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Author Spotlight: Advancements and Challenges in Surgical Treatments for Postamputation Pain

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Behavior-Change Intervention Targeting Physical Function, Walking, and Disability After Dysvascular Amputation: A

Cory L Christiansen¹, Matthew J Miller¹, Amanda M Murray²

¹Department of Physical Medicine and Rehabilitation, Physical Therapy Program, University of Colorado, Aurora, Colorado; Department of Geriatrics, Geriatric Research Education and Clinical Center, VA Eastern Colorado Healthcare System, Denver, Colorado.

Archives of Physical Medicine and Rehabilitation

|May 11, 2018

Summary

A home-based behavior-change intervention showed promise for increasing walking activity in individuals with dysvascular transtibial amputation (TTA). Further research is needed to confirm efficacy within standard TTA rehabilitation programs.

Keywords:

Amputation Exercise Rehabilitation Walking

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Area of Science:

Rehabilitation Medicine
Behavioral Science
Amputee Care

Background:

Home-based interventions can support self-management and activity.
Individuals with dysvascular transtibial amputation (TTA) often face challenges with mobility and exercise.
Behavior change strategies are crucial for improving health outcomes in TTA patients.

Purpose of the Study:

To assess the preliminary efficacy of a home-based behavior-change intervention for TTA patients.
To promote increased exercise, walking activity, and disease self-management.
To evaluate the intervention's impact on physical function, walking activity, and disability.

Main Methods:

A single-blind, randomized controlled pilot trial involving 38 participants with TTA.
Intervention group received weekly 30-minute telephone sessions focused on health behavior change for 12 weeks.
Attention control group received sessions focused on health status monitoring; primary outcome was the Timed Up and Go (TUG) test.

Main Results:

The TUG test showed no significant changes between groups.
The intervention group experienced a significant increase in daily steps (1135 steps/day) compared to the control group (144 steps/day) at 12 weeks (P=.03).
The intervention group also reduced sedentary time more than the control group at 24 weeks (P=.04).

Conclusions:

The home-based behavior-change intervention shows potential for enhancing walking activity in individuals with TTA.
Further investigation is warranted to determine the intervention's effectiveness within conventional TTA rehabilitation.
This approach may offer a valuable addition to TTA care, improving patient mobility and self-management.