Date of Award

Summer 7-4-2023

Document Type

Non Thesis

Degree Name

Master of Science in Orthotics and Prosthetics



First Advisor

Lana Huberty

Second Advisor

Darren Wiens


The aim of this paper was to evaluate the functional outcomes of the Graduated Length Prosthetic Protocol (GLPP) in individuals with bilateral transfemoral amputations. The GLPP is a rehabilitation program designed to facilitate a successful transition to full-length prostheses, enhance independence, and improve functional outcomes for bilateral transfemoral amputees. This study utilized a prospective design to assess the effectiveness of the GLPP compared to traditional rehabilitation strategies.

Literature was reviewed to determine the current limitations in research regarding bilateral transfemoral amputee prosthetic rehabilitation. The Concordia University St. Paul online library was utilized to obtain access to current published research. Studies included in the literature review were peer-reviewed and included case studies, survey-based studies, and gait comparisons between full-length and shortened bilateral transfemoral prosthesis users. Review of the available literature suggests that the use of shortened prostheses is an integral step in prosthetic rehabilitation for bilateral transfemoral amputees, however, further research needs to be conducted on the functional outcomes between those that do no begin their rehabilitation with shortened prostheses and how individuals functionally progress through a rehabilitation program such as the GLPP.

The results of this study will contribute to the understanding of the functional outcomes of the GLPP. By comparing the GLPP group to the control group, the study aimed to determine whether the GLPP leads to improved functional outcomes in terms of mobility, balance, and ADLs. The findings will provide valuable insights for rehabilitation professionals and contribute to the development of evidence-based rehabilitation guidelines for individuals with bilateral transfemoral amputations.