Energy Expenditure and Walking Speed in Lower Limb Amputees: a Cross Sectional Study

Vllasolli, Teuta Osmani; Zafirova, Beti; Orovcanec, Nikola; Poposka, Anastasika; Murtezani, Ardiana; Krasniqi, Blerim

doi:10.5604/15093492.1119619

Cited by 25 publications

(35 citation statements)

References 24 publications

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“…10 Fall prevention programs and home intervention may limit this risk, particularly in geriatric amputees. 29,30 In agreement with the literature, 5,6,31,32 transfemoral amputees presented higher prevalence of falls and lower walking speed, even when using more walking assistive devices. Different impairments in mobility (muscle strength, balance, etc.…”

Section: Discussionsupporting

confidence: 86%

Falls in unilateral lower limb amputees living in the community. A Portuguese study.

et al. 2020

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Introduction: Lower limb amputees present a high risk of falling. This study aims to characterise fall history in unilateral lower limb amputees that are autonomous in the community, identifying differences between transfemoral and transtibial amputees and assessing fear of falling between fallers and non-fallers.Material and Methods: Descriptive, cross-sectional study of consecutive community-dwelling unilateral lower limb adult amputees of any aetiology, attending outpatient consultation in a Portuguese Physical and Rehabilitation Medicine central and university hospital department. Inclusion criteria: a prior 12 week individualised rehabilitation program for prosthesis training; regular prosthesis use for more than one year with autonomous gait; and a Functional Independence Measure® score equal to or greater than 100. Injury severity was classified according to the National Database of Nursing Quality Indicators® injury falls measure. In order to assess walking performance over short distances and fear of falling we used the 10-meter walk test and the Falls Efficacy Scale, respectively.Results: In a sample of 52 lower limb amputees, mainly men (80.8%) and of traumatic aetiology (63.5%), with a mean age of 57.21 ± 11.55 years, 36.5% reported at least one fall in the previous 12 months, all classified as minor injuries. Transfemoral amputees (n = 23) presented a higher number of falls (2.22 ± 3.23, p = 0.025) and lower gait velocity (0.77 ± 0.26 m per second, p < 0.001). Regarding fear of falling, we found no significant differences between fallers and non-fallers.Discussion: The prevalence of falls was low and of minor severity. Transfemoral amputees fell more often and were slower. There were no reported differences in fear of falling between groups.Conclusion: This paper contributes information about Portuguese lower limb amputees, whose studies are scarce and are rarely dedicated to falling.

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Section: Discussionsupporting

confidence: 86%

Falls in unilateral lower limb amputees living in the community. A Portuguese study.

et al. 2020

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“…Given the fact that more than 50 studies were identified, studies with a sample size less of than 10 participants were excluded (n = 27). Two studies were found [36,37] that partially included the same study population (in one study persons with a Syme amputation were included and in the other study they were excluded). The former study was included in this study [36].…”

Section: Resultsmentioning

confidence: 99%

Metabolic costs of activities of daily living in persons with a lower limb amputation: A systematic review and meta-analysis

et al. 2019

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ObjectiveTo systematically review the literature on the metabolic costs of activities of daily living (ADL) in persons with a lower limb amputation (LLA).Data sourcesA literature search was undertaken in the Pubmed, Embase, CINAHL, CENTRAL, and PsycINFO databases using keywords and synonyms for LLA, metabolic costs, and ADL. The last search was performed on November 29th, 2017.Study selectionStudies were included if they met the following 2 criteria: participants were adults with a (unilateral or bilateral) LLA and metabolic costs were measured while participants performed a physical activity or ADL.Data extraction and synthesisData of 1,912 participants from 61 studies were included in the systematic review and meta-analysis. The studies used different terms to describe metabolic costs. Participants were recruited in different settings, relatively healthy, with few comorbidities. Limited data were available on metabolic costs of other activities than walking with a prosthesis. A linear mixed model analysis was performed based on the means reported, with study as unit of analysis and test results of different groups and measurement conditions as repeated measures within the unit of analysis. Predictors entered in the analysis were e.g. level and reason of amputation, age, weight, and height. During walking, oxygen consumption (ml O2/kg/min) and heart rate (beats/min) increased with a higher walking speed and a more proximal amputation. Additionally, oxygen consumption was determined by the interaction terms walking speed x amputation level and walking speed squared. Heart rate was determined by the interaction term walking speed squared.ConclusionDuring walking, oxygen consumption (ml O2/kg/min) and heart rate (beats/min) increased with a higher walking speed and a more proximal amputation. Data on metabolic costs of other activities were limited. The poor quality of the studies and the relatively healthy participants limited generalizability of the results of the meta-analysis.

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“…Stump length has been shown to have a significant impact on physiological cost index and comfort walking speed in transfemoral amputees [6]. This was a consideration that was weighted in the risk benefit assessment during the informed consent process in this patient.…”

Section: Discussionmentioning

confidence: 99%

Serial Femoral Fractures in An Amputation Stump: A Case Report

Nannaparaju

Annavaram

Anwar

et al. 2017

TOORTHJ

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Energy Expenditure and Walking Speed in Lower Limb Amputees: a Cross Sectional Study

Cited by 25 publications

References 24 publications

Falls in unilateral lower limb amputees living in the community. A Portuguese study.

Falls in unilateral lower limb amputees living in the community. A Portuguese study.

Metabolic costs of activities of daily living in persons with a lower limb amputation: A systematic review and meta-analysis

Serial Femoral Fractures in An Amputation Stump: A Case Report

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