Physical Activity Among People With Lower Limb Amputation in Brazil

in Journal of Physical Activity and Health
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Background: Limb loss affects quality of life, well-being, and autonomy. The World Health Organization has launched a global action plan to reduce physical inactivity and presented recommendations of physical activity for people living with disability. Knowledge of the characteristics of people with lower limb amputation regarding physical activity is important. Thus, the aim of this study was to identify the quantity and type of physical activity done by people with lower limb amputation. Methods: The sample (N = 149) included adults aged 53.08 (17.24) years old with lower limb loss. Data collection was performed through the application of a sociodemographic, behavioral, and clinical data sheet and the Brazilian version of the Physical Activity Scale for Individuals with Physical Disabilities. Results: The total Physical Activity Scale for Individuals with Physical Disabilities score was between 0 and 65.79 metabolic equivalents of task per hour per day, which suggests low practice of physical activities. The most frequently practiced activities (79.9%) were those that involved stationary behavior. Women carried out more domestic activities, and subjects who used lower limb prosthesis and those with traumatic amputation reported higher practice of physical activity. Conclusions: People living with lower limb amputation, from different regions of Brazil, have low levels of physical activity and mainly carry out activities of stationary behavior.

Luza, Ferreira, Pires, and R. da Silva are with the State University of Santa Catarina, Florianopolis, Santa Catarina, Brazil. D.R.P. da Silva and Gutierres Filho are with the University of Brasilia, Brasilia, Brazil.

Luza (lisiane_piazza@yahoo.com.br) is corresponding author.
  • 1.

    Mcdonald CL, Westcott-Mccoy S, Weaver MR, Haagsma J, Kartin D. Global prevalence of traumatic non-fatal limb amputation. Prosthet Orthot Int. 2021;45(2):105114. PubMed ID: 33274665 doi:10.1177/0309364620972258

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    World Health Organization. Guidelines for Training Personal in Developing Countries for Prosthetics and Orthotics Services. Geneva, Switzerland: WHO Publications; 2005. https://apps.who.int/iris/handle/10665/43127. Acessed March 30, 2019.

    • Search Google Scholar
    • Export Citation
  • 3.

    Ziegler-Graham K, MacKenzie EJ, Ephraim PL, Travison TG, Brookmeyer R. Estimating the prevalence of limb loss in the United States: 2005 to 2050. Arch Phys Med Rehabil. 2008;89(3):422429. PubMed ID: 18295618 doi:10.1016/j.apmr.2007.11.005

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Brasil. Ministério da Saúde. Departamento de Informática do SUS – DATASUS. Sistema de Informações Hospitalares do SUS (SIH/SUS). Internações por região, segundo ano de processamento. Brasília, Brazil: Ministério da Saúde; 2019. http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sih/cnv/qiuf.def. Acessed April 27, 2019.

    • Search Google Scholar
    • Export Citation
  • 5.

    Behrendt C-A, Sigvant B, Szeberin Z, et al. International variations in amputation practice: a VASCUNET report. Eur J Vasc Endovasc Surg. 2018;56(3):391399. PubMed ID: 29859821 doi:10.1016/j.ejvs.2018.04.017.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6.

    Unwin N. Epidemiology of lower extremity amputation in centres in Europe, North America and East Asia. Br J Surg. 2000;87(3):328337. PubMed ID: 10718803 doi:10.1046/j.1365-2168.2000.01344.x

    • Search Google Scholar
    • Export Citation
  • 7.

    Belon H, Vigoda D. Emotional adaptation to limb loss. Phys Med Rehabil Clin. 2014;25(1):5374. doi:10.1016/j.pmr.2013.09.010

  • 8.

    Moxey P, Gogalniceanu P, Hinchliffe R, et al. Lower extremity amputations: a review of global variation in incidence. Diabet Med. 2011;28(10):11441153. PubMed ID: 21388445 doi:10.1111/j.1464-5491.2011.03279.x

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Modan M, Peles E, Halkin H, et al. Increased cardiovascular disease mortality rates in traumatic lower limb amputees. Am J Cardiol. 1998;82(10):12421247. PubMed ID: 9832102 doi:10.1016/S0002-9149(98)00601-8

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    World Health Organization. World Report on Disability. Geneva, Switzerland: World Health Organization; 2011.

  • 11.

    World Health Organization. WHO Global Disability Action Plan 2014-2021. Better Health for all People With Disability. Geneva, Switzerland: World Health Organization; 2014.

    • Search Google Scholar
    • Export Citation
  • 12.

    Bussmann JB, Grootschlten EA, Stam HJ. Daily physical activity and heart rate response in people with a unilateral transtibial amputation for vascular disease. Arch Phys Med Rehabil. 2004;85(2):240244. PubMed ID: 14966708 doi:10.1016/S0003-9993(03)00485-4

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Bussmann JB, Schrauwen HJ, Stam HJ. Daily physical activity and heart rate response in people with a unilateral traumatic transtibial amputation. Arch Phys Med Rehabil. 2008;89(3):430434. PubMed ID: 18295619 doi:10.1016/j.apmr.2007.11.012

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Sions JM, Arch ES, Horne JR. Self-reported functional mobility, balance confidence, and prosthetic use are associated with daily step counts among individuals with a unilateral transtibial amputation. J Phys Act Health. 2018;15:423429. doi:10.1123/jpah.2017-0196

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Tolani AS, Wurdeman SR, Billing B, et al. Understanding changes in physical activity among lower limb prosthesis users: a COVID-19 case series. PMR. 2021;13(1):9799. doi:10.1002/pmrj.12508

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 16.

