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This article and any supplementary material should be cited as follows: Kannenberg A, Zacharias B, Pröbsting E. Benefits of microprocessor- controlled.

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Presentation on theme: "This article and any supplementary material should be cited as follows: Kannenberg A, Zacharias B, Pröbsting E. Benefits of microprocessor- controlled."— Presentation transcript:

1 This article and any supplementary material should be cited as follows: Kannenberg A, Zacharias B, Pröbsting E. Benefits of microprocessor- controlled prosthetic knees to limited community ambulators: Systematic review. J Rehabil Res Dev. 2014;50(10):1469–96. http://dx.doi.org/10.1682/JRRD.2014.05.0118 Slideshow Project DOI:10.1682/JRRD.2014.05.0118JSP Benefits of microprocessor-controlled prosthetic knees to limited community ambulators: Systematic review Andreas Kannenberg, MD, PhD; Britta Zacharias, Dipl-Ing (FH); Eva Pröbsting, Dipl-Ing (FH), CPO

2 This article and any supplementary material should be cited as follows: Kannenberg A, Zacharias B, Pröbsting E. Benefits of microprocessor- controlled prosthetic knees to limited community ambulators: Systematic review. J Rehabil Res Dev. 2014;50(10):1469–96. http://dx.doi.org/10.1682/JRRD.2014.05.0118 Slideshow Project DOI:10.1682/JRRD.2014.05.0118JSP Aim – Review literature to determine potential benefits of microprocessor-controlled knees (MPKs) for limited community ambulators (Medicare Functional Classification Level [MFCL]-2). Relevance – Benefits of MPKs are well established in community ambulators (MFCL-3) with transfemoral amputation (TFA).

3 This article and any supplementary material should be cited as follows: Kannenberg A, Zacharias B, Pröbsting E. Benefits of microprocessor- controlled prosthetic knees to limited community ambulators: Systematic review. J Rehabil Res Dev. 2014;50(10):1469–96. http://dx.doi.org/10.1682/JRRD.2014.05.0118 Slideshow Project DOI:10.1682/JRRD.2014.05.0118JSP Method Searched 10 scientific databases for clinical trials with MPKs. Identified six relevant publications with 57 subjects with TFA and MFCL-2 mobility grade. Rated methodological quality using criteria from Cochrane Review on prosthetic components. – 4 studies = moderate. – 2 studies = low.

4 This article and any supplementary material should be cited as follows: Kannenberg A, Zacharias B, Pröbsting E. Benefits of microprocessor- controlled prosthetic knees to limited community ambulators: Systematic review. J Rehabil Res Dev. 2014;50(10):1469–96. http://dx.doi.org/10.1682/JRRD.2014.05.0118 Slideshow Project DOI:10.1682/JRRD.2014.05.0118JSP Results MPK use may significantly: – Reduce uncontrolled falls up to 80%. – Improve indicators of fall risk. Performance-based outcome measures suggest that MFCL-2 ambulators using MPKs may walk: – 14%–25% faster on level ground. – 20% quicker on uneven surfaces. – 30% faster when descending a slope.

5 This article and any supplementary material should be cited as follows: Kannenberg A, Zacharias B, Pröbsting E. Benefits of microprocessor- controlled prosthetic knees to limited community ambulators: Systematic review. J Rehabil Res Dev. 2014;50(10):1469–96. http://dx.doi.org/10.1682/JRRD.2014.05.0118 Slideshow Project DOI:10.1682/JRRD.2014.05.0118JSP Conclusion Trial fittings may be used to determine whether or not individuals with TFA and MFCL-2 mobility grade benefit from MPK use. Criteria for patient selection and assessment of trial fitting success or failure are proposed.

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