ANÁLISE COMPARATIVA DO PÉ SOLID ANKLE-CUSHION HEEL E PÉ ARTICULADO EM INDIVÍDUO COM AMPUTAÇÃO TRANSFEMORAL UNILATERAL: estudo de caso

Abstract

The comparative analysis of prosthetic feet is necessary to identify if the type of prosthetic component can influence the quality of the prosthesis and if the sensorimotor training is effective in the static and dynamic balance of the transfemoral amputee population. In a postamputation phase, the stump will receive the sensorimotor adaptations that maintain balance and enable the development of gait with prosthesis. The objective of this study was to analyze whether the choice of prosthetic feet can influence the balance domain, functional mobility and gait quality of the transfemoral amputee through baropodometry in order to compare the effects of physiotherapeutic interventions using the Scale (EBB), Timed get Up and Go (TUG) test, adapted Romberg test and BORG scale. It was an observational and experimental case study, with a quantitative character. Data collection took place at the Reference Center in Physical Medicine and Rehabilitation of the Municipality of Varginha-MG, in which a unilateral transfemoral amputee patient was included in rehabilitation but never had contact with a prosthesis before. This study was approved by the Research Ethics Committee of the South Minas Education and Research Foundation - FEPESMIG. With the results it was possible to observe that the comparative analysis of prosthetic feet was not considered relevant. However, the proposed intervention program reduced the total plantar pressure exerted, and this reduction in pressure may provide better conditions of cutaneous-plantar somatosensory afferents that are important in maintaining postural control.