our full prosthetic training series as there are some exercises you can be doing now.
le agradezco por excelente explicación, tengo 52 años y uso prótesis con liner de un anillo y con rodilla 3r92, fíjese que al caminar un poco, siento el peso de la prótesis y me canso rápido. le agradecería su consejo, bendiciones.
Very good video for a novice like myself but I have to admit I was a little discouraged with how slowly it started. I typically don’t like a whole ton of pre-talk before I try it once establish somewhat of a baseline and then we can get into some corrections,instructions and some more pre-talk at that time.
This is great feedback, thank you! This series does balance a line between instructing physical therapists and lower limb amputees. This video leans a little more to the theory and physical therapy side so I definitely see your point. Thanks for the comment!
Hi I am a double amputee right below knee and left above knee, I don't have a problem with walking with my below knee prosthetic leg my struggle is with my above knee prosthetic leg as the knee joint is so loose and it's easy to fall. I want a video for a kind of person I am to learn more I'm in South Africa.
is it should be higher or lower than my original feet
Hi I’m an AKA and just had the 2nd part of Osseointegration surgery back in March. I can balance, walk with a cane, but I can not walk without my crutches or cane. Do you have any suggestions? (Before Osseointegration I learned to walk within 2 weeks without any assistance)
great video, I’m a bk and have started tripping when I walk, any clues why this just started happening? Sneaker is fine inside and prosthetic is not broken or anything… thank you
It is hard to say without proper evaluation. We suggest following up with your local prosthetist in the area to see whether the socket is properly suspended from your limb.
Hi, I hope you are having a great day! I am Woody, an Industrial Design student from Pratt Institution. I am currently working on an electric prosthesis for transfemoral amputees to do certain sports. It would be really helpful if I could talk to you and ask some questions. My email is in bio.
I needed it sir and more details to buy it please
Hello. We are solely focused on education in walking rehabilitation. We do not provide prosthetic limbs.
I like that prosthetic where i can get it. I am here at the Philippines do you have any branch here? Or where i can contact you? I hope you’ll notice my comment.
Hey there. We are not a provider of prosthetic limbs or components. Our focus is solely in education and research for people with walking disabilities.
Hi Lisa, many greetings from Germany, could be nice to hear from you
bu proteze mən necə sahib ola bilərəm. qiymeti neceyedir
I wish you would do the same video with someone just starting to walk for the very first time. Instead of using someone who is very experienced at walking.
Hi, Joe! The steps in this video are advanced, and are meant for amputees who are comfortable standing and walking. We recommend you start with this video: ruclips.net/video/gjDRIqUPLSk/видео.htmlsi=cyNHKLFfcb4cl819
Funny story,
I’m a above the knee, and still on a temp prosthetic leg.
For some reason, (probably bc I walk w two canes alot.) I have the hardest time swinging my arms opposite of my strides!!
Hi, I hope you are having a great day! I am Woody, an Industrial Design student from Pratt Institution. I am currently working on an electric prosthesis for transfemoral amputees to do certain sports. It would be really helpful if I could talk to you and ask some questions. My email is in bio.
Thank you for this video. I am a 20 year old aka for the past 10 years. Now I realise that all these years I walked with my centre of mass a little towards my sound leg. Can I now able to change that and walk with a perfect smooth gait?
You are most welcome. Most people walk like that following an amputation, so you are not alone. With practice, this is something that you can improve.
@@MissionGait Thank you for your reply. Can I get personal guide from mission gait through online?
Unfortunately we are not able to provide direct instruction. Our videos are certainly available to you and you can also share them with a local clinician that could help you meet your goals.
Hii...shangavi
Hi, I hope you are having a great day! I am Woody, an Industrial Design student from Pratt Institution. I am currently working on an electric prosthesis for transfemoral amputees to do certain sports. It would be really helpful if I could talk to you and ask some questions. My email is in bio.
What kind or brand of shoes 👞 can I wear on my prophetic 🦵.
I am from the philippines and 1year on my prosthesis BKA,left and i want to run again but i have knee pain on my amputated lower limb,can you help me i cant take pain reliever due to my slightly elevated creatinine and i am diabetic for 19years,thank you
I just started doing parallel bars and p/t but as im trying to walk I noticed my feet all over the place which without the parallel bars id most definitely be on the ground. What can I practice doing to keep my feet closer together ?
Hi, I hope you are having a great day! I am Woody, an Industrial Design student from Pratt Institution. I am currently working on an electric prosthetic for transfemoral amputees to do certain sports. It would be really helpful if I could talk to you and ask some questions. My email is in bio.
Hi, I hope you are having a great day! I am Woody, an Industrial Design student from Pratt Institution. I am currently working on an electric prosthesis for transfemoral amputees to do certain sports. It would be really helpful if I could talk to you and ask some questions. My email is in bio.
@@whichwei852 hi ; thank you for responding. I however dont think Id be a good candidate for your invention because I dont play sports. I will however answer any questions you have.
How can I get it when I am from Algeria and from where?
Do you have a page for us to talk?
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@@ddffgzsfhfddx3524 9
HELLO whats the name of that joint and how much is it.I am an amputee and i need one
This is an Ottobock C-Leg 4. We do not provide prosthetic limbs as we are solely focused on education and research so we cannot information on costs.