    Lin SJ, Winston KD, Mitchell J, Girlinghouse J, Crochet K. Physical activity, functional capacity, and step variability during walking in people with lower-limb amputation. Gait Posture. 2014;40(1):140144. PubMed ID: 24731451 doi:10.1016/j.gaitpost.2014.03.012

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Stepien JM, Cavanett S, Taylor L, Crotty M. Activity levels among lower-limb amputees: self-reported versus step activity monitor. Arch Phys Med Rehabil. 2007;88(7):896900. PubMed ID: 17601471 doi:10.1016/j.apmr.2007.03.016

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Kaufman KR, Levine JA, Brey RH, McCrady SK, Padgett DJ, Joyner MJ. Energy expenditure and activity of transfemoral amputees using mechanical and microprocessor-controlled prosthetic knees. Arch Phys Med Rehabil. 2008;89(7):13801385. PubMed ID: 18586142 doi:10.1016/j.apmr.2007.11.053

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Langford J, Dillon MP, Gtager CL, Barr C. Physical activity participation amongst individuals with lower limb amputation. Disabil Rehabil. 2019;41(9):10631070 PubMed ID: 29303002 doi:10.1080/09638288.2017.1422031

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Deans AS, McFadyen AK, Rowe PJ. Physical activity and quality of life: a study of lower limb amputee population. Prosthet Orthot Int. 2008;32(2):186200. PubMed ID: 18569887 doi:10.1080/03093640802016514

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21.

    Silva R, Rizzo JG, Gutierres PJB, Ramos V, Deans S. Physical activity and quality of life of amputees in southern Brazil. Prosthet Orthot Int. 2011;35(4):432438. PubMed ID: 22042373 doi:10.1177/0309364611425093

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Devan H, Tumilty S, Smith C. Physical activity and lower-back pain in person with traumatic transfemoral amputation: a national cross-sectional survey. J Rehabil Res Dev. 2012;49(10):14571466. PubMed ID: 23516050 doi:10.1682/JRRD.2011.09.0155

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 23.

    Littman AJ, Boyko E, Thompson ML, et al. Physical activity barriers and enablers in older veterans with lower-limb amputation. J Rehabil Res Dev. 2014;51(6):895906. PubMed ID: 25356624 doi:10.1682/JRRD.2013.06.0152

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24.

    Santos JR, Vargas MM, Melo CM. Nível de atividade física, qualidade de vida e rede de relações sociais de amputados. Rev Bras Ciênc Mov. 2014;22(3):2026. doi:10.18511/0103-1716/rbcm.v22n3p20-26

    • Search Google Scholar
    • Export Citation
  • 25.

    Mateus JPA. A atividade física em amputados transtibiais. In: Dissertação (Mestrado em Exercício e Bem-Estar). Lisboa, Portugal: Universidade Lusófona de Humanidades e Tecnologias; 2012.

    • Search Google Scholar
    • Export Citation
  • 26.

    Uçkun , Yurdakul FG, Almaz SE, et al. Reported physical activity and quality of life in people with lower limb amputation using two types of prosthetic suspension systems. Prosthet Orthot Int. 2019;43(5):519527. doi:10.1177/0309364619869783

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 27.

    Wetterhahn KA, Hanson C, Charles LE. Effect of participation in physical activity on body image of amputees. Am J Phys Med Rehabil. 2002;81(3):194201. PubMed ID: 11989516 doi:10.1097/00002060-200203000-00007

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 28.

    World Health Organization. Global Action Plan on Physical Activity 2018–2030: More Active People for a Healthier World. Geneva, Switzerland: World Health Organization; 2018.

    • Search Google Scholar
    • Export Citation
  • 29.

    Bull FC, Al-Ansari SS, Biddle S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54(24):14511462. PubMed ID: 33239350 doi:10.1136/bjsports-2020-102955

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 30.

    Luiz RR, Magnanini MMF. A lógica da determinação do tamanho da amostra em investigações epidemiológicas. Cad Saúde Coletiva. 2000;8(2):928.

    • Search Google Scholar
    • Export Citation
  • 31.

    Lwanga SK, Lemeshow S. Sample Size Determination in Health Studies: A Practical Manual. Geneva, Switzerland: World Health Organization; 1991.

    • Search Google Scholar
    • Export Citation
  • 32.

    IBGE, Instituto Brasileiro de Geografia e Estatística. Censo Demográfico. 2000. http://www.ibge.gov.br/home/presidencia/noticias/20122002censo.shtm. Accessed March 15, 2017.

