The use of prosthetics may require more cognitive demand of transfemoral (above-knee) amputees than transtibial (below-knee) amputees, University of Maryland kinesiology researchers Dr. Rodolphe Gentili, Ms. Emma Shaw and Dr. Bradley Hatfield found in a recently published study.
The researchers partnered with the Walter Reed National Military Medical Center to measure electrical activity in the brain, using electroencephalography (EEG), while participants with prosthetics performed tasks of varying cognitive difficulty, while either walking or sitting.
The study found no significant difference in walking speeds or accuracy in completing the cognitive tasks. But, researchers found evidence to suggest that there is an additional impact on neurocognitive processes to use a transfemoral prosthesis, as opposed to a transtibial prosthesis while walking and performing cognitive tasks.
Because lower-limb amputees experience difficulties and fears in navigating terrain and ensuring their safety when walking, the findings emphasize the need for future efforts to focus on the design of prosthetics, training practices and help with acclimation.
Further studies are needed to confirm these findings to larger populations and different situations, the researchers said.
The study, “A Comparison of Mental Workload in Individuals with Transtibial and Transfemoral Lower Limb Loss During Dual-Task Walking Under Varying Demand,” was published in the Journal of the International Neuropsychological Society.
Dr. Gentili’s research focuses on cognitive-motor control and learning. He directs the Neuromotor Control and Learning Laboratory at the School of Public Health.Tags: Friday Letter Submission, Publish on January 31