Question

a)         Trilateral Amputation (Bilateral Transradial Upper Limb Amputation, Unilateral Left Transtibial Lower Limb Amputation)

            i) Walking with prosthetic leg but without both prosthetic hands.

            ii) Walking with prosthetic leg but with only 1 prosthetic hand (on left side).

            iii) Walking with prosthetic leg with both prosthetic hands.

Describe the biomechanics gait walking for the chosen case in term of the positional, anterior, posterior, lateral of the joint, the influence of the sound side, the influence of the prosthetics side.   

Answer 1

Answer a:) option iii

In the given case, bilateral amputation of upper limbs with unilateral lower limb amputation happens. Therefore, the patient was devoid of both hands and one leg. In this case, prosthetic alternatives would be provided. For that, both prosthetic hands with a prosthetic leg are applicable. Therefore, option iii is the right answer.

The biomechanics gait walking of this case should be as below:

The subject would firstly be instructed to ambulate at owned freely selected walking speed, afterward, the patient allowed to walk at the fastest comfortable speed and finally at the subject’s slowest comfortable speed.