What is the prices for a single above knee prosthetic leg?
We do not provide prosthetic limbs as we are focused upon education and research.
But what do you know I mean what do you saying about mechanic but is that is that something new
I need a video of the beginners
I need prosthetic like this for I want to back may job
I’d want a rolling chassis like the classic Lost in Space Robot 🤪
I need help they just gave me a leg and kicked me out no training as an aka
Hi, thanks for contacting us.
Since you are seeking clinical guidance, please email admin@missiongait.org. Please note that we do not treat patients and/or sell any products.
Can I please get an answer I just became a tater about the knee I don't feel comfortable with a 1-day make me can you tell me how can I get in touch with you cuz I really want to know about the prosthetic that she has on she walks very comfortable like if there was her late please answer me back I want to know
Hello, use this link here to contact Mission Gait for your questions: www.missiongait.org/contact-us
The woman in the video is an above the knee amputee using an Ottobock C-4 Leg.
This line price sir please tell me yaa
How much is the price?
Hello. We are solely focused on education in walking rehabilitation. We do not provide prosthetic limbs so we cannot detail any costs.
I'm use endolite kx 06
we have a low materials in the phillipines how to have a artificial like your thechnology please i realy want to walk 😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭
What is the name of the leg? ?
This is an Ottobock C-Leg 4. Thanks for watching!
I'm watching this just incase my leg go boom
Sir what is Indian price of this limb
We do not provide prosthetic componentry, so we cannot provide any information on costs.
❤
is this above knee or below
She has an above the knee amputation. Thanks for watching!
I want to know if she's about the knee
Is that a c leg prosthetic?
It is an Ottobock C-Leg 4. Thanks for watching!
I need this limb please help me dear team
We are solely focused on education and research in walking rehabilitation. I'm sorry but we do not provide prosthetic limbs.
Hi im 15 and really find walking on a c leg very hard and frustrating
Don't give up! It is an extremely long and frustrating process that takes much longer than it feels like it should. If you haven't gotten connected before, check out some resources like Cosi Talks ( cositalks.com ) or the Amputee Coalition ( www.amputee-coalition.org ). They are great resources particularly when you are in the middle of frustrating times. Also, you can check out our entire series on prosthetic training too ( ruclips.net/p/PLSF3akWhiajETHoRj1O7k6nHg8M7VanjQ ).
@@MissionGait i have the c leg for around 4 moths now and i thought i would be walking but in only walking right now by using it as a a walking stick
Thanks lòt
i have a hard time of my prosthesis
lmao how am i here i have all my limbs
Walking wasn't my prob but balance was
Having the same trouble
What kind of prosthetic is that? And my prosthetic guy taught me to kick my leg out so I need to learn all over again
Thanks for the comment. I looked at your walking videos and it looks like you have a mechanical knee, like an Ossur Total Knee. (Great job by the way! It is SO difficult!) This is a common way that walking is taught on this device because "kicking" the leg results in a solid lock-out of the prosthetic knee. It makes it safer, but requires a lot more energy input, making you less efficient in walking speed or endurance. The prosthetic knee shown is this video is the Ottobock C-Leg 4, but the approach to walking is the same as for someone with a mechanical knee. The technique presented here works for all levels of lower limb amputees, but needs to be approached with caution as it takes time to master. We will be adding an additional video that shows this technique with different prosthetic components soon. Be sure to subscribe to our channel to see it when it comes out! Hope this is helpful.
@@MissionGait yes already subscribed. I have kind of given up on walking but I do need to get back at it. The knee feels loose sometimes and when I climb up on a step it feels like it’s going to buckle. I need to get back to my prosthetic guy and see if he’ll tighten it up a little
@@ginasottile9747 Check out this video and make sure your technique is correct: ruclips.net/video/VvnTpQPeFpc/видео.html Otherwise, definitely get in touch with your prosthetist! We really recommend that they be on your speed-dial. They serve as your mechanic and can help you figure out any problems you may be having.
sorry sir can i ask for help? please help me for my leg which was amputated because I don't have the money, I'm from Indonesia asking for help, sir 🙏 thank you 🙏🙏
and my bikini line that prosthesis butom is hurting my bikini line and im very in pain..
Traduzcan al español por fa...
Doctors tend to not think people approaching 60 and up are not going to do anything but sitting in a wheelchair...so the analogy 8 to 80...isn't what I have found to be in this world today.
It is unfortunate that there is that bias in the medical community. We aim to never make those assumptions as we are always inspired by the hard work of people learning how to walk once again!
@@MissionGait good reply, thanks.
T
I am 49y.o
3:00 vertical 3:30 touch knee 4:10 mid stance 5:30 8:00 swing
ok i know this is not why we are here but she is really pretty
How muc
We are solely focused on education and research in gait rehabilitation. We do not provide prosthetic components and therefore cannot provide information on price.
We in underdeveloped countries would make you our president
Good walk but explain Hindi
My dad had below the knee amputation and won’t get his prosthetic until 12 months time. I am pre searching for him and this video looks very helpful. I am understandably worried for him, but it really does seem that amputees get on absolutely fine with prosthetics and it is making me more and more positive. 🩷
We are glad that you've found the videos helpful and wish your father the best of luck on his rehabilitation journey! If you have specific questions, please email us at admin@missiongait.org