Short-term effect of physiotherapy rehabilitation on functional performance of lower limb amputees

2007 ◽  
Vol 31 (3) ◽  
pp. 258-270 ◽  
Author(s):  
B. Rau ◽  
F. Bonvin ◽  
R. de Bie
Keyword(s):  
Usual Care ◽  
Lower Limb ◽  
Functional Performance ◽  
Weight Bearing ◽  
Walk Test ◽  
Cost Index ◽  
Timed Up And Go ◽  
Experimental Group ◽  
Minute Walk ◽  
Lower Limb Amputees

The objective of the trial was to evaluate the effectiveness of a short and intensive physiotherapy programme versus usual care, mainly consisting of walking. Fifty-eight male unilateral lower limb amputees were randomised over intensive care (N = 29) and usual care (N = 29); this study was carried out in a clinical environment, within the premises of the International Committee of the Red Cross, in Southern Myanmar. The amputees in the experimental group received a three-day programme built around 7 specific exercises, lasting approximately one hour altogether. Effects were assessed on: 2-minute walk test, physiological cost index (PCI), amount of weight bearing on both legs, 5 questions of the Functional Measure for Amputees questionnaire and the timed up and go test. Trans-tibial amputees were tested the first day they were fitted and then 2 days later; trans-femoral amputees were tested when walking out of the parallel bars and 4 days later. The experimental group showed significant improvement in the 2-minute walk test (p = 0.02), in the PCI (p = 0.02) and in the maximal weight bearing test on the amputated leg (p = 0.04). Despite limited means, research remains feasible in a developing country; this study has demonstrated that physiotherapy is effective in improving functional performance of lower limb amputees and therefore has its place in every rehabilitation centre.

scholarly journals Аналіз наявних інструментів оцінювання впливу фізичної терапії на осіб з хворобою Паркінсона

2021 ◽  
pp. 84-91
Author(s):  
В. Брушко ◽  
Р. Баннікова ◽  
А. Ковельська
Keyword(s):  
Dual Task ◽  
Berg Balance Scale ◽  
Walk Test ◽  
Walk Distance ◽  
Timed Up And Go ◽  
Sf 36 ◽  
Minute Walk Distance ◽  
Minute Walk ◽  
Disease Questionnaire ◽  
10 Meter Walk Test

