{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T07:14:16Z","timestamp":1788333256657,"version":"build-2803163510"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,9,20]],"date-time":"2014-09-20T00:00:00Z","timestamp":1411171200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Currently, knowledge is lacking about whether subjects with traumatic unilateral transtibial amputation (UTA) have a compromised ability to voluntarily move their center of gravity (COG) to positions within the limits of stability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To analyze the ability to voluntarily move the COG to positions within the limits of stability in a sample of subjects with traumatic UTA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Observational, case\u2010control study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>University department.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Ten men with traumatic UTA and 10 control subjects without amputation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>Computerized dynamic posturography SMART EquiTEST System version 8.0 was used for measuring stability limits in both groups. The Limits of Stability test was used to assess the participants' ability to voluntarily sway to various locations in space (8 predetermined target positions).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>End point excursion achieved statistically significant differences in the prosthetic (<jats:italic>P<\/jats:italic> = .02) and backward (<jats:italic>P<\/jats:italic> = .03) directions in the subjects with UTA. A statistically significant decrease was observed in the maximum excursion to backward direction (<jats:italic>P<\/jats:italic> = .05) in the subjects with UTA. Directional control only reached statistically significant differences in the prosthetic backward direction (<jats:italic>P<\/jats:italic> = .05) compared with the control group. Movement velocity was statistically significantly lower in the subjects with UTA toward prosthetic (<jats:italic>P<\/jats:italic> = .03), backward (<jats:italic>P<\/jats:italic> = .05), sound (<jats:italic>P<\/jats:italic> = .01), and sound forward (<jats:italic>P<\/jats:italic> = .03) directions in relation to the control group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Persons with traumatic UTA have a reduced ability to move their COG within stability limits (restricted displacement, inadequate directional control, and reduced velocity). These findings should be considered when developing rehabilitation programs for these persons.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.pmrj.2014.08.953","type":"journal-article","created":{"date-parts":[[2014,9,20]],"date-time":"2014-09-20T01:05:04Z","timestamp":1411175104000},"page":"123-129","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Comparison of Stability Limits in Men With Traumatic Transtibial Amputation and a Nonamputee Control Group"],"prefix":"10.1002","volume":"7","author":[{"given":"Alberto","family":"Molero\u2010S\u00e1nchez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"Molina\u2010Rueda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel M.","family":"Alguacil\u2010Diego","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Cano\u2010de la Cuerda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Carlos","family":"Miangolarra\u2010Page","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,9,20]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1191\/0269215505cr857oa"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2012.07.023"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.medengphy.2010.07.001"},{"key":"e_1_2_6_5_2","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.clinbiomech.2011.07.008","article-title":"Dynamic balance control (DBC) in lower leg amputee subjects; contribution of the regulatory activity of the prosthesis side","volume":"27","author":"Nederhand M.J.","year":"2012","journal-title":"Clin Biomech"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/09638280410001708887"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1080\/03093640802024955"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/MRR.0b013e3283550ff9"},{"key":"e_1_2_6_9_2","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1007\/s002210050453","article-title":"Postural reorganization of weight\u2010shifting in below\u2010knee amputees during leg raising","volume":"121","author":"Mouchnino L.","year":"1998","journal-title":"Exp Brain Res"},{"key":"e_1_2_6_10_2","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/j.gaitpost.2005.07.007","article-title":"Behavioral outcomes following below\u2010knee amputation in the coordination between balance and leg movement","volume":"24","author":"Mouchnino L.","year":"2006","journal-title":"Gait Posture"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0268-0033(96)00053-8"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2007.12.002"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2008.12.024"},{"key":"e_1_2_6_14_2","doi-asserted-by":"crossref","first-page":"150","DOI":"10.3109\/03093649409164400","article-title":"Standing balance in transtibial amputees following vascular disease or trauma: A comparative study with healthy subjects","volume":"18","author":"Hermodsson Y.","year":"1994","journal-title":"Prosthet Orthot Int"},{"key":"e_1_2_6_15_2","doi-asserted-by":"crossref","first-page":"139","DOI":"10.3109\/03093648609164518","article-title":"Body sway in below\u2010knee amputees","volume":"10","author":"Vittas D.","year":"1986","journal-title":"Prosthet Orthot Int"},{"key":"e_1_2_6_16_2","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1080\/03093640600568617","article-title":"The effect of prosthesis alignment on the symmetry of gait in subjects with unilateral transtibial amputation","volume":"30","author":"Chow D.H.","year":"2006","journal-title":"Prosth Orthot Int"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.neucli.2008.09.001"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1590\/S1807-59322011001200008"},{"key":"e_1_2_6_19_2","volume-title":"EquiTest System Operator's Manual. 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