{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T13:04:25Z","timestamp":1781787865958,"version":"3.54.5"},"reference-count":98,"publisher":"Human Kinetics","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,12,1]]},"abstract":"<jats:p>Individuals with lower limb loss often walk with altered\/asymmetric movement mechanics, postulated as a catalyst for development of low back and knee pain. Here, the authors simultaneously investigated trunk-pelvic movement patterns and lower limb joint kinematics and kinetics among 38 males with traumatic, unilateral lower limb loss (23 transtibial and 15 transfemoral), and 15 males without limb loss, at a self-selected and 2 standardized (1.0 and 1.6\u00a0m\/s) speeds. Individuals with versus without lower limb loss walked with greater trunk range of motion in the frontal and transverse planes at all speeds (despite \u223c10% slower self-selected speeds). At all speeds, individuals with versus without limb loss exhibited +29% larger medial ground reaction forces, and at 1.6\u00a0m\/s also exhibited +50% to 110% larger vertical hip power generation, +27% to 80% larger vertical hip power absorption, and +21% to 90% larger medial\u2013lateral hip power absorption. Moreover, pervasive biomechanical differences between transtibial versus transfemoral limb loss identify amputation-level movement strategies. Overall, greater demands on the musculoskeletal system across walking speeds, particularly at the hip, knee, and low back, highlight potential risk factors for the development\/recurrence of prevalent secondary musculoskeletal conditions (eg,\u00a0joint degeneration and pain) following limb loss.<\/jats:p>","DOI":"10.1123\/jab.2020-0287","type":"journal-article","created":{"date-parts":[[2021,10,23]],"date-time":"2021-10-23T15:53:25Z","timestamp":1635004405000},"page":"522-530","source":"Crossref","is-referenced-by-count":6,"title":["Overall Greater Demands on the Musculoskeletal System at Multiple Walking Speeds in Service Members With Lower Limb Loss"],"prefix":"10.1123","volume":"37","author":[{"given":"Joseph G.","family":"Wasser","sequence":"first","affiliation":[{"name":"1Walter Reed National Military Medical Center"},{"name":"2Henry M. Jackson Foundation for the Advancement of Military Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian C.","family":"Acasio","sequence":"additional","affiliation":[{"name":"1Walter Reed National Military Medical Center"},{"name":"2Henry M. Jackson Foundation for the Advancement of Military Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross H.","family":"Miller","sequence":"additional","affiliation":[{"name":"3University of Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brad D.","family":"Hendershot","sequence":"additional","affiliation":[{"name":"1Walter Reed National Military Medical Center"},{"name":"4DoD-VA Extremity Trauma & Amputation Center of Excellence"},{"name":"5Uniformed Services University of the Health Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"key":"ref651","doi-asserted-by":"crossref","first-page":"S54","DOI":"10.1097\/BRS.0b013e31822ef74d","article-title":"Evaluating common outcomes for measuring treatment success for chronic low back pain","volume":"36","author":"Chapman","year":"2011","journal-title":"Spine"},{"key":"ref601","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1016\/j.apmr.2004.04.034","article-title":"The prevalence of knee pain and symptomatic knee osteoarthritis among veteran traumatic amputees and nonamputees","volume":"86","author":"Norvell","year":"2005","journal-title":"Arch Phys Med Rehabil"},{"key":"ref291","doi-asserted-by":"crossref","first-page":"3713","DOI":"10.1080\/09638288.2019.1610507","article-title":"Potential lower extremity amputation-induced mechanisms of chronic low back pain: role for focused resistance exercise","volume":"42","author":"Wasser","year":"2019","journal-title":"Disabil Rehabil"},{"key":"ref521","first-page":"10","article-title":"Major deployment-related amputations of lower and upper limbs, active and reserve components, U.S. Armed Forces, 2001-2017","volume":"25","author":"Farrokhi","year":"2018","journal-title":"MSMR"},{"key":"ref341","doi-asserted-by":"crossref","first-page":"101395","DOI":"10.1016\/j.rehab.2020.04.007","article-title":"Can high-functioning amputees with state-of-the-art prosthetics walk normally? 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