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. 2004 Jan 26;2004(1):CD003978. doi: 10.1002/14651858.CD003978.pub2

Postema 1994.

Methods Quasi randomised controlled trial. 
 Double‐blind randomised trial, within‐subject, cross‐over design.
Participants 9 men and 1 woman with transtibial amputation. Mean age 49 years (range 34‐66), mean time since amputation 24 years (range 2‐46). All were active walkers able to walk at least 1 kilometre without any problem. 
 Exclusion: stump problems. 
 Country: The Netherlands
Interventions 1. Otto Bock Multi Axial (conventional foot) 
 2. Otto Bock Lager (conventional foot) 
 3. Otto Bock Dynamic Pro (energy‐storing foot) 
 4. Hanger Quantum (energy‐storing foot).
Outcomes 1. walking velocity 
 2. cadence 
 3. range of motion of the hips, the knees and the ankles during early stance plantar flexion and late stance dorsiflexion 
 4. a questionnaire was composed to obtain information about the preference of the participants. It consisted of 27 questions that were grouped into 4 categories: stability while standing, stability while walking, functional factors and special activities. The questions were answered in the form of a score in an increasing scale from 0 to 10, the mean score of all questions was the general score for a foot.
Notes Every time a foot was supplied, there was a habituation period of 2 weeks.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate