Climbing stairs places a greater load on lower limb joints compared to walking on level ground. Variations in anatomical structures and muscle characteristics between genders suggest potential differences in the distribution of required mechanical work among the three lower limb joints. This study aimed to identify gender disparities in the allocation of mechanical work to lower limb joints during stair climbing. A total of thirty-six adults (equally divided between men and women) participated in the study. Participants ascended stairs equipped with force plates at their comfortable speeds, while motion was captured using nine cameras. Inverse dynamics analysis was employed to calculate the mechanical work performed by each joint during four phases of stance: weight acceptance, pull-up, forward continuation, and push-up. Male participants exhibited significantly higher mechanical work than females at the hip and ankle joints (p < 0.05) from the 1st- 3rd phases and the 2nd phase, respectively. Conversely, female subjects displayed greater knee joint work during the 2nd- 3rd phases (p < 0.05). Notably, a pronounced gender difference was observed during the 2nd pull-up phase, where body mass is lifted by a single leg. These findings suggest that men and women employ distinct strategies in distributing mechanical work across lower limb joints.

There are no known studies on the changes in walking ability in patients with transfemoral amputations returning to daily activities after prosthetic gait training. The ability to walk after discharge may vary depending on an individual’s physical, psychological, and social factors. This study compared spatiotemporal variables and lower limb coordination ability at the end of training and one year after the end of training in seven unilateral transfemoral amputees and analyzed the factors affecting walking ability. The study results confirmed that there was no significant difference in spatiotemporal parameters such as walking speed and lower limb coordination ability after one year of training, and walking ability was well maintained after training. Five out of seven (71.4%) participants in this study returned to work, and there was a strong correlation between employment and gait improvement (r = 0.806, p < .05). In conclusion, activities such as social participation, employment, and exercise were very important factors in maintaining and improving an individual’s walking ability. The findings are intended to be used as basic data to provide guidelines for maintaining the health of lower limb amputees.

Gait analysis is the best objective measurement tool for monitoring rehabilitation. However, it has limitations to evaluate gait recovery. Previous studies have evaluated the effect of gait training using continuous relative phase. The objective of this study was to determine the effect of gait recovery by rehabilitation gait training on lower limb coordination. We analyzed spatio-temporal parameters and CRP values of hip and knee joints based on gait analysis data obtained by 3D motion analysis system at 15 days intervals in 24 uni-lateral transfemoral amputees participated in IRP. Our results revealed that walking velocity of uni-lateral transfemoral amputees who participated in the program during a mean of 107.1 days was 49.2% faster than that at initial stage. The walking velocity showed a 46% increase at the end of 30 days after training. In gait coordination, values of CRP-RMS and CRP-SD were increased and maintained in-phase pattern. CRP showed symmetry in both limbs at the end of 90 days after training. Therefore, CRP is a significant factor in the gait recovery process. Effects of various rehabilitation training methods can be determined through CRP analysis.