Outcomes of Progressive Rehabilitation in Bilateral Transfemoral Amputees: Assessing the Impact of Prosthetic Stages on Mobility and Quality of Life
Date of Award
Spring 5-6-2026
Document Type
Thesis
Degree Name
Master of Science in Orthotics and Prosthetics
Department
Kinesiology
First Advisor
Amy Funke
Abstract
This study investigated the impact of different prosthetic knee and height configurations on mobility, stability, and rehabilitation outcomes in bilateral transfemoral amputees over a 12-month period. The research examined how various prosthetic designs—including stubby prostheses, short prostheses with polycentric knees, and full-height prostheses with microprocessor-controlled knees—affected functional mobility, balance, endurance, and quality of life. A combination of validated functional assessments, such as the Amputee Mobility Predictor (AMP) at baseline, Timed Up and Go (TUG) test, and 6-Minute Walk Test (6MWT), as well as advanced gait analysis using motion capture systems and force plates, were used to assess outcomes. Data collection occurred at baseline, 3, 6, and 12 months, with participants (n=20) transitioning through each prosthetic configuration in a standardized, sequential rehabilitation progression. The study aimed to evaluate outcomes across this staged progression to maximize mobility and quality of life while addressing challenges such as comfort, psychological adaptation, and training needs. Findings from this study were intended to guide clinical decisions in prosthetic rehabilitation, potentially improving functional independence and reducing fall risk in bilateral transfemoral amputees. Further research is needed to explore long-term effects and the real-world application of these interventions.