Balance confidence and activity of community-dwelling patients with transtibial amputation

Mandel, Alena; Paul, Kailan; Paner, Ruby; Devlin, Michael; Dilkas, Steven; Pauley, Tim

doi:10.1682/jrrd.2015.03.0044

Cited by 27 publications

(38 citation statements)

References 38 publications

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“… Physical activity correlated with comfortable walking speed, 6MWT, and step width variability, and was inversely correlated with step length variability of the prosthetic leg and of the sound leg. Mandel (2016) [ 53 ] Balance confidence and activity of community-dwelling patients with transtibial amputation 22 participants (All BK) StepWatch (P. Ankle) Activity level – steps (7 days) Examine the relationship between community-based physical activity and balance confidence in people with BK amputation who have low fall-risk. There was a positive correlation between self-perceived balance confidence and community-based physical activity.…”

Section: Resultsmentioning

confidence: 99%

Technology for monitoring everyday prosthesis use: a systematic review

Chadwell

Diment

Micó-Amigo

et al. 2020

J NeuroEngineering Rehabil

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Background: Understanding how prostheses are used in everyday life is central to the design, provision and evaluation of prosthetic devices and associated services. This paper reviews the scientific literature on methodologies and technologies that have been used to assess the daily use of both upper-and lower-limb prostheses. It discusses the types of studies that have been undertaken, the technologies used to monitor physical activity, the benefits of monitoring daily living and the barriers to long-term monitoring, with particular focus on low-resource settings. Methods: A systematic literature search was conducted in PubMed, Web of Science, Scopus, CINAHL and EMBASE of studies that monitored the activity of prosthesis users during daily-living. Results: Sixty lower-limb studies and 9 upper-limb studies were identified for inclusion in the review. The first studies in the lower-limb field date from the 1990s and the number has increased steadily since the early 2000s. In contrast, the studies in the upper-limb field have only begun to emerge over the past few years. The early lowerlimb studies focused on the development or validation of actimeters, algorithms and/or scores for activity classification. However, most of the recent lower-limb studies used activity monitoring to compare prosthetic components. The lower-limb studies mainly used step-counts as their only measure of activity, focusing on the amount of activity, not the type and quality of movements. In comparison, the small number of upper-limb studies were fairly evenly spread between development of algorithms, comparison of everyday activity to clinical scores, and comparison of different prosthesis user populations. Most upper-limb papers reported the degree of symmetry in activity levels between the arm with the prosthesis and the intact arm. Conclusions: Activity monitoring technology used in conjunction with clinical scores and user feedback, offers significant insights into how prostheses are used and whether they meet the user's requirements. However, the cost, limited battery-life and lack of availability in many countries mean that using sensors to understand the daily use of prostheses and the types of activity being performed has not yet become a feasible standard clinical practice. This review provides recommendations for the research and clinical communities to advance this area for the benefit of prosthesis users.

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Section: Resultsmentioning

confidence: 99%

Technology for monitoring everyday prosthesis use: a systematic review

Chadwell

Diment

Micó-Amigo

et al. 2020

J NeuroEngineering Rehabil

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“…Moreover, balance confidence at discharge from rehabilitation following a first amputation is a predictor of social participation three months after discharge (4), with low social participation significantly limiting quality of life (5,6). Low balance confidence is also associated with lower levels of physical activity (7).…”

Section: Introductionmentioning

confidence: 99%

Combining physical therapy and cognitive behavioral therapy techniques to improve balance confidence and community participation in people with unilateral transtibial amputation who use lower limb prostheses: a study protocol for a randomized sham-control clinical trial

Bourque

Schneider

Calamari

et al. 2019

Preprint

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Background : Low balance confidence is a prevalent yet overlooked issue among people who use lower limb prostheses (LLP) that can diminish community integration and quality of life. There is a critical need to develop rehabilitation programs that specifically target balance confidence in people who use LLP. Previous research has shown that multicomponent interventions including cognitive-behavioral therapy (CBT) techniques and exercise are feasible and effective for improving balance confidence in older adults. Therefore, a cognitive behavioral-physical therapy (CBPT) intervention was developed to target balance confidence and increase community integration in people who use LLP. Methods : This randomized control trial will recruit sixty people who use LLP with low balance confidence. Participants will be randomized to the CBPT intervention condition or control condition. Discussion : The trial is designed to test the effects of the CBPT intervention on balance confidence and functional mobility in lower limb prosthesis users by examining self-reported and objective measures of community integration and quality of life. The trial will also examine the relationship between changes in balance confidence and changes in community integration following participation in CBPT intervention. Additionally, through participant feedback, researchers will identify opportunities to improve intervention efficacy.

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“…5,6 Low balance confidence is also associated with lower levels of physical activity. 7 Among people who use LLP, low balance confidence may be, in part, independent from functional ability; balance confidence and performance-based measures of balance are only moderately correlated. 8 following discharge from rehabilitation, persons with a lower limb prosthesis continue to improve walking ability, while balance confidence does not continue to improve, 4 suggesting the two may be independent.…”

Section: Introductionmentioning

confidence: 99%

Combining physical therapy and cognitive behavioral therapy techniques to improve balance confidence and community participation in people with unilateral transtibial amputation who use lower limb prostheses: a study protocol for a randomized sham-control clinical trial

Bourque

Schneider

Calamari

et al. 2019

Preprint

View full text Add to dashboard Cite

Background : Low balance confidence is a prevalent yet overlooked issue among people who use lower limb prostheses (LLP) that can diminish community integration and quality of life. There is a critical need to develop rehabilitation programs that specifically target balance confidence in people who use LLP. Previous research has shown that multicomponent interventions including cognitive-behavioral therapy (CBT) techniques and exercise are feasible and effective for improving balance confidence in older adults. Therefore, a cognitive behavioral-physical therapy (CBPT) intervention was developed to target balance confidence and increase community integration in people who use LLP. Methods : This randomized control trial will recruit sixty people who use LLP with low balance confidence. Participants will be randomized to the CBPT intervention condition or control condition.Discussion : The trial is designed to test the effects of the CBPT intervention on balance confidence and functional mobility in lower limb prosthesis users by examining self-reported and objective measures of community integration and quality of life. The trial will also examine the relationship between changes in balance confidence and changes in community integration following participation in CBPT intervention. Additionally, through participant feedback, researchers will identify opportunities to improve intervention efficacy.

show abstract

Balance confidence and activity of community-dwelling patients with transtibial amputation

Cited by 27 publications

References 38 publications

Technology for monitoring everyday prosthesis use: a systematic review

Technology for monitoring everyday prosthesis use: a systematic review

Combining physical therapy and cognitive behavioral therapy techniques to improve balance confidence and community participation in people with unilateral transtibial amputation who use lower limb prostheses: a study protocol for a randomized sham-control clinical trial

Combining physical therapy and cognitive behavioral therapy techniques to improve balance confidence and community participation in people with unilateral transtibial amputation who use lower limb prostheses: a study protocol for a randomized sham-control clinical trial

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