Patterns of Sitting, Standing, and Stepping After Lower Limb Amputation
| Autor: | Jennifer M. Blankenship, Cory L. Christiansen, Matthew J. Miller, Edward L. Melanson, Paul W. Kline |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Population Physical Therapy Sports Therapy and Rehabilitation Artificial Limbs Walking Sitting Prosthesis 03 medical and health sciences Disability Evaluation 0302 clinical medicine Amputees Lower limb amputation Accelerometry medicine Humans 030212 general & internal medicine education Exercise Original Research Aged Aged 80 and over education.field_of_study Sitting Position business.industry 030229 sport sciences Sedentary behavior Middle Aged Middle age Cross-Sectional Studies Amputation Quartile Lower Extremity Standing Position Physical therapy Female business |
| Zdroj: | Phys Ther |
| Popis: | Objective The objectives of this study were to describe sitting, standing, and stepping patterns for people with lower limb amputation (LLA) and to compare sitting, standing, and stepping between people with dysvascular LLA and people with traumatic LLA. Methods Participants with dysvascular or traumatic LLA were included if their most recent LLA was at least 1 year earlier, they were ambulating independently with a prosthesis, and they were between 45 and 88 years old. Sitting, standing, and stepping were measured using accelerometry. Daily sitting, standing, and stepping times were expressed as percentages of waking time. Time spent in bouts of specified durations of sitting (90 minutes), standing (0–1, 1–5, and >5 minutes), and stepping (0–1, 1–5, and >5 minutes) was also calculated. Results Participants (N = 32; mean age = 62.6 [SD = 7.8] years; 84% men; 53% with dysvascular LLA) spent most of the day sitting (median = 77% [quartile 1 {Q1}–quartile 3 {Q3} = 67%–84%]), followed by standing (median = 16% [Q1–Q3 = 12%–27%]) and stepping (median = 6% [Q1–Q3 = 4%–9%]). One-quarter (median = 25% [Q1–Q3 = 16%–38%]) of sitting was accumulated in bouts of >90 minutes, and most standing and stepping was accrued in bouts of Conclusion Participants had high daily volumes of long durations of sitting. Further, these individuals accumulated most physical activity in bouts of Impact High levels of sedentary behavior and physical inactivity patterns may place people with LLA at greater mortality risk relative to the general population. Interventions to minimize sedentary behaviors and increase physical activity are potential strategies for improving poor outcomes of physical therapy after LLA. |
| Databáze: | OpenAIRE |
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