Rehabilitation, Guidelines, and Exercise Prescription for Lower Limb Amputees

Wilhoite, Sydni; Williams, Shonterious; Cook, Jordan; Ryan, Greg

doi:10.1519/ssc.0000000000000523

Cited by 6 publications

(12 citation statements)

References 27 publications

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“…Intensity of activity in first (I1: 61.59 + 10.73 HRmax%) and second (I2: 64.36 + 9.73 HRmax%) intervals of 6MWT was of low to moderate range (50-65 HR max %) in iLLAs. 10,33 The intensity of the last 4 intervals of 6MWT was in the range of moderate to high (65-85 HR max %) among our participants (Table 2). 10,33 This finding confirmed our first hypothesis about the gradual HR increase over the 6MWT.…”

Section: Discussionmentioning

confidence: 74%

“…14 Immobility, different aspects of fatigue during walking, and other activities of daily living due to amputation decreased the quality of life among iLLAs. 1,4,29,33 Fatigue has been defined as a decrease in capacity for physical and/or mental activity due to an imbalance in the availability, utilization, and/or restoration of resources. 1 It includes physical, psychological and pain-related aspects caused by acute and/or chronic weakness, illness, treatment or repetitive tasks.…”

Section: Introductionmentioning

confidence: 99%

“…14 Immobility, different aspects of fatigue during walking, and other activities of daily living due to amputation decreased the quality of life among iLLAs. 1,4,29,33…”

Section: Introductionmentioning

confidence: 99%

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Six-Minute Walk Test in Individuals With Unilateral Lower Limb Amputations

Younesian

Ouellet

Legrand

et al. 2021

Foot & Ankle Orthopaedics

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Background: The 6-minute walk test (6MWT) is one of the common clinical tests to assess rehabilitation progress and needs in individuals with lower-limb amputation (iLLAs). However, the analysis of this test is mostly limited to the distance parameter. The first aim was to investigate effort intensity and spatiotemporal parameters of 6MWT in iLLAs using inertial measurement units (IMUs) and heart rate (HR) monitor, and second, to assess physical, physiological, and pain-related aspects of fatigue over 6MWT. Methods: Eleven unilateral iLLAs (57.91±15.63 years old) participated in this study. To evaluate HR and spatiotemporal parameters over 6MWT, data were classified using 6 intervals of 1 minute each (I1-I6). The pain level of participants was estimated using the visual analog scale (VAS). Results: Our results showed that the means of normalized HR gradually increased over 6MWT (I1: 61.59±10.73 HRmax%, I6: 70.15±12.26 HRmax%, P = .003). Variability of HR during the first interval of 6MWT was higher than the others ( P < .05). The stance ratio of the gait cycle increased over 6MWT ( P < .05). Cadence and speed decreased over 6MWT ( P < .05). VAS score after 6MWT was significantly higher than before 6MWT ( P = .016). Conclusion: In this preliminary study, effort intensity over 6MWT gradually increased because of enhancement of HR. Deterioration of speed and cadence and enhancement of stance ratio over 6MWT imply potential physical aspects of fatigue and instability. Level of Evidence: Level III, retrospective comparative study.

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Section: Discussionmentioning

confidence: 74%

Section: Introductionmentioning

confidence: 99%

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Six-Minute Walk Test in Individuals With Unilateral Lower Limb Amputations

Younesian

Ouellet

Legrand

et al. 2021

Foot & Ankle Orthopaedics

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“…Strength imbalances caused by amputation can be relieved through several training programs that help to mitigate the complications caused by amputation in these individuals [ 3 , 4 ]. Resistance training is an exercise mode in which the body’s muscles move against an opposing force.…”

Section: Introductionmentioning

confidence: 99%

“…Physical exercise can be beneficial for people with disabilities, and lack of exercise and disuse of the prosthesis are considered reasons for the strength deficit in amputees [ 3 ]. There are several benefits of resistance training for lower limb amputees, such as improved walking, combatting muscle atrophy, bilateral strength deficit reduction, increased strength for stabilization, improved gait, and improved hip strength [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Resistance Training in Individuals with Lower Limb Amputation: A Systematic Review

Rosario

Costa

Silveira

et al. 2023

JFMK

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Individuals with lower-limb amputations may have a significant strength deficit. This deficit may be related to the stump length and can lead to changes in gait, reduced energy efficiency, walking resistance, altered joint load, and increased risk of osteoarthritis and chronic low back pain. This systematic review used the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA) guidelines to examine the effects of resistance training in lower limb amputees. Interventions with resistance training and other training methods were sufficient to achieve muscle strength gain in muscles of the lower limbs, improved balance, and improvements in gait pattern and speed when walking. However, it was impossible to determine from the results whether resistance training was mainly responsible for these benefits or even whether the positive effects presented would be observed with only this training method. When combined with other exercises, interventions with resistance training made possible gains for this population. Accordingly, it is noteworthy that the main finding of this systematic review is that the effects may be different according to the level of amputation, with mainly transtibial and transfemoral amputations studied.

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