The Effects of Dual Task Balance Training In Individuals With Above Knee Amputation

Study Overview
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Brief Summary
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The people with transfemoral amputation who use mechanical prosthesis will be include to this study. All participants will be assessed and then they will be randomly assigned to two groups. both groups will receive traditional balance trainnig. Study group will also receive dual task balance training. Training will take 4 weeks, 3 days a week. After the training program, both groups will be assessed again and the results will compare.

Detailed Description
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The people who have transfemoral amputation may have poor balance and gait. Many people with lower limb loss report the need to concentration on gait. People with lower limb loss may need to use cognitive resources to monitor and control movements of the prosthetic limb. The need to concentrate on walking may be greater for those with transfemoral amputation. For examine the use of cognitive resources, dual task paradigm may use. Dual task rehabilitative training used in many patients like stroke, Multipl sclerosis osteoporosis. But there is no study about dual task training on amputation. The purpose of this randomized controlled study is to investigate the effects of dual-task balance training on balance and gait of patients with transfemoral amputation as compared with single-task balance training. We hypothesized that dual-task balance training would improve the balance and gait, it would be more effective than single-task balance training.

Official Title
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Investigation of the Effects of Dual Task Balance Training In Indıvıduals With Above Knee Amputation

Conditions
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Amputation

Intervention / Treatment
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* Other: dual task balance training
* Other: traditional balance training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Peoples with transfemoral amputations people who use their mechanical prosthetics at least 1 year People who can walk withoud aids Exclusion Criteria: People who have the other health conditions

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: study group<br>muscle strengthening, weight transfer, dual task balance exercises, dual task gait exercises. | Other: dual task balance training<br>* balance exercises with cognitive and motor dual tasks<br>* Other names: Study group will also receive dual task balance training;|
| Active Comparator: control group<br>muscle strengthening, weight transfer, balance exercises, gait exercises. | Other: traditional balance training<br>* balance exercises<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| gait speed | 10 meter walk test | 1 minute | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| gait analysis | gait analysis with footprint method | 1 minute | 
| cognition | Montreal Cognitive Assessment | 5 minutes | 
| depression | Beck Depression invertory | 3 minutes | 
| balance | one leg stance test | 2 minutes | 
| balance | four square step test | 1 minute | 
| functional mobility | timed up and go test | 1 minute |