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    The experience of providing low activity transfemoral prosthetic users with Microprocessor Knees (MPK): Who benefits?


    10/8/19 | 9:15 AM – 10:30 AM time


    Fiona Davie-Smith, NHS GG&C (Glasgow, United Kingdom)

    Bruce Carse, NHS GG&C (Glasgow, United Kingdom)

    Session format
    Advanced Instructional Course
    Room 501, Conference Center
    Prosthetics: Lower Limb
    Target audience
    Congress registrants only
    Session Chair

    Fiona Davie-Smith



    Transfemoral prosthetic users are faced with many challenges; increased metabolic effort to walk, reduced walking speed and increased risk of falling. Many of the less active prosthetic users’ ambulatory status is so poor that average activity levels fall below the sedentary level. Lack of exercise and the risk of falls often affect their ability to continue with prosthetic use which impacts upon their quality of life.

    Funded by compensation claims, MPKs have been prescribed in the UK private sector for many years and NHS Scotland has been providing MPKs to K2-K4 activity users since 2014. As a large number of the lower activity users are generally older they present with their own unique set of complications such as reduced cognition, contralateral limb issues and co-morbidities. In addition, their goals are often more task specific to overcoming low level environmental barriers i.e. stairs in and out of the home and working in their garden or kitchen without a walking aid.

    This course will give an overview of this cohort and outline who have and have not benefited from MPK prescription and why. We will evidence this with demographic descriptors, objective functional and gait lab outcome measures and qualitative user feedback. Through the use of case studies, we will also highlight the physiotherapy implications for the rehabilitation of these users and prescription considerations. This course is intended for prosthetists, physiotherapists and rehabilitation consultants who wish to gain an insight into the experience of provision of MPKs in the lower activity level patient.

    Statement of the objective / learning objectives

    This will assist the audience to accurately identify which lower activity users are most likely to benefit from MPK provision, whilst developing an understanding of the unique challenges faced by this specific cohort of users.

    This session focuses on the topic Prosthetics: Lower Limb Transfemoral.

    Simultaneous Interpretation


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