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Quantitative methods used to evaluate balance, postural control and the fear of falling in lower limb prosthesis users: A systematic review
Jönköping University, School of Health and Welfare.
Jönköping University, School of Health and Welfare. Southern Älvsborg Hospital, Borås, Sweden.
School of Science and Technology, Nottingham Trent University, Nottingham, United Kingdom.
Jönköping University, School of Health and Welfare, HHJ, Department of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.ORCID iD: 0000-0002-0220-6278
2023 (English)In: Prosthetics and Orthotics International, ISSN 0309-3646, E-ISSN 1746-1553, Vol. 47, no 6, p. 586-598Article, review/survey (Refereed) Published
Abstract [en]

Problems with balance, postural control and fear of falling are highly prevalent in lower limb prosthesis users, with much research conducted to understand these issues. The variety of tools used to assess these concepts presents a challenge when interpreting research outcomes. This systematic review aimed to provide a synthesis of quantifiable methods used in the evaluation of balance, postural control and fear of falling in lower limb prosthesis users with an amputation level at or proximal to the ankle joint. A systematic search was conducted in CINAHL, Medline, AMED, Cochrane, Ageline, Scopus, Web of Science, Proquest, PsychINFO, PsycArticles and PubPsych databases followed by additional manual searching via reference lists in the reviewed articles databases. Included articles utilized quantitative measure of balance or postural control as one of the dependent variables, lower limb prosthesis users as a sample group, were published in a peer-reviewed journal in English. Relevant assessment questions were created by the investigators to rate the assessment methods used in the individual studies. Descriptive and summary statistics are utilized to synthesize the results. The search yielded (n=187) articles assessing balance or postural control (n=5487 persons in total) and (n=66) articles assessing fear of falling or balance confidence (n=7325 persons in total). A large number of studies did not present if the chosen methods were valid and reliable for the lower limb prosthesis users. Among study limitations, small sample size was common.

Place, publisher, year, edition, pages
Wolters Kluwer, 2023. Vol. 47, no 6, p. 586-598
Keywords [en]
Balance, postural control, fear of falling, falling, prosthesis users
National Category
Orthopaedics
Identifiers
URN: urn:nbn:se:hj:diva-60248DOI: 10.1097/PXR.0000000000000250ISI: 001131226300003PubMedID: 37318276Scopus ID: 2-s2.0-85179834440Local ID: ;intsam;1753168OAI: oai:DiVA.org:hj-60248DiVA, id: diva2:1753168
Available from: 2023-04-26 Created: 2023-04-26 Last updated: 2024-01-29Bibliographically approved

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