Peak Oxygen Consumption in Older Adults With a Lower Limb Amputation

Wezenberg, Daphne; Haan, A. de; Faber, Willemijn; Slootman, Hans J.; Woude, Lucas H V van der; Houdijk, Han

doi:10.1016/j.apmr.2012.05.020

Cited by 26 publications

(29 citation statements)

References 27 publications

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“…Wezenberg et al found that the presence of an amputation as a result of vascular deficiency was significantly associated with a lower VO 2 peak of 29.1%, whereas a traumatic amputation was not significantly associated with a difference in VO 2 peak compared with controls. Having a vascular amputation was associated with a 26.4% decrease in VO 2 peak compared with having an amputation because of trauma (28). In a second later article, Wezenberg et al found traumatic amputees walked at the same VO 2 as able-bodied controls but did so at a lower walking speed.…”

Section: Discussionmentioning

confidence: 99%

“…Webster et al, in a high quality article, reported TFA patients were significantly less likely to achieve prosthetic fitting success at one year (18). Wezenberg et al reported that the level of amputation was not associated with VO 2 peak (28). Sansam et al previously found that the majority of studies reported better walking ability and greater ability to achieve ADLs after distal and unilateral amputations compared with more proximal or bilateral amputations.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Predicting Walking Ability Following Lower Limb Amputation: An Updated Systematic Literature Review

Highsmith²,

et al. 2016

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There is not a clear clinical recommendation for the determination of prosthetic candidacy. Guidelines do not delineate which member(s) of the multidisciplinary team are responsible for prosthetic candidacy decisions and which factors will best predict a positive outcome. Also not clearly addressed is a patient-centered decision-making role. In a previous systematic review (SR), Sansam et al. reported on the prediction of walking ability following lower limb amputation using literature up to 2007. The search strategy was designed from the previous Sansam SR as an update of previously valuable predictive factors of prosthetic candidacy. An electronic literature search was executed from August 8, 2007, to December 31, 2015, using MEDLINE (Pubmed), Embase, The Cumulative Index to Nursing and Allied Health Literature (CINAHL) (Ovid), and Cochrane. A total of 319 studies were identified through the electronic search. Of these, 298 were eliminated, leaving a total of 21 for full evaluation. Conclusions from this updated study are drawn from a total recruited sample (n) of 15,207 subjects. A total of 12,410 subjects completed the respective studies (18% attrition). This updated study increases the size of the original Sansam et al. report by including 137% more subjects for a total of 21,490 between the two articles Etiology, physical fitness, pre-amputation living status, amputation level, age, physical fitness, and comorbidities are included as moderate to strongly supported predictive factors of prosthetic candidacy. These factors are supported in an earlier literature review and should be strongly considered in a complete history and physical examination by a multidisciplinary team. Predictive factors should be part of the patient’s healthcare record.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Predicting Walking Ability Following Lower Limb Amputation: An Updated Systematic Literature Review

Highsmith²,

et al. 2016

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“…This commonly implies slower and less efficient walking in subjects with amputation than in healthy subjects (HSs) [3][4]. Thus, walking speed (WS) and oxygen consumption have been widely used as indicators of gait ability and to assess rehabilitation outcomes or prosthetic components [5][6][7][8]. Conversely, little attention has been given to upright gait stability in the population with amputation [1,4,9] and even less to gait harmony.…”

Section: Introductionmentioning

confidence: 99%

Assessment of gait stability, harmony, and symmetry in subjects with lower-limb amputation evaluated by trunk accelerations

et al. 2014

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Abstract-Analysis of upper-body accelerations is a promising and simple technique for quantitatively assessing some general features of gait such as stability, harmony, and symmetry. Despite the growing literature on elderly healthy populations and neurological patients, few studies have used accelerometry to investigate these features in subjects with lower-limb amputation. We enrolled four groups of subjects: subjects with transfemoral amputation who walked with a locked knee prosthesis, subjects with transfemoral amputation who walked with an unlocked knee prosthesis, subjects with transtibial amputation, and age-matched nondisabled subjects. We found statistically significant differences for stability (p < 0.001), harmony (p < 0.001), and symmetry (p < 0.001) of walking, with general trends following the noted order of subjects, but with the lowest laterolateral harmony in subjects with transtibial amputation. This study is the first to investigate upper-body acceleration of subjects with unilateral lower-limb amputation during walking who were evaluated upon dismissal from a rehabilitation hospital; it is also the first study to differentiate the sample in terms of level of amputation and type of prosthesis used.

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“…This work physiology was originally intended to provide practical information to athletes to improve their performance. Since the 1960s, physiological studies have mostly focused on the wellness of children 3,10,[25][26][27][28][31][32][33][34][35][36][37][38][39][40][41][42][43] or athletes [44][45][46][47][48][49][50][51][52][53][54] with cerebral palsy mainly rated to Gross Motor Function Classification System (GMFCS) level I or II. In the late twentieth century, many new remedies proliferated one after another in an attempt to recover loss of function in children with cerebral palsy.…”

Section: History Of Research On Aerobic Fitness In Individuals With Cmentioning

confidence: 99%

“…Some studies have examined aerobic fitness in athletes with cerebral palsy. However, athletic competitions rarely include individuals with cerebral palsy [44][45][46][47][48][49][50][52][53][54] . Van der Woude et al included a few individuals with cerebral palsy in a study involving subjects with various impairments 51) .…”

Section: Aerobic Fitness Of Individuals With Cerebral Palsymentioning

confidence: 99%

Aerobic fitness and lifestyle with non-exercise physical activity in adults with cerebral palsy

Sato

Suzuki

2018

JPFSM

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This review article explores how to keep individuals with cerebral palsy healthy all their life. Many of these individuals live very sedentary lives, remaining at home after leaving school or completing childhood rehabilitation programs. Aerobic fitness in such individuals is known to decline rapidly in adulthood. Therefore, in order to keep aerobic fitness from falling into decline, the physical activities and aerobic fitness of these individuals must be appropriately and rigorously managed. The authors recently showed the validity of submaximal exercise testing and provided some findings that would contribute to improving aerobic fitness in these individuals. These studies indicate that even NEAT (Non-Exercise Activity Thermogenesis) or brief and frequent daily physical activity, rather than just conventional exercises or sports, could improve aerobic fitness. However, other studies recommend that these individuals engage in exercises or sports that they may not be interested in or that require facilities or occasions that are inaccessible. In conclusion, in addition to a standard exercise regimen, realistic and tangible interventions for daily physical activities need to be made available to individuals with cerebral palsy.

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Peak Oxygen Consumption in Older Adults With a Lower Limb Amputation

Cited by 26 publications

References 27 publications

Predicting Walking Ability Following Lower Limb Amputation: An Updated Systematic Literature Review

Predicting Walking Ability Following Lower Limb Amputation: An Updated Systematic Literature Review

Assessment of gait stability, harmony, and symmetry in subjects with lower-limb amputation evaluated by trunk accelerations

Aerobic fitness and lifestyle with non-exercise physical activity in adults with cerebral palsy

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