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Related Concept Videos

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Related Experiment Video

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Bioelectric Analyses of an Osseointegrated Intelligent Implant Design System for Amputees
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Developing an exercise intervention to improve bone mineral density in traumatic amputees: protocol for a Delphi

Fearghal P Behan1, Anthony M J Bull2, Alexander Bennett3

  • 1Department of Bioengineering, Imperial College London, London, UK F.Behan@imperial.ac.uk.

BMJ Open
|October 16, 2023
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Summary

This study aims to establish exercise guidelines to improve bone mineral density (BMD) in amputees. Experts will use the Delphi technique to reach a consensus on exercise parameters for minimizing BMD loss in individuals with lower limb amputations.

Keywords:
Bone diseasesMusculoskeletal disordersPREVENTIVE MEDICINERehabilitation medicineSPORTS MEDICINE

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Area of Science:

  • Biomedical Engineering
  • Orthopedics
  • Exercise Physiology

Background:

  • Lower limb amputation leads to decreased bone mineral density (BMD) on the affected side.
  • Exercise interventions are effective for improving BMD but haven't been specifically developed or tested for amputees.
  • Existing exercises may not be suitable for amputees due to limb loss and prosthetic interface challenges.

Purpose of the Study:

  • To elicit expert opinion and achieve consensus on exercise prescription parameters.
  • To define strategies for minimizing or recovering bone mineral density (BMD) loss in amputees.
  • To inform the development of future exercise intervention trials for amputee populations.

Main Methods:

  • Utilizing the Delphi technique for remote consensus-building among international experts.
  • Conducting a multi-round e-Delphi process with a 5-point Likert Scale for agreement ratings.
  • Establishing consensus at ≥70% agreement rate for statements to be implemented in future trials.

Main Results:

  • Consensus will be reached on specific exercise prescription parameters for amputees.
  • The study will define actionable guidelines for exercise interventions.
  • Expert agreement will be quantified through statistical analysis of Likert Scale responses.

Conclusions:

  • This research will provide evidence-based exercise recommendations for amputees to address BMD loss.
  • The findings will facilitate the design of targeted and safe exercise programs for individuals with lower limb amputations.
  • Establishing consensus is a crucial step towards improving bone health outcomes in the amputee population.