Effect Of Use Of Flexible Transfemoral Prosthesis On Dynamic Balance Of Transfemoral Amputee

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Nur Rachmat
Bambang Kuncoro


Background: The flexible transfemoral prosthesis is known to improve the level of independence in performing the daily activities of transfemoral amputees. Dynamic balance is needed by transfemoral amputee patients to be able to move properly.

Methods: The research was conducted using a quasi-experimental research design with the post-test-only design method. A sample was obtained by the purposive sampling process. The Four Square Step Test (FSST) is used as an instrument to measure the dynamic balance. It was performed on 30 transfemoral amputee patients using axillary crutches, and then the patient wears a flexible prosthesis. The research was done at PT Kuspito Orthotic Prosthetics, and it was carried out from May to September 2022.

Results: The research subjects were transfemoral amputee patients who met the inclusion and exclusion criteria determined by the researcher, a total of 30 patients. The subjects in this study were mostly male: 23 patients (76.67%). The largest proportions of respondents are aged 26–45 years (adults), as many as 17 people (56.675). The data normality test was obtained from dynamic balance using the four-square step IP-value of 0.07, which indicates that the data is normally distributed. With a significance of 0.000 and an average time to perform the four square step of 12.54 seconds versus 22.45 seconds with axillary crutches, patients walking with flexible artificial limbs had more stable balance than patients walking with axillary crutches.

Conclusion: Patients with flexible artificial limbs are more balanced. It is recommended for transfemoral amputee patients to use a flexible prosthesis to improve dynamic balance when walking, so they can move better.


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Rachmat, N., & Kuncoro, B. (2022). Effect Of Use Of Flexible Transfemoral Prosthesis On Dynamic Balance Of Transfemoral Amputee. Jurnal Keterapian Fisik, 134–142. https://doi.org/10.37341/jkf.v0i0.382


Adenikheir, A. (2019). Pengaruh Pemberian Ankle Strategy Exercise dan core Stability Exercise Terhadap keseimbangan Dinamis Lansia. Menara Ilmu, 13(4).

Adiputra, I. M. S., Siregar, D., Anggraini, D. D., Irfandi, A., Trisnadewi, N. W., Nurmalita, M. H., Oktaviani, S. N. P. W., Laksmini, P., Supinganto, A., & Pakpahan, M. (2021). Statistik Kesehatan: Teori dan Aplikasi. Yayasan Kita Menulis.

Bactiar, D., Audy, A., Jamari, J., & Budiwan, I. (2014). Perancangan Biomekanisme Sendi Protesa Untuk Pasien Amputasi Tungkai Di Atas Lutut Dengan Desain Ergonomi Dan Fleksibel. Prosiding SNST Fakultas Teknik, 1(1).

Barr, S., & Howe, T. E. (2018). Prosthetic rehabilitation for older dysvascular people following a unilateral transfemoral amputation. Cochrane Database of Systematic Reviews, 2018(10).

Clemens, S. M., Gailey, R. S., Bennett, C. L., Pasquina, P. F., Kirk-Sanchez, N. J., & Gaunaurd, I. A. (2018). The Component Timed-Up-and-Go test: the utility and psychometric properties of using a mobile application to determine prosthetic mobility in people with lower limb amputations. Clinical Rehabilitation, 32(3), 388–397.

Fisher, D., McGarry, A., & Deans, S. (2013). The effect of alignment on the balance and confidence of trans-femoral prosthesis users: a literature review. ISPO 2013 World Congress.

Hebenton, J., Scott, H., Seenan, C., & Davie-Smith, F. (2019). Relationship between models of care and key rehabilitation milestones following unilateral transtibial amputation: a national cross-sectional study. Physiotherapy, 105(4), 476–482.

Irfan, M. (2010). Fisioterapi bagi insan stroke. First Edition. Graha Ilmu:Y ogyakarta.

Jamari, J., & Ismawan, A. R. (2015). Perancangan Above Knee Prosthetic untuk Pasien Amputasi Kaki Di Atas Lutut. ROTASI, 17(2), 93–97.

Kahle, J. T., Klenow, T. D., Sampson, W. J., & Highsmith, M. J. (2016). The effect of transfemoral interface design on gait speed and risk of falls. Technology & Innovation, 18(2–3), 167–173.

Kongsuk, J., Brown, D. A., & Hurt, C. P. (2019). Dynamic stability during increased walking speeds is related to balance confidence of older adults: a pilot study. Gait & Posture, 73, 86–92.

