Balance confidence and activity of community-dwelling patients with transtibial amputation
| Autor: | Steven Dilkas, Kailan Paul, Michael Devlin, Tim Pauley, Alena Mandel, Ruby Paner |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
030506 rehabilitation Mediation (statistics) medicine.medical_specialty medicine.medical_treatment Poison control Artificial Limbs Physical exercise Walking Suicide prevention Occupational safety and health 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Amputees Surveys and Questionnaires Injury prevention medicine Humans Longitudinal Studies Postural Balance Aged Balance (ability) Leg Tibia Rehabilitation Middle Aged Actigraphy Self Efficacy Amputation Physical therapy Accidental Falls Female Independent Living 0305 other medical science Psychology 030217 neurology & neurosurgery |
| Zdroj: | Journal of Rehabilitation Research and Development. 53:551-560 |
| ISSN: | 1938-1352 0748-7711 |
| DOI: | 10.1682/jrrd.2015.03.0044 |
| Popis: | The purpose of this study was to examine the relationship between balance confidence and community-based physical activity. Twenty-two community-dwelling patients with right or left unilateral transtibial amputation who reported no falls in the past 6 mo completed the Activities-Specific Balance Confidence Scale (ABC) and wore a StepWatch Activity Monitor for 7 consecutive d in the community. Subjects were subsequently stratified as low (3,000 steps/d) or high (/=3,000) steps/d) activity groups. Balance confidence was significantly lower among the low activity weekday group (LAG, 70.8 +/- 12.0 versus 88.9 +/- 8.7, t(20) = 3.97, p = 0.001). Further, correlation analysis revealed a positive correlation between ABC score and step total (r = 0.55, p0.01). It is unknown whether the LAG limited ambulation as an intentional strategy of fall-risk avoidance. Although clinicians routinely inquire about falls in the community among patients with lower-limb amputation, the results of this study emphasize the importance of contextualizing recent fall history relative to activity level. Clinicians can use this contextual information when considering the inclusion of appropriate fall-risk mediation strategies relative to activity levels and counseling patients of the benefits of physical exercise for maintaining functional capacity and general health. |
| Databáze: | OpenAIRE |
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