Standing Balance and Control for Amputees - Prosthetic Training: Episode 12
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- Опубликовано: 20 июн 2024
- Instructional video for lower limb amputees on standing motor control, including: initial standing positional awareness, weight shifts, step-taps.
0:23 - Terminology, Preparation
3:46 - Finding Center (Centering the Center of Mass)
5:52 - Weight Shift Control
10:15 - Stance Control (Single Limb Support, Step Taps)
12:38 - Bilateral Amputee Considerations
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This is the twelfth 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.
This is an excellent video! I’m a DPT Pittsburgh PA. I have my first AKA with microprocessor knee. I’m so glad you covered these topics bc it will help him tremendously
walking is a series of controlled falls - i like this expression
FANTASTIC TIPS!!! Thank you for your great content.
Your videos are awesome! I'm a three year amputee and am a k-level 4 but I am still learning quite a bit of the finer points of using a prosthetic leg. From your gait videos, I have learned how to be more efficient in my walking and I am following your running video to get better at moving fast!
Thanks for the tutorial it's very helpful, am an above the knee amputee and a beginner, i believe it will help me greatly
I am a newly above knee amputee and these videos are great and this therapist is awesome.
Thanks for the compliment! It's a tough journey starting out, but you got this!
Excellent Help Thank you ..🙂🙂
Thank you !!! You helped me .
Great video
Glad you enjoyed it!
I will receive my above knee prosthesis on the 17th of March and I am so glad for this information and exercises that you show here. I will follow your instructions everyday, because you give me hope to walk normal again. Thank you for these videos .
Glad to offer these videos. We do recommend working with a physical therapist whenever possible, because there are a lot of things that can't be covered in a video that are specific to you.
Thank you so much
I’m an above the knee amputee 71 year old and I have had my prosthesis for about three weeks and I am already walking fairly well with a walker. From the first day after my amputation I was determined to walk sooner rather than later.
I did a lot of research on the internet about being an amputee and what it would take to get prepared for walking. After a lot of watching videos over and over I found it easier to know what to expect when I started therapy.
Stay strong and determined and don’t let setbacks discourage you.
Thank you for sharing your knowledge with us, I have started to walk so much better since watching your instructions. I am a bilateral below knee amputee and a diabetic.
We're so glad to be a small part in helping out! It takes a lot of work, so keep it up!
Excellent. RAKA, wish I had your lessons 5 yrs ago when amputated. PT did not really help me progress. Have learned on my own and find I need to correct some movements. Thank you.
We wish you the best in your rehabilitation journey! It takes time to adjust and we are so happy to hear you're working on yourself. Please let us know any questions you have!
I just want to make sure that I understand what you said: "if you feel like you are 50/50, then your weight is too heavy on the prosthetic side." Isn't it really that your weight is too heavy on the sound limb, as what feels like normal distribution to them is really more weight distribution on the limb they have relied on without the prosthetic?
Around 4:30 in the video.
Thanks!
Thanks for checking on that. That was misspoken. The weight is shifted too much to the sound limb when someone feels they have a normal distribution of weight. He flipped the wording.
Very good theory and information for amputees. I learned a lot of basics from the video. Thank you.
Glad it was helpful!
Very helpful
Thanks lot
Very interesting and useful video. My question is when using a step up block, with my prosthetic in unlocked position, meaning it will bend with any weight put on it. So will locking or tightening my buttocks and groin muscle keep that leg from bending. I have not walked without the aide of crutches or walker. I do use my tredmill and it has hand rails to hang onto. I’ve only fallen once. The prosthetic buckled and really nothing I could do. I was hanging on too but still hit the deck. No injuries. Thank you.
In order to answer your question, what prosthetic knee do you have?
Thanks
I'm an above knee amputee and I'm trying to transition into free hand walking from a hemi-walker or cane. I'm having difficulty though. What do you suggest?
I am a amputee right lower leg that has had two different types of prosthetic leg one was a pun lick style it worked for some time but I switched to a suction socket I like it way vetter
I'm sixty-nine, have problems with dizziness, and don't have great balance, but I walked the length of the building where I got my new leg without aid the first time I put it on. If someone like me can do this then why can't most people?
I did get my new leg just five weeks after the surgery, but I was in bed for a month before the surgery and two weeks after.
Honestly, I blame the walker for the long delay most people have, and so does my prosthetist. I never used a walker except to go to the restroom in the hospital. I got my new leg just one week after getting out of the hospital and since I never used a walker for any length of time at all, and never with my prosthetic leg, I never developed a new center, a new balance point. I am now just fifty-one days from amputation day, and I walk fiver hundred plus yards every day. The only reason I can't walk farther than this is because of exhaustion. not at all in good shape, and have poor circulation, neuropathy, and Venus insufficiency in my "good" let.
This much I know for certain. It is a terrible idea to hop when using a walking. This will throw off your center faster than anything else. Either pivot the foot to get where you want to go, or lift it as little as possible and slide it. But do NOT hop.