Lee, H. K. M., & Scudds, R. J. (2003). Comparison of balance in older people with and without visual impairment. Age and Ageing, 32(6), 643–649.

Lee, J.-H. (2016). Effects of forward head posture on static and dynamic balance control. Journal of Physical Therapy Science, 28(1), 274–277.

Nokham, R., & Kitisri, C. (2017). Effect of square-stepping exercise on balance in older adults: a systematic review and meta-analysis. The Journal of Physical Fitness and Sports Medicine, 6(3), 183–190.

Ostler, C., Donovan-Hall, M., Dickinson, A., & Metcalf, C. (2022). Exploring meaningful outcome domains of recovery following lower limb amputation and prosthetic rehabilitation: the patient’s perspective. Disability and Rehabilitation, 1–14.

Pauley, T., Devlin, M., & Madan-Sharma, P. (2014). A single-blind, cross-over trial of hip abductor strength training to improve Timed Up & Go performance in patients with unilateral, transfemoral amputation. Journal of Rehabilitation Medicine, 46(3), 264–270.

Peraturan Menteri Kesehatan Nomor 22, (2013). Penyelenggaraan Pekerjaan dan Praktik Ortotis Prostetis..

Pramadita, A. P., Wati, A. P., & Muhartomo, H. (2019). Hubungan fungsi kognitif dengan gangguan keseimbangan postural pada lansia. Diponegoro Medical Journal (Jurnal Kedokteran Diponegoro), 8(2), 626–641.

Pramita, I., & Susanto, A. D. (2018). Pengaruh Pemberian Square Stepping Exercise Untuk Meningkatkan Keseimbangan Dinamis Pada Lansia. Sport and Fitness Journal, 6(3), 1–7.

Rachmat, N., & Kuncoro, B. (2022). Effect Of Use Of Flexible Transfemoral Prosthesis On Level Of Independence In Performing Daily Activities Of Transfemoral Amputee. Jurnal Keterapian Fisik, 7(1), 1–9. https://doi.org/10.37341/jkf.v0i0.310

Rachmat, N., & Zubaidi, A. (2017). Perbedaan Pengaruh Penggunaan Transtibial Prosthesis Dan Axial Crutch Terhadap Keseimbangan Pasien Post Amputasi Transtibial. Interest : Jurnal Ilmu Kesehatan, 6(2), 186–192. https://doi.org/10.37341/interest.v6i2.100

Ramazanoğlu, N., Tatar, Y., Çamlıgüney, A. F., Uzun, S., & Çotuk, H. B. (2013). Effect of the use of Lofstrand crutches and prostheses on some gait parameters in amputee football players. Pamukkale Journal of Sport Sciences, 4(4), 60–66.

Shirley, R. (2021). Rehabilitation measure: four square step test. Ability Lab. www.sralab.org/rehabilitation-measures/four-step-square-test

Silva, D. C., Medola, F. O., Bonfim, G. H. C., & Paschoarelli, L. C. (2015). Using a pressure mapping system to evaluate contact pressure on hands during use of axillary crutches. In Assistive Technology (pp. 432–439). IOS Press.

Syah, I., & Olyverdi, R. (2021). Perbedaan Pengaruh Pemberian Four Square Step Exercise Dan One Legged Stand Exercise Dalam Meningkatkan Keseimbangan Pada Lansia Di Puskesmas Muaro Bodi Sijunjung. Indonesian Journal of Physiotherapy Research and Education, 2(2), 54–60.

Vetrayan, J., Abd Ghafar, N. B., Paulraj, S. J. P. V., & Murad, M. S. (2016). Occupational performance role and satisfaction among lower limb amputees with different adaptive devices usage. Procedia-Social and Behavioral Sciences, 222, 432–441.

Yuliana, S., Adiatmika, I. P. G., Irfan, M., & Al Hazmi, D. F. D. I. (2014). Pelatihan kombinasi core stability exercise dan ankle strategy exercise tidak lebih meningkatkan Keseimbangan statis pada mahasiswa s1 fisioterapi Stikes ‘aisyiyah yogyakarta. Sport And Fitness Journal.

Zhang, T., Bai, X., Liu, F., & Fan, Y. (2019). Effect of prosthetic alignment on gait and biomechanical loading in individuals with transfemoral amputation: A preliminary study. Gait & Posture, 71, 219–226.