{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T07:23:11Z","timestamp":1787728991905,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:p>In this study, we present a case of a 14-year-old adolescent boy who developed rhabdomyolysis and underwent bilateral transfemoral amputation after cardiopulmonary resuscitation for cardiac arrest because of dilated cardiomyopathy (DCM).<\/jats:p>\n          <jats:p>Patients with bilateral transfemoral amputation have slower walking velocity and greater oxygen consumption during walking. Rehabilitation of such patients may be demanding especially if they have DCM, one of the major causes of advanced heart failure.<\/jats:p>\n          <jats:p>The patient was admitted to our hospital on postoperative day (POD) 206. At first, we started with residuum compression. Simultaneously, resistance training and range-of-motion exercise were performed. He started the walking training with short stubbies prostheses on POD 262. Then, we used two types of knee joint prostheses, microprocessor-controlled prosthetic knee (MPK) and non-MPK. We chose MPK for his bilateral knee joints because it was easier for him to walk with MPK than with non-MPK. MPK also has the advantage of high stability and less burden on the heart.<\/jats:p>\n          <jats:p>He achieved to walk with the prosthesis using T-canes with both hands on POD 374. Furthermore, he was able to return to school after discharge.<\/jats:p>\n          <jats:p>In patients with transfemoral amputations and DCM with exercise restrictions, MPK is preferred because it reduces cardiac load during physical activity.<\/jats:p>","DOI":"10.1097\/pxr.0000000000000081","type":"journal-article","created":{"date-parts":[[2021,12,21]],"date-time":"2021-12-21T15:01:26Z","timestamp":1640098886000},"page":"195-198","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Prosthetic walking after bilateral transfemoral amputation in a patient with dilated cardiomyopathy: a case report"],"prefix":"10.1097","volume":"46","author":[{"given":"Yoshihiro","family":"Kanata","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine, Hyogo College of Medicine Sasayama Medical Center, Tanbasasayama, Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoyuki","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Kyoto Tanabe Memorial Hospital, Kyotanabe, Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuya","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Kyoto Tanabe Memorial Hospital, Kyotanabe, Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsuo","family":"Koyama","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Nishinomiya Kyoritsu Neurosurgical Hospital, Nishinomiya, Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0114-3276","authenticated-orcid":false,"given":"Yasuo","family":"Mikami","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Kyoto Prefectural University of Medicine, Kyoto, Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiza","family":"Domen","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,12,14]]},"reference":[{"key":"R1-20250818","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1177\/0309364617736089","article-title":"Mobility analysis of AmpuTees (MAAT I): Quality of life and satisfaction are strongly related to mobility for patients with a lower limb prosthesis","volume":"42","author":"Wurdeman","year":"2018","journal-title":"Prosthet Orthot Int"},{"key":"R2-20250818","doi-asserted-by":"crossref","first-page":"49","DOI":"10.2106\/JBJS.I.01557","article-title":"Effect of amputation level on energy expenditure during overground walking by children with an amputation","volume":"93","author":"Jeans","year":"2011","journal-title":"J Bone Joint Surg Am"},{"key":"R3-20250818","doi-asserted-by":"crossref","first-page":"e0209249","DOI":"10.1371\/journal.pone.0209249","article-title":"Predicting ambulatory energy expenditure in lower limb amputees using multi-sensor methods","volume":"14","author":"Ladlow","year":"2019","journal-title":"PLoS One"},{"key":"R4-20250818","doi-asserted-by":"crossref","first-page":"752","DOI":"10.1016\/S0140-6736(09)62023-7","article-title":"Dilated cardiomyopathy","volume":"375","author":"Jefferies","year":"2010","journal-title":"Lancet"},{"key":"R5-20250818","doi-asserted-by":"crossref","first-page":"1422","DOI":"10.1093\/eurheartj\/ehi325","article-title":"Recommendations for competitive sports participation in athletes with cardiovascular disease. A consensus document from the study group of Sports Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology","volume":"26","author":"Pelliccia","year":"2005","journal-title":"Eur Heart J"},{"key":"R7-20250818","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1136\/bmj.1.4802.153","article-title":"Elderly amputee","volume":"4802","author":"McKenzie","year":"1953","journal-title":"Br Med J"},{"key":"R8-20250818","doi-asserted-by":"crossref","first-page":"147","DOI":"10.3109\/03093648409146077","article-title":"Biomechanical evaluation of SACH and uniaxial feet","volume":"8","author":"Goh","year":"1984","journal-title":"Prosthet Orthot Int"},{"key":"R9-20250818","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1080\/03093640600982255","article-title":"Comparison between the C-leg1 microprocessor-controlled prosthetic knee and non-microprocessor control prosthetic knees: A preliminary study of energy expenditure, obstacle course performance, and quality of life survey","volume":"31","author":"Seymour","year":"2007","journal-title":"Prosthet Orthot Int"},{"key":"R11-20250818","first-page":"7","article-title":"Effect of endurance training program based on anaerobic threshold (AT) for lower limb amputees","volume":"38","author":"Chin","year":"2001","journal-title":"J Rehabil Res Dev"},{"key":"R12-20250818","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1136\/heartjnl-2012-302145","article-title":"Exercise training in dilated cardiomyopathy improves rest and stress cardiac function without changes in cardiac high energy phosphate metabolism","volume":"98","author":"Holloway","year":"2012","journal-title":"Heart"}],"container-title":["Prosthetics &amp; Orthotics International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/PXR.0000000000000081","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T20:04:57Z","timestamp":1755547497000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/PXR.0000000000000081"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,14]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1097\/pxr.0000000000000081","relation":{},"ISSN":["0309-3646","1746-1553"],"issn-type":[{"value":"0309-3646","type":"print"},{"value":"1746-1553","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,14]]},"assertion":[{"value":"2021-01-08","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-11-01","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}