    • Search Google Scholar
    • Export Citation
  • 33.

    Washburn RA, Zhu W, McAuley E, Frogley M, Figoni SF. The physical activity scale for individuals with physical disabilities: development and evaluation. Arch Phys Med Rehabil. 2002;83(2):193200. PubMed ID: 11833022 doi:10.1053/apmr.2002.27467

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 34.

    Van der Ploeg HP, Streppel RM, Van der Beek AJ, Van der Woude IHV, Vollenbroek-Hutten M, Van Mechelen W. The physical activity scale for individuals with physical disabilities: test-retest reliability and comparison with an accelerometer. J Phys Act Health. 2007;4(1):96100. PubMed ID: 17489011 doi:10.1123/jpah.4.1.96

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 35.

    Luza LP. Atividade física, ajustamento psicossocial e satisfação com a prótese de amputados de membro inferior. In: Tese (Doutorado em Ciências do Movimento Humano). Florianópolis, Brazil: Universidade do Estado de Santa Catarina; 2018.

    • Search Google Scholar
    • Export Citation
  • 36.

    Hordacre B, Barr C, Crotty M. Use of an activity monitor and GPS device to assess community activity and participation in transtibial amputees. Sensors. 2014;14(4):58455859. PubMed ID: 24670721 doi:10.3390/s140405845

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 37.

    Durstine JL, Gordon B, Wang Z, Luo X. Chronic disease and the link top physical activity. J Sport Health Sci. 2013;2(1):311. doi:10.1016/j.jshs.2012.07.009

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 38.

    Wen CP, Wu X. Stressing harms of physical inactivity to promote exercise. Lancet. 2012;380(9838):192193. PubMed ID: 22818933 doi:10.1016/S0140-6736(12)60954-4

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 39.

    Hillesheim B. Trabalho doméstico: “O serviço de sempre.” In: Strey MN, Cabeda STL, Prehm DR, ed. Gênero e cultura: Questões Contemporâneas. Porto Alegre, Brazil: EDIPUCRS; 2004.

    • Search Google Scholar
    • Export Citation
  • 40.

    Jablonski B. A divisão de tarefas domésticas entre homens e mulheres no cotidiano do casamento. Psicol Cienc Prof. 2010;30(2):262275. doi:10.1590/S1414-98932010000200004

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 41.

    Göktepe AS, Cakir B, Yilmaz B, Yazicioglu K. Energy expenditure of walking with prostheses: comparison of three amputation levels. Prosthet Orthot Int. 2010;34(1):3136. PubMed ID: 20196687 doi:10.3109/03093640903433928

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 42.

    Bragaru M, Meulenbelt HEJ, Dijkstra PU, Geertzen JHB, Dekker R. Sports participation of Dutch lower limb amputees. Prosthet Orthot Int. 2013;37(6):454458. PubMed ID: 23436692 doi:10.1177/0309364613476533

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 43.

    Amtmann D, Morgan SJ, Kim J, Hafner BJ. Health-related profiles of people with lower limb loss. Arch Phys Med Rehabil. 2015;96(8):14741483. doi:10.1016/j.apmr.2015.03.024

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 44.

    Chin T, Sawamura S, Fujita H, et al. Physical fitness of lower limb amputees. Am J Phys Med Rehabil. 2002;81(5):321325. PubMed ID: 11964571 doi:10.1097/00002060-200205000-00001

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 45.

    Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet Glob Health. 2018;6(10):e1077e1086. doi:10.1016/S2214-109X(18)30357-7

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 46.

    Shibata A, Koichiro O, Nakamura Y, Muraoka I. Recomended level of physical activity and health-related quality of life among Japanese adults. Health Qual Life Outcomes. 2007;5(1):64. PubMed ID: 18042301 doi:10.1186/1477-7525-5-64

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 47.

    Pate RR, Davis MG, Robinson TN, et al. Promoting physical activity in children and youth: a leadership role for schools a scientific statement from the American Heart Association Council on nutrition, physical activity, and metabolism (physical activity committee) in collaboration with the councils on cardiovascular disease in the young and cardiovascular nursing. Circulation. 2006;114(11):12141224. PubMed ID: 16908770 doi:10.1161/CIRCULATIONAHA.106.177052

    • Search Google Scholar
    • Export Citation
  • 48.

    Peluso MAM, Andrade LHSG. Physical activity and mental health: the association between exercise and mood. Clinics. 2005;60(1):6170. PubMed ID: 15838583 doi:10.1590/S1807-59322005000100012

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 49.

    Kars C, Hofman M, Geertzen JH, Pepping GJ, Dekker R. Participation in sports by lower limb amputees in the Province of Drenthe, The Netherlands. Prosthet Orthot Int. 2009;33(4):356367. PubMed ID: 19947822 doi:10.3109/03093640902984579

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 50.

    Webster JB, Levy CE, Bryant PR, Prusakowski PE. Sports and recreation for persons with limb deficiency. Arch Phys Med Rehabil. 2001;82(3)(suppl 1):S38S44. doi:10.1016/S0003-9993(01)80036-8

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
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