Gait and balance of transfemoral amputees using passive mechanical and microprocessor-controlled prosthetic knees.

BACKGROUND: Microprocessor-controlled knee joints appeared on the market a decade ago. These joints are more sophisticated and more expensive than mechanical ones. The literature is contradictory regarding changes in gait and balance when using these sophisticated devices. METHODS: This study employed a crossover design to assess the comparative performance of a passive mechanical knee prosthesis compared to a microprocessor-controlled knee joint in 15 subjects with an above-knee amputation. Objective measurements of gait and balance were obtained. RESULTS: Subjects demonstrated significantly improved gait characteristics after receiving the microprocessor-controlled prosthetic knee joint (p<0.01). Improvements in gait were a transition from a hyperextended knee to a flexed knee during loading response which resulted in a change from an internal knee flexor moment to a knee extensor moment. The participants' balance also improved (p<0.01). All conditions of the Sensory Organization Test (SOT) demonstrated improvements in equilibrium score. The composite score also increased. CONCLUSIONS: Transfemoral amputees using a microprocessor-controlled knee have significant improvements in gait and balance.

Phylogenetic relationships in Nuphar (Nymphaeaceae): evidence from morphology, chloroplast DNA, and nuclear ribosomal DNA.

The genus Nuphar consists of yellow-flowered waterlilies and is widely distributed in north-temperate bodies of water. Despite regular taxonomic evaluation of these plants, no explicit phylogenetic hypotheses have been proposed for the genus. We investigated phylogenetic relationships in Nuphar using morphology and sequences of the chloroplast gene matK and of the internal transcribed spacer (ITS) regions of nuclear ribosomal DNA. Two major lineages within Nuphar are consistently resolved with the morphological and molecular data sets. One lineage comprises New World taxa and the other represents a primarily Old World lineage. Relationships within the major lineages were poorly resolved by morphology and ITS, yet certain relationships were elucidated by all analyses. Most notable is the strong support for a monophyletic lineage of dwarf taxa and the alliance of the North American N. microphylla with the Eurasian taxa. Minor discordance between the independent cladograms is accounted for by hybridization. The common taxonomic practice of uniting all North American and Eurasian taxa under one species is not supported phylogenetically.

Evidence for the hybrid origin of Nuphar xrubrodisca (Nymphaeaceae).

Plants intermediate in appearance between Nuphar microphyllaand N. variegata (Nymphaeaceae) have long been assumed to bethe result of hybridization. The evidence for this is based primarilyon field observations of morphology, poor fruit production, closegeographical proximity of presumed parent species, and limited pollensterility data. Fertile populations of the same plants have also beendocumented. We employed multivariate analyses of morphology, pollenfertility studies, and random amplified polymorphic DNA (RAPD) markersto test the hypothesis that Nuphar × rubrodiscarepresents a natural interspecific hybrid between N.microphylla and N. variegata. Examination of 15morphological characters demonstrated the intermediacy of N.× rubrodisca between N. microphylla and N.variegata, and the pollen data revealed a markedly lower meanpollen viability in N. × rubrodisca (23%)compared to the other two species (91 and 86%, respectively). Eight 10-mer primers produced 13 species-specific RAPD markers forN. microphylla and nine for N. variegata, with all 22markers present in N. × rubrodisca. The datafrom RAPDs are concordant with morphology in implicating N.microphylla and N. variegata as parents of N.×rubrodisca.