Резюме. Правильний і обґрунтований вибір інструментальних методів оцінювання функціо-нального стану пацієнта є обов’язковою умовою адекватної фізичної терапії. Особливе місце цей аспект займає в системі нейрореабілітації пацієнтів з хворобою Паркінсона в Україні, оскільки на сьогодні кількість осіб, що потребують систематичної фізичної терапії, сягає 23 900 тис. Наростаюча маніфестація моторних і немоторних симптомів при хворобі Паркін-сона, від яких часто вирішальною мірою залежить тяжкість стану пацієнта, негативно впливає на якість його життя. Наявні функціональні порушення, які є самостійними проявами хвороби Паркінсона, вимагають специфічного підходу до комплексного інструментального досліджен-ня цих порушень для визначення диференційно-діагностичних критеріїв та оцінювання впливу фізіотерапевтичного втручання. Мета. Проаналізувати наявні інструменти оцінювання впливу фізичної терапії на осіб з хворобою Паркінсона. Методи. Теоретичний аналіз та узагальнення зарубіжних даних спеціальної науково-методичної літератури з питань застосування інстру-ментів оцінювання при хворобі Паркінсона та їх інформативності і надійності у фізичній терапії. Результати. Представлені дані свідчать, що ефективність запроваджених заходів фізичної терапії при хворобі Паркінсона залежить від правильно підібраних інструментів оцінювання, які дозволяють оцінити моторні і немоторні проблеми через призму життєдіяльності і якості життя пацієнта. Основним інструментом оцінювання для вирішення цього питання вважаєть-ся Уніфікована рейтингова шкала хвороби Паркінсона MDS-UPDRS, яка дозволяє об’єктивно оцінити моторні і немоторні аспекти життя пацієнта і його рухову активність. Оскільки наявні моторні й аксіальні рухові порушення негативно впливають на повсякденну функціональну активність пацієнта, для верифікації цих порушень пропонують використовувати тест для оці-нювання часу підйому і ходьби (Timed Up and Go (TUG)); тест з подвійним завданням (Dual-Task TUG (TUG-DT)) та шкалу рівноваги Берга (Berg Balance Scale (BBS)). Але виходячи з того, що ці тести недостатньо чутливі до невеликих змін у рухливості при хворобі Паркінсона, особливо на середніх і пізніх стадіях захворювання, їх доцільно поєднувати з одним із кількісних тестів для оцінювання ходьби: 10-метровим тестом ходьби (10 Meter Walk Test (10MW)) та 6-хвилинним тестом ходьби (Six Minute Walk Distance (6MWT)). Поняття «життєдіяльність» включає в себе не тільки переміщення, її оцінювання має бути доповнено аналізом ступеня впливу наявних по-рушень на повсякденну діяльність, тобто на якість життя пацієнта. Найбільш інформативними інструментами для проведення цього аналізу є універсальні і специфічні при хворобі Паркінсо-на опитувальники з метою оцінювання стану здоров’я SF-36, EuroQOL (EQ-5D) і PDQ-39 (The Parkinson’s Disease Questionnaire). Результати аналізу та узагальнення даних науково-мето-дичної літератури дають підставу встановити, що маніфестація порушень та їх варіабельність при хворобі Паркінсона стають серйозною проблемою у досягненні кінцевого результату за-проваджених заходів фізичної терапії на всіх стадіях захворювання. Використання в комплексі стандартної експертно-реабілітаційної діагностики спеціальних інструментів оцінювання дозволяє об’єктивізувати оцінювання клінічної інформації та стимулює розроблення особисто-орієнтованих реабілітаційних стратегій із застосуванням заходів фізичної терапії, спрямованих на покращення якості життя пацієнтів з хворобою Паркінсона. Ключові слова: хвороба Паркінсона, фізична терапія, якість життя, інструменти оцінювання, достовірність, надійність, валідність.

Cardio-respiratory fitness and functional performance in patients with a recent diagnosis of colorectal cancer.

2018 ◽  
Vol 36 (4_suppl) ◽  
pp. 804-804
Author(s):  
Alejandro Alvarez-Bustos ◽  
Lourdes Gutierrez Gutierrez Sanz ◽  
Beatriz Nuñez García ◽  
Maria Soriano ◽  
Carmen Fiuza-Luces ◽  
...  
Keyword(s):  
Physical Activity ◽  
Colorectal Cancer ◽  
Muscular Strength ◽  
Functional Performance ◽  
Hospital Setting ◽  
Objective Evaluation ◽  
Walk Test ◽  
Physical Capability ◽  
Recent Diagnosis ◽  
Minute Walk

804 Background: Physical capability describes the ability to do the physical tasks of everyday living. Oncologists usually evaluate physical capability through anamnesis generating a performance status (PS) score. Some authors have proposed the use of cardiorespiratory reserve, muscular strength and objective evaluation of physical activity to avoid the subjective, unreliable and non-reproducible condition of PS. Methods: Patients with a recent diagnosis of colorectal cancer who accepted to participate were evaluated at the hospital setting. Walking speed was evaluated through both one-mile walk test and six-minute walk test. VO2max was calculated through the Kilne formula. Muscular strength was measured through dynamometry (hand-grip) and “sit to stand” test. Physical activity was objectively evaluated with accelerometers. Fatigue was evaluated through the PERFORM questionnaire (12-60). ECOG was evaluated by the medical oncologist. Results: 100 pats were recruited between March 15 and Jul 17. ECOG O/1/2 (80/14/2). 40 (40 %) were metastatic. Mean age 66 (25-81), Sex M/F; 68/32. Conclusions: Objective evaluation of physical condition is feasible at the hospital setting. There were no differences in BMI, heart rate, fatigue, muscular strength and objective functional performance (weekly PA) between localized and metastatic CRC. In metastatic pts with an excellent ECOG-PS the time to walk one mile and the estimated VO2max could be more sensitive than ECOG to evaluate the functional capacity impairment. In pts with cancer the One- mile walk test could be superior to the Six-minute walk to estimate the cardiorespiratory fitness. The objective evaluation of physical condition is a useful additional tool to select pts for aggressive therapies. [Table: see text]

scholarly journals Fall risk classification for people with lower extremity amputations using random forests and smartphone sensor features from a 6-minute walk test

