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A Method for Quantifying Upper Limb Performance in Daily Life Using Accelerometers
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Physical Activity in Adults With an Amputation as Assessed With a Self-Reported Exercise Vital Sign.

Mark Sederberg1, Aliasghar Tarkhan2, Lisa S Ray3

  • 1Department of Rehabilitation Medicine, University of Washington, Seattle, WA.

PM & R : the Journal of Injury, Function, and Rehabilitation
|January 29, 2020
PubMed
Summary

Fewer than one-third of individuals with limb amputation meet physical activity guidelines. Those with prostheses, males, and younger individuals reported higher activity levels, highlighting the need for targeted interventions.

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Area of Science:

  • Rehabilitation Medicine
  • Exercise Physiology
  • Public Health

Background:

  • Physical activity (PA) is crucial for managing chronic conditions, yet individuals with limb amputation face unique barriers to maintaining an active lifestyle.
  • Limited research exists on the physical activity levels of civilian populations with amputation in the United States.
  • Understanding PA in this demographic is vital for developing effective health interventions and improving quality of life.

Purpose of the Study:

  • To assess self-reported physical activity (PA) in outpatient individuals with limb amputation using the Exercise Vital Sign (EVS).
  • To examine correlations between PA levels and demographic factors, amputation characteristics, and overall disease burden.
  • To identify barriers and facilitators to physical activity in the amputee population.

Main Methods:

  • A cross-sectional observational study was conducted in an outpatient rehabilitation clinic.
  • Two hundred twenty-nine patients with limb amputation were enrolled.
  • Data collected included self-reported PA (EVS), modified Charlson Comorbidity Index (CCI), prosthetic use, amputation level, time since amputation, BMI, gender, race, and age.

Main Results:

  • Only 28.8% of participants met the recommended 150 minutes/week of moderate to vigorous PA.
  • Individuals with a prosthesis reported higher weekly exercise (0.91 h/wk more) compared to those without.
  • Female participants, increasing age, higher CCI, and higher BMI were significantly associated with lower PA levels.

Conclusions:

  • A significant portion of individuals with limb amputation do not meet recommended aerobic exercise guidelines.
  • Factors such as male gender, prosthesis use, lower comorbidity burden, lower BMI, and younger age are linked to higher PA.
  • The Exercise Vital Sign (EVS) can identify inactive patients with amputation who may benefit from tailored PA counseling and prescriptions.