Advantages Of Transtibial Amputation

A transtibial amputation is also known as a below knee amputation (BKA). The amputation is found at some point between the ankle and the knee and is the most common form of amputation performed. A person with a BKA is considered to be at an advantage when compared with those having an above knee amputation (AKA). This is due to the fact that a transtibial amputee will retain their knee joint, thus providing the amputee patient with various functional advantages. Namely, the ability and power to lift and lower, the ability to perform transfers, as well as maintenance of balance. An amputation is generally a last resort in improving the quality of life of the patient whose limb is damaged beyond repair. The idea being, to decrease pain and increase

These purposes have now expanded and it is currently also being used as a performance-based outcome measure, measuring functional exercise capacity and can be used in a number of populations.

The six minute walk test is used also amongst the population of transtibial amputees. A study by Lin & Hathi-Bose (2008) stated that the distance covered within this test can give an accurate idea about whether or not the individual can ambulate within a community setting, in comparison with the Two minute walk test, in which the distance covered is considerably shorter and the Twelve minute walk test which covers a distance that is suitable, however as a test is time-consuming.

This test was found to have good test-retest reliability. According to the same study, Lin & Hathi-Bose (2008), stated that the six minute walk test has good within day test, retest reliability. Practice trials however, are a recommendation. It is ideal to repeat the test however in order to avoid what is known as ‘memory effect’. The individual taking part can be asked to begin the test at different starting points in order to evade this effect. Performance outcome of this test can be affected by things such as verbal encouragement, length of walk-way and number of practice

It is based on functionality post discharge from rehabilitation. This tool consists of 44 closed-ended questions grouped into 6 sections. The sections included for evaluation are; physical condition, the prosthesis, prosthetic capabilities, environment, leisure activities and demographic characteristics. As with the LCI the PPA is designed for self-administration. It makes use of an information chart compiled with data taken from the individuals’ medical chart. The PPA acts as a form of follow up