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0247574
Author(s):  
Kyle J. F. Daines ◽  
Natalie Baddour ◽  
Helena Burger ◽  
Andrej Bavec ◽  
Edward D. Lemaire
Keyword(s):  
Older Adults ◽  
Feature Selection ◽  
Lower Limb ◽  
Fall Risk ◽  
Random Forest Classifier ◽  
Risk Classification ◽  
Walk Test ◽  
Correlation Based Feature Selection ◽  
6 Minute Walk Test ◽  
Minute Walk

Fall-risk classification is a challenging but necessary task to enable the recommendation of preventative programs for individuals identified at risk for falling. Existing research has primarily focused on older adults, with no predictive fall-risk models for lower limb amputees, despite their greater likelihood of fall-risk than older adults. In this study, 89 amputees with varying degrees of lower limb amputation were asked if they had fallen in the past 6 months. Those who reported at least one fall were considered a fall risk. Each participant performed a 6 minute walk test (6MWT) with an Android smartphone placed in a holder located on the back of the pelvis. A fall-risk classification method was developed using data from sensors within the smartphone. The Ottawa Hospital Rehabilitation Center Walk Test app captured accelerometer and gyroscope data during the 6MWT. From this data, foot strikes were identified, and 248 features were extracted from the collection of steps. Steps were segmented into turn and straight walking, and four different data sets were created: turn steps, straightaway steps, straightaway and turn steps, and all steps. From these, three feature selection techniques (correlation-based feature selection, relief F, and extra trees classifier ensemble) were used to eliminate redundant or ineffective features. Each feature subset was tested with a random forest classifier and optimized for the best number of trees. The best model used turn data, with three features selected by Correlation-based feature selection (CFS), and used 500 trees in a random forest classifier. The resulting metrics were 81.3% accuracy, 57.2% sensitivity, 94.9% specificity, a Matthews correlation coefficient of 0.587, and an F1 score of 0.83. Since the outcomes are comparable to metrics achieved by existing clinical tests, the classifier may be viable for use in clinical practice.

scholarly journals Uso de test dual en ancianos institucionalizados con diferentes niveles de deterioro cognitivo. Estudio transversal

2018 ◽  
Vol 66 (1) ◽  
pp. 31-36
Author(s):  
Marie Carmen Valenza ◽  
María José Ariza-Mateos ◽  
Araceli Ortiz-Rubio ◽  
Jesús Casilda-López ◽  
Ramón Romero-Fernández ◽  
...  
Keyword(s):  
Mental State ◽  
Mini Mental State Examination ◽  
Walk Test ◽  
Timed Up And Go ◽  
Six Minute Walk Test ◽  
Los Grupos ◽  
State Examination ◽  
Minute Walk

Introducción. El envejecimiento se ha relacionado con una mayor prevalencia de deterioro cognitivo. Las personas mayores con pérdida de funciones cognitivas presentan elevadas tasas de caídas. El desarrollo de las actividades de la vida diaria engloba dos o más tareas, siendo necesarios componentes cognitivos y motores.Objetivo. Analizar el rendimiento en pruebas sencillas y duales de sujetos en entorno residencial con diferentes grados de deterioro cognitivo.Materiales y métodos. Se realizó un estudio observacional de corte transversal en ancianos institucionalizados >65 años (n=80). Se evaluó el deterioro cognitivo con el Mini-Mental State Examination y se solicitó a los participantes realizar una tarea simple y dual en las pruebas Six-Minute Walk Test (6MWT) y Timed Up and Go (TUG).Resultados. Se distribuyeron los participantes en tres grupos. Se encontraron diferencias significativas entre los grupos con deterioro cognitivo y el grupo sin deterioro cognitivo para las pruebas 6MWT (p<0.05) y TUG (p<0.05), tanto en la tarea simple como en la tarea dual. Un peor rendimiento se asoció con una menor capacidad cognitiva.Conclusión. La severidad del deterioro cognitivo se encuentra relacionada con el desempeño en las tareas duales.

