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Amputee - Why do I walk with a limp with my new prosthesis?

Updated: Oct 9

During gait retraining, amputees can develop several gait deviations or variations. Each gait deviation has its list of contributing factors that need to be navigated. In the video below, we explore the causes of a unilateral or one-sided step length reduction and why some amputees walk with a limp.



Hip Flexors


Amputees are at risk of developing hip flexor muscle contractors. A hip flexor contracture limits the hips degree of extension during the stance phase. Although, the amputated side is at more risk than the non-amputated side, hip flexor contractors are more commonly seen bilaterally and therefore would impact the step length of both sides.


Prosthesis Propulsion


Some people believe that a step length deformity is a result of the lack of propulsion generated from the prosthesis itself. This is a legitimate contributing factor to step length deficits but for the more noticeable step length deformities I tend to disagree that this is the main cause. The technology of prosthesis has come so far, and they are quite good at generating propulsion. This is even in the case of the most basic prosthesis.


The two components that I believe are more common when it comes to the cause of unilateral step length deformities are as follow:


Stump Pain


Stump pain will cause hesitation to weight bear during the stance phase of walking. This reduced standing time subsequently shortens the step length of the unaffected leg.


Stability


Stability, like pain, causes hesitation to bear weight during the stance phase of walking. This reduced standing time subsequently shortens the step length of the unaffected leg. You are trying to get your other leg onto the ground as quickly as possible because you are not confident in your balance, which can cause you to walk with a limp.


If you're looking for a NDIS Physio near me / you don't hesitate to contact us on (08) 8267 6432 or physio@bodyfit.life for further information or guidance. We also provide NDIS Physiotherapy home visits with no travel charge.


Written By:


Tim Delvins

NDIS Physio Services - Amputee Physiotherapist



 
 
 

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