Movement and balance control in lower limb amputees

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This study describes the adjustments strategies that were developed by lower limb amputees while performing complex balance and gait tasks. Due to the loss of somatosensory input and the absence of musculature and one or more joints, a prosthetic limb does not possess the same functional properties as a non-affected limb. The limitations in function in a prosthetic limb cause difficulties in the control of balance and movements. An amputee uses adjustment strategies to compensate for the functional limitations of the prosthetic limb. Adaptions of balance control and movement patterns after an amputation is a learning process. The central nervous system contains motor programs for the execution of motor tasks. After a lower limb amputation the prosthetic device has to be integrated in the motor cortex by changing the existing motor strategies and by developing new motor strategies.

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