Physical Activity Among People With Lower Limb Amputation in Brazil

Luza, Lisiane Piazza; Silva, Diego Rodrigues Pimentel da; Ferreira, Elizandra Gonçalves; Pires, Greicy Kelly Wosniak; Filho, Paulo José Barbosa Gutierres; Silva, Rudney da

doi:10.1123/jpah.2020-0841

Cited by 2 publications

(1 citation statement)

References 36 publications

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“…The motor and functional rehabilitation of patients with lower limb amputation is mainly achieved through various physical therapy exercises [ 27 , 28 , 29 , 30 ]. Over the past decade, kinetic rehabilitation programs have been considerably diversified as a result of developing modern motor and functional recovery devices and equipment and adapting information technologies to the needs of patients with lower limb amputation [ 31 , 32 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of Kinesiotherapy and Hydrokinetic Therapy on the Rehabilitation of Balance, Gait and Functional Capacity in Patients with Lower Limb Amputation: A Pilot Study

Cotrobaș-Dascălu

Bădău

Stoica

et al. 2022

JCM

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The purpose of this pilot study was to identify impact differences in the rehabilitation of balance, gait and functional capacity in patients with lower limb amputation performing hydrokinetic therapy and kinesiotherapy programs during the pre-prosthetic and prosthetic phases. The study included 16 male patients aged 40–60 years with amputated lower limbs for 6 to 12 months, which involved transfemoral amputation (TFA), transtibial amputation (TTA), traumatic and vascular amputation, who were divided into the following two groups: the hydrokinetic therapy (HKT) group and the kinesiotherapy (KT) group, named after the content of the rehabilitation programs that were implemented for 2 weeks in the pre-prosthetic and prosthetic periods. The initial and final evaluation of the participants included the following tests: the Berg Scale and the four square test for the evaluation of the balance; the PodoSmart device for gait assessment; through the walking test over 6 min, we evaluated the functional capacity. The results were processed in SPSS 24. Analysis of the results on balance rehabilitation through the Berg Scale highlighted that the progress related to the mean of the total score was 7.62 points, p = 0.00 for the HKT group and 7.50 points, p = 0.00 for the KT group, while in the four square step test, the mean of progress was 6.125 s, p = 0.00 for the HKT group and 6 s, p = 0.000 for the KT group. The PodoSmart gait analysis revealed that the HKT group showed a progress mean of 4.875%, p = 0.00, for the foot symmetry parameter, which was 1.875% less than the score achieved by the KT group whose symmetry progress mean was 6.75%, p = 0.00, while the average progress mean for the cadence parameter was 2.75 steps/min higher for the KT group than the HKT group. The comparative analysis of the impact of these two programs on the patients’ functional capacity indicated that the score recorded by the KT group was a progress mean of 15.12 m, p = 0.00 better than the HKT group for the travelled distance parameter; the implementation of the hydrokinetic therapy program led to better exercise adaptation for the HKT group compared to the KT group at an average HR (HRavg) with 0.50 BPM, p = 0.00. After analyzing the results, it has been found that hydrokinetic therapy programs have a greater impact on balance rehabilitation and exercise adaptation, while kinesiotherapy programs have a greater impact on gait rehabilitation and functional capacity optimization for the travelled distance parameter.

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Section: Introductionmentioning

confidence: 99%

Impact of Kinesiotherapy and Hydrokinetic Therapy on the Rehabilitation of Balance, Gait and Functional Capacity in Patients with Lower Limb Amputation: A Pilot Study

Cotrobaș-Dascălu

Bădău

Stoica

et al. 2022

JCM

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A Comparison of Objectively Measured Free-Living Physical Behaviour in Adults with and without Lower Limb Amputation

Deans

Kirk

McGarry

et al. 2023

IJERPH

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Objectively monitored free-living physical behaviours of adults with and without lower limb amputation (LLA) were compared. Methods: 57 adults with LLA wore an activPAL3™ for 8 days. A comparison data set (n = 57) matched on gender, age and employment status was used. Variables included: time sitting; standing; stepping; sit-to-stand transitions; step count and cadence. Comparisons were made between adults with and without LLA and between gender, level and cause of amputation. Results: Participants with LLA due to trauma versus circulatory causes were less sedentary and more active; however, no difference in physical behaviour was recorded across gender or level of amputation. Participants with LLA spent more time sitting (p < 0.001), less time standing and stepping (p < 0.001) and had a lower step count (p < 0.001). Participants with LLA took more steps in cadence bands less than 100 steps·min−1 and fewer steps in cadence bands greater than 100 steps·min−1 compared to participants without LLA. Conclusions: People with LLA were less active and more sedentary than people without LLA and participated in less activity at a moderate or higher intensity when matched on age, gender and employment. Interventions are needed to promote active lifestyles in this population.

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Physical Activity Among People With Lower Limb Amputation in Brazil

Cited by 2 publications

References 36 publications

Impact of Kinesiotherapy and Hydrokinetic Therapy on the Rehabilitation of Balance, Gait and Functional Capacity in Patients with Lower Limb Amputation: A Pilot Study

Impact of Kinesiotherapy and Hydrokinetic Therapy on the Rehabilitation of Balance, Gait and Functional Capacity in Patients with Lower Limb Amputation: A Pilot Study

A Comparison of Objectively Measured Free-Living Physical Behaviour in Adults with and without Lower Limb Amputation

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