scholarly journals Analysis of the association between hand grip strength and functionality in community elderly

2020 ◽  
Author(s):  
Mariana Edinger Wieczorek ◽  
Cislaine Machado de Souza ◽  
Patricia da Silva Klahr ◽  
Luis Henrique Telles da Rosa
Keyword(s):  
Muscle Strength ◽  
Functional Performance ◽  
Handgrip Strength ◽  
Assessment Instrument ◽  
Performance Tests ◽  
Walk Test ◽  
Experimental Conditions ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
Healthy Elderly

ABSTRACT Objective: To analyze an association between handgrip strength (HGS) and functional performance tests by healthy, non-institutionalized elderly. Method: This is a cross-sectional study. A sample consisted of 36 elderly people (66.69 years), all of whom responded to a cognitive assessment instrument and another to assess the level of physical activity, in addition to sociodemographic data and health conditions. The HGS was measured using the hydraulic dynamometer JAMAR and performed the six-minute walk test (6MWT) and the Timed Up and Go test (TUG) to assess the cardiorespiratory capacity submitted during displacement and body mobility. Results: It was possible to verify through the Pearson coefficient the weak and significant association between the MPH and the variables 6MWT (p≤0.05) and TUG (p = 0.027). Conclusion: For samples of healthy elderly and applied experimental conditions, the FPM is related to performance tests. Thus, it is believed that the evaluation of the HGS may be an alternative to interference in this population. Keywords: Aged. Muscle strength. Muscle strength dynamometer. Physical functional performance. Walk test.

scholarly journals Validation of the 2-Minute Walk Test with the 6-Minute Walk Test and Other Functional Measures in Persons with Multiple Sclerosis

2018 ◽  
Vol 20 (4) ◽  
pp. 158-163 ◽  
Author(s):  
David A. Scalzitti ◽  
Kenneth J. Harwood ◽  
Joyce R. Maring ◽  
Susan J. Leach ◽  
Elizabeth A. Ruckert ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Gait Speed ◽  
Discriminant Validity ◽  
Alternative Measure ◽  
Walk Test ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
Functional Measures ◽  
6 Minute Walk Test ◽  
Minute Walk

Abstract Background: Persons with multiple sclerosis (MS) commonly have difficulty walking. The 6-Minute Walk Test (6MWT) assesses functional capacity but may be considered burdensome for persons with MS, especially those with higher disability levels. The 2-Minute Walk Test (2MWT) may be an alternative measure to the 6MWT. The purpose of this study was to investigate the validity of the 2MWT in persons with MS. Methods: Twenty-eight ambulatory persons with MS aged 18 to 64 years participated in this cross-sectional study. Participants completed five measures of walking performance (2MWT, 6MWT, usual and fast gait speed, and Timed Up and Go test) and two functional measures (Berg Balance Scale and five-times sit-to-stand test) during a testing session. Participants were classified into two subgroups based on Disease Steps scale classification. Results: The 2MWT was significantly correlated with the 6MWT (r = 0.947), usual gait speed (r = 0.920), fast gait speed (r = 0.942), the Timed Up and Go test (r = −0.911), and other functional measures. The 2MWT explained 89% of the variance seen during the 6MWT. The distances completed on the 2MWT and 6MWT accurately distinguished the subgroups. Conclusions: This study demonstrated good construct and discriminant validity of the 2MWT in persons with MS, providing an efficient and practical alternative to the 6MWT. Validation of the 2MWT with other functional measures further supports these findings.

scholarly journals Phase-I cardiac rehabilitation practices among physiotherapists in INDIA - A survey