I started my prosthetic use by taking a can, but I almost never let the can touch the floor/sidewalk. It was for emergency use only. I think this should also apply when using a walking with a new prosthetic leg. Stand fully erect, do not lean on the walker for support, and if possible, just push the walker ahead with your fingertips. Being fully erect is vital, and not using the walker for balance is equally important, if you don't want months to go by before you can walk normally again.
The short of it is that if you want to learn how to walk normally on a new leg then you have to actually walk normally on that leg from the beginning. A good prosthetist should have your temporary prosthesis to you no more than two weeks after your stup is healed enough to take it. I was healed in four weeks, not bad for an old type 1 diabetic, and had my leg a week later.
You don't learn to walk by using a walker, and certainly not by using crutches. You learn to walk by walking, and you learn to find a center mass by never losing it in the first place.
We congratulate you on your success and we are happy that he found a path that works well for you!
Your videos are very interesting but we have additional challenges I have an 82yr vascular dementia patient with the left amputated below-the-knee , no prosthetic as this stage please can you tell me how do I help him to be able to stand with the aid of a walker just to be able to feel that the right leg is still there and get him some balance, we are in South Africa Johannesburg 😉
How long should someone do these exercises for?
Very good instructor although I don’t know that I would have the patience for some of his lengthy instruction methods haha 😆😂
Patience is vital for recovery.
Unfortunately, I also haven't had a leg for two months now
3yrs an amp..and my brain is still confused. No balance...I get really frustrated at my lack of balance.
Shouldn't I have my brain trained by now??
I am diabetic...does that matter??
As an amputee it will always be more difficult to balance. So much of your balance comes from the ankle, and without that joint you are forced to balance with your hip and knee (if you are a below knee amputee), both of which don't have the same level of flexibility available at the ankle. That doesn't mean that it can't improve though. Consistent balance training such as shown in this video can help to improve your sense of control over your feet. As a diabetic, that matters quite a bit. If you lost your leg as a result of reduction in blood flow (from diabetes, such as a wound and subsequent infection), your balance is also being impaired as a result of diabetic neuropathy which is mostly impacting your non-amputated side (if applicable). Diabetic neuropathy involves so many systems and I would highly recommend looking it up if you have not already. The short version is that you have lost your sense of feeling in that foot and the associated sense of proprioception, or the feeling of knowing where you are in space.
I am a above knee amputee on the right side on the left side im missing all toes could you please just tell me how do I strengthen the foot with no toes
This is a difficult thing to recommend without performing a proper evaluation of your condition. A physical therapist in your area should be able to perform an evaluation and help you towards this goal.
Sir please help to get that kind of prosthetic I’m a Filipina. I don’t have idea where I find that.
Unfortunately we do not provide artificial limbs. We are solely focused on education in walking rehabilitation.
Amount.Rs.?
After the amputed how months we should go for prosthesis.
A prosthetic fitting can begin as soon as the surgical wound has healed. We recommend talking to your doctor to see if you're ready!
Can I use vaseline on my above knee amp. Skin feels funny when I touch it. Also hurts and feels like it's at the bottom.
We do not recommend Vaseline! Particularly if you are using a silicon liner, this can break down the material in the liner. Most any diabetic lotion should be of benefit and should be applied at night before bed. For any specific info, check with a local clinician. Hope this helps!
Very helpful thank u.
How to order for liner
If you are seeking clinical guidance or specific information please email admin@missiongait.org. Please note that we do not treat patients and/or sell any products.
Dear Doctor,
I found your videos for the purpose to help my brother, who lost his leg in Ukraine. He got his prosthetic, but he cannot have rehabilitation in the facility because of the war . I am wondering if we can hope for lessons with you online? I would be very grateful if you answer to our desperate need. Sincerely,
Natalya
Hi, we are so glad you have found our videos helpful!
If you are seeking clinical guidance or specific information please email admin@missiongait.org. Please note that we do not treat patients and/or sell any products.
How much price
Hello, we focus solely on education and research in walking rehabilitation. We do not provide prosthetic limbs and therefore cannot provide information on costs.
I'm still trying to learn how to walk on my leg I get it one day
It is a long and difficult process, but keep up the good work! Do remember that a physical therapist is a key support in learning how to walk.
Yeah already been there did my time with them try to learn on my own best I can do
@@troyrobinson4949 Remember that you can't spell can't without spelling can ,babies fall a lot before they walk
Best way to achieve is to get out and use it. Everyday. Everyday.
That's exactly right, and without depending on walking aids, other than a cane for those times when you momentarily lose your balance. Those who depend on walkers or crutches take far, far longer to learn how to walk properly, and some never learn. Even being dependent on a cane greatly slows progress. Fear is the big enemy, along with bad advice from your prosthetist and others.
@@jamesaritchie1 Your last sentence, sums it all up.
Traducir al castellano..??
Don't know how to thank you
Am a poor person needs a help of prosthetic leg
Hello. We are solely focused on education in walking rehabilitation. We do not provide prosthetic limbs.
@@MissionGait ok. Very sorry to me ,, sorry for asking you as mission gait,, what can I do as poor person, can't u direct me where can I get a help of a prosthetic limb? Thanks
@@ssekittorobert3754 try going to the social services office in the hospital that did your amputation or the social services in your community