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Exercise training program in children with lower-limb amputation.
Óscar García-García1, Sofía Mosteiro2, David Suárez-Iglesias3
1Universidade de Vigo, Faculty of Education and Sports Sciences, Laboratory of Sports Performance, Physical Condition and Wellness - Pontevedra, Spain.
Revista Da Associacao Medica Brasileira (1992)
|August 18, 2021
Summary
A 20-week exercise program for children with lower-limb amputation showed minimal improvements in walking and neuromuscular function. The study highlights the limited impact of once-weekly sessions on gait patterns in pediatric amputees.
Area of Science:
- Pediatric rehabilitation
- Amputee mobility
- Exercise physiology
Background:
- Limited detailed descriptions of physical exercise programs for children with limb loss exist.
- This study details an alternative rehabilitation exercise program for pediatric lower-limb amputees.
Observation:
- An 8-year-old boy (below-knee amputation) and a 9-year-old girl (bilateral amputation) participated.
- They underwent a 20-week program with one 2-hour session weekly, focusing on strength and coordination.
- Assessments included the L-test of functional mobility, 10-m walk test, and tensiomyography.
Findings:
- Case 1 showed a 9.5% improvement in walking ability and 10.5% in walking speed.
- Case 2 had unchanged walking ability but a 5.2% reduction in walking speed.
- No significant changes in muscle tone were observed in either case.
Implications:
- A multidisciplinary training program, even for 5 months, had minimal impact on gait and neuromuscular function in these pediatric amputees.
- Results suggest that once-weekly sessions may not be sufficient to induce substantial changes.
- Further research into optimizing exercise frequency and intensity for pediatric amputees is warranted.