2020 ◽  
Vol 19 (2) ◽  
pp. 214-222
Author(s):  
Shruti Chari ◽  
Gopala Krishna Alaparthi ◽  
Shyam Krishnan K ◽  
Ashish Prabhakar ◽  
Kalyana Chakravarthy Bairapareddy
Keyword(s):  
Cardiac Surgery ◽  
Cardiac Rehabilitation ◽  
Phase I ◽  
Lower Limb ◽  
Medical Science ◽  
Walk Test ◽  
Breathing Exercises ◽  
Postural Drainage ◽  
6 Minute Walk Test ◽  
Minute Walk

Objective: To find out the current practice patterns of Physiotherapists in Phase I Cardiac Rehabilitation of patients following Cardiac Surgery (CABG/Valve Surgery). Materials and Methods: The cross sectional survey included 600 cardio-pulmonary physiotherapists working in Cardiac Care Unit, who filled questionnaires sent to them through e-mail. Results: 252 completed questionnaires were received back, the response rate being of 42 %, with a major portion of responses coming from Maharashtra, Karnataka and Andhra Pradesh. More than 80 % of physiotherapists assess and treat the patient Pre- Operatively. More than 90% of physiotherapists performed Cardiac Rehabilitation Post-Operatively. Cardiac Rehabilitation Treatment Techniques predominantly focused on Breathing Exercises (96.7%), Incentive Spirometry (91.1%), Coughing and Huffing (83.3%), Thoracic Expansion Exercises (82.13%), Positioning (71.16%), Percussion and Vibration (63.6%), Modified Postural Drainage (41.2%), active exercises of the upper limb (89.13%), and lower limb exercises (89.3%). Dangling the lower limb (69%) was started on Post –Operative day 2. Room and corridor mobilisation (73.8%) began on third Post-Operative day. 29.4% Stair case climbing was started on fourth post-operative day. 73.8% of patients practiced 6-minute walk test prior to discharge. Most commonly used sternal precautions were Supported Coughing (96.0%) and Lifting Restrictions (82.5%). Conclusion: Phase I cardiac rehabilitation adopted by physiotherapists for cardiac surgery patients involves treatment which mainly focused on cough and huff techniques, breathing exercises and thoracic expansion exercises. On Post-Operative day 2, dangling the lower limb and room ambulation started on third post-Operative day 3. The training for climbing stairs started on fourthpost-operative day. The most commonly used sternal precautions were supported coughing and lifting restrictions whereas 6-minute walk test was use to assess exercise tolerance,prior to discharge. Bangladesh Journal of Medical Science Vol.19(2) 2020 p.214-222

scholarly journals Biomechanical significance of the correct length of lower limb prostheses: A clinical and radiological study

1984 ◽  
Vol 8 (3) ◽  
pp. 124-129 ◽  
Author(s):  
O. Friberg
Keyword(s):  
Lower Limb ◽  
Weight Bearing ◽  
Low Back ◽  
Knee Prostheses ◽  
Tolerance Limits ◽  
Lateral Asymmetry ◽  
Radiological Study ◽  
Amputation Stump ◽  
Pain Symptoms ◽  
Lower Limb Amputees

The length of the lower limb prosthes is was compared with the length of the contralateral lower extremity in 113 Finnish war-disabled amputees by a radiological weight bearing method developed by the author. Considering a shortening of 10 mm for above-knee prostheses and of 5 mm for below-knee prostheses as tolerance limits, the length of the prosthesis was acceptable only in 17 cases (15% of the total group). In 79 cases (70%) the prosthesis was up to 47 mm too short and in 17 cases (15%) up to 40 mm too long. Chronic pain symptoms of low back, hip and knee correlated significantly with the lateral asymmetry caused by incorrect length of the prosthesis. Independently of the side of amputation, the unilateral sciatica and chronic hip pain occurred mainly on the long leg side. Physical activity of the lower limb amputees seemed to correlate with the suitability of the length of the prosthesis, and was unrelated to the length of the amputation stump.

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