Thursday, August 2, 2012

Debunking the "Prosthetic Advantage"

With Oscar Pistorius set to run in the Olympics on Saturday, the controversy of the "unfair advantage" has hit a boiling point. It seems that forums and blogs are popping up everywhere supporting the prosthetic advantage theory. We firmly believe that these commentators are simply misinformed about the facts. We want to take this opportunity to set the record straight.

The controversy first came to light several years ago when Oscar made his first bid at the Olympics. An Olympic scientific committee was convened to examine the issue with the findings initially seeming to confirm the "prosthetic advantage." According to researchers, Pistorius' cheetah legs provided him with an astounding 90% energy return, considerably higher than the purported 60% by the intact human foot. Immediately the controversy of whether or not carbon fiber prostheses sparked an unfair advantage hit a furious speed.

Upon further examination, it was discovered that researchers involved with the initial study failed to cite the energy return of the human foot with an intact calf muscle (which, in the case of Pistorius is obviously missing). The human foot, with an intact calf muscle, has an energy return of 254%. All seem to agree that a prosthesis cannot provide more than 90% return due to energy lost due to components. It was determined that the carbon fiber prostheses render Pistorius with a 164% energy return deficit over his bi-legged competitors. Although very good prosthetics, the technology does not replace the muscle lost.

With the energy return theory debunked, many are citing differences in oxygen expenditures as an unfair advantage.  Naysayers rationalization that an amputee does not have to work as hard to walk and move because the prosthesis does the work. Obviously these individuals have never tried to walk on a prosthesis!

It has long been accepted by authorities in the field that amputees have to work harder to ambulate and to run. The body must compensate for the lack of muscle and bone, putting more strain on the remaining structures. According to research from the Amputee Research Centre, a bilateral below knee amputee (such as Oscar) expends a whopping 200% increase in oxygen consumption to simply walk. Oscar uses more energy when walking and running because of his prostheses, not less.

The fact remains that on Saturday morning, Oscar will take to the track and run because he has earned his position, not because he has somehow cheated. Insinuating an "amputee advantage" is insulting to every individual living with a limb loss. He has achieved Olympian status because of his will and his hard work, not because of the carbon fiber and components in his prosthesis.

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