Strategies for Gait Retraining in a Collegiate Runner with Transfemoral Amputation: A Case Report

# Background More than fifty percent of people with limb amputations participate in sports or physical activity following amputation. Athletes with limb amputations may face additional challenges including phantom limb pain (PLP), psychological barriers, prosthetic complications, and gait abnormali...

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Autores principales:	Jillian Santer, Stephanie MacDonald, Katherine Rizzone, Shawn Biehler, Tanya Beiswenger
Formato:	article
Lenguaje:	EN
Publicado:	North American Sports Medicine Institute 2021
Materias:	Sports medicine RC1200-1245
Acceso en línea:	https://doaj.org/article/d9c63ec1dfc842bc90c158f0d3eae247
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spelling	oai:doaj.org-article:d9c63ec1dfc842bc90c158f0d3eae2472021-12-02T17:42:30ZStrategies for Gait Retraining in a Collegiate Runner with Transfemoral Amputation: A Case Report10.26603/001c.236712159-2896https://doaj.org/article/d9c63ec1dfc842bc90c158f0d3eae2472021-06-01T00:00:00Zhttps://ijspt.scholasticahq.com/article/23671-strategies-for-gait-retraining-in-a-collegiate-runner-with-transfemoral-amputation-a-case-report.pdfhttps://doaj.org/toc/2159-2896# Background More than fifty percent of people with limb amputations participate in sports or physical activity following amputation. Athletes with limb amputations may face additional challenges including phantom limb pain (PLP), psychological barriers, prosthetic complications, and gait abnormalities. Prevalence of PLP in the general amputee population is estimated to be as high as 85%. Despite the high prevalence of PLP, there is little research regarding the use of gait training as a treatment for PLP among both the general amputee population and athletes. # Case Description A 20-year old female collegiate track and field athlete presented with phantom knee pain brought on with running. The athlete demonstrated deficits in core and hip strength as well as decreased single leg stability bilaterally. Running gait analysis revealed circumduction with the prosthesis for limb advancement and increased vaulting with push off on the sound (uninvolved) limb. Gait retraining strategies were implemented to address video analysis findings and create a more efficient running gait and address phantom limb pain symptoms. # Outcomes Rehabilitation and gait retraining strategies were effective in improving several clinical and functional outcomes in this case. Significant improvements were noted in PLP, running gait mechanics, and the patient’s psychological and functional status as measured with a standardized outcome tool, the Patient-Reported Outcomes Measurement Information System^®^ (PROMIS^®^). # Discussion Running gait training following amputation could be a crucial component of rehabilitation for athletes in an attempt to lessen pain while running, especially in those experiencing phantom limb pain (PLP). Utilization of a multidisciplinary team in the gait retraining process is recommended. There is a need for further research to determine the effects of running gait retraining for management of PLP in athletes with amputation. # Level of Evidence 5Jillian SanterStephanie MacDonaldKatherine RizzoneShawn BiehlerTanya BeiswengerNorth American Sports Medicine InstitutearticleSports medicineRC1200-1245ENInternational Journal of Sports Physical Therapy, Vol 16, Iss 3 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sports medicine RC1200-1245
spellingShingle	Sports medicine RC1200-1245 Jillian Santer Stephanie MacDonald Katherine Rizzone Shawn Biehler Tanya Beiswenger Strategies for Gait Retraining in a Collegiate Runner with Transfemoral Amputation: A Case Report
description	# Background More than fifty percent of people with limb amputations participate in sports or physical activity following amputation. Athletes with limb amputations may face additional challenges including phantom limb pain (PLP), psychological barriers, prosthetic complications, and gait abnormalities. Prevalence of PLP in the general amputee population is estimated to be as high as 85%. Despite the high prevalence of PLP, there is little research regarding the use of gait training as a treatment for PLP among both the general amputee population and athletes. # Case Description A 20-year old female collegiate track and field athlete presented with phantom knee pain brought on with running. The athlete demonstrated deficits in core and hip strength as well as decreased single leg stability bilaterally. Running gait analysis revealed circumduction with the prosthesis for limb advancement and increased vaulting with push off on the sound (uninvolved) limb. Gait retraining strategies were implemented to address video analysis findings and create a more efficient running gait and address phantom limb pain symptoms. # Outcomes Rehabilitation and gait retraining strategies were effective in improving several clinical and functional outcomes in this case. Significant improvements were noted in PLP, running gait mechanics, and the patient’s psychological and functional status as measured with a standardized outcome tool, the Patient-Reported Outcomes Measurement Information System^®^ (PROMIS^®^). # Discussion Running gait training following amputation could be a crucial component of rehabilitation for athletes in an attempt to lessen pain while running, especially in those experiencing phantom limb pain (PLP). Utilization of a multidisciplinary team in the gait retraining process is recommended. There is a need for further research to determine the effects of running gait retraining for management of PLP in athletes with amputation. # Level of Evidence 5
format	article
author	Jillian Santer Stephanie MacDonald Katherine Rizzone Shawn Biehler Tanya Beiswenger
author_facet	Jillian Santer Stephanie MacDonald Katherine Rizzone Shawn Biehler Tanya Beiswenger
author_sort	Jillian Santer
title	Strategies for Gait Retraining in a Collegiate Runner with Transfemoral Amputation: A Case Report
title_short	Strategies for Gait Retraining in a Collegiate Runner with Transfemoral Amputation: A Case Report
title_full	Strategies for Gait Retraining in a Collegiate Runner with Transfemoral Amputation: A Case Report
title_fullStr	Strategies for Gait Retraining in a Collegiate Runner with Transfemoral Amputation: A Case Report
title_full_unstemmed	Strategies for Gait Retraining in a Collegiate Runner with Transfemoral Amputation: A Case Report
title_sort	strategies for gait retraining in a collegiate runner with transfemoral amputation: a case report
publisher	North American Sports Medicine Institute
publishDate	2021
url	https://doaj.org/article/d9c63ec1dfc842bc90c158f0d3eae247
work_keys_str_mv	AT jilliansanter strategiesforgaitretraininginacollegiaterunnerwithtransfemoralamputationacasereport AT stephaniemacdonald strategiesforgaitretraininginacollegiaterunnerwithtransfemoralamputationacasereport AT katherinerizzone strategiesforgaitretraininginacollegiaterunnerwithtransfemoralamputationacasereport AT shawnbiehler strategiesforgaitretraininginacollegiaterunnerwithtransfemoralamputationacasereport AT tanyabeiswenger strategiesforgaitretraininginacollegiaterunnerwithtransfemoralamputationacasereport
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Strategies for Gait Retraining in a Collegiate Runner with Transfemoral Amputation: A Case Report

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