IntroductionTransfemoral amputation is a withdrawal of the limb with a cut-off level between the disarticulation of the knee and the hip joint 1 and lower limb amputations cause structural, mechanical and metabolic changes, these changes being forms of adaptation to new body condition. 2 Some metabolic alterations are more scientifically investigated due to their physiological impact, such as metabolic expenditure (use of energy to perform activities or exercise work), oxygen consumption and anaerobic and aerobic thresholds, considering that these variables undergo general and specific modifications, being related to the use of auxiliary mechanisms, prostheses and their compositions. It is known that transfemoral amputees present the need to adapt to their new life condition, and the auxiliary devices require physical effort and increase in ventilation to perform their daily activities, which causes an increase in consumption and oxygen uptake, anaerobic threshold, heart rate, in order to maintain the static and dynamic balance. 3,4 When performing physical exercise, the human body makes changes in different body systems, being these: cardiovascular, hormonal, sanguineous, respiratory and skeletal muscle.
5,6The anaerobic threshold or anaerobic threshold (LA) is the determinant of the balance between lactate production and removal, i.e., the maximum intensity of exercise. Currently, this threshold has been increasingly studied to determine physical perfomance and ventilatory performance, since it presents the peak moment of the glycolytic pathway that causes alterations in the production of lactic acid, considering that studies of VO2 max are showing more and more inconsistency for the quantification of aerobic capacity, being gold standard only for aerobic power. In view of the greater consistency of information obtained through the anaerobic threshold, this has been used not only in scientific articles, but also for measurement Of physical performance, in order to compare according to the age group; For the creation of protocols of physical training and treatment for determination of loads that do not promote risk stress to the cardiovascular system; And to diagnose diseases, in view of the demonstration of failures or absence of oxygen supply.
8,9The LA has a direct interaction with the cardiovascular and respiratory systems, since, when reaching the maximum level of lactate accumulation and intensity in the metabolic and In the musculature, the activity of the autonomic nervous system increases significantly amplifying the parasympathetic and mainly, the sympathetic discharges, in which increases the capitation of oxygen Abstract Introduction: Transfemoral amputation causes cardiopulmonary, muscular and biomechanical changes that affect the physiology of physical exercise. The anaerobic threshold is one of the main indicators of the cardiopulmonary test (CPET), since it is the determinant of the balance between production and lactate removal, that is, the maximum intensity of exercise, thus determining the p...