An Uneven Terrain Surface to Improve Locomotor Robustness in People With Amputation

Change in single limb stand time from baseline,Change in balance self-efficacy from baseline

To attain high levels of mobility, people with lower limb amputation must build both the
 skill and the confidence to rely on their prosthesis in the environments that they will
 encounter in daily life. The purpose of this research is to determine whether practicing
 walking on an uneven terrain surface, specifically designed to present a modest, manageable
 disturbance to walking, can improve balance, locomotor flexibility (i.e. the ability to adapt
 walking to different walking contexts) and balance confidence, to a greater extent than
 walking on level ground alone. This preliminary study aims to determine whether uneven
 terrain walking is feasible and acceptable in the target population, and also to establish
 preliminary efficacy.