Relationships Among Range of Motion, Functional Mobility, and Quality of Life in Children and Adolescents After Limb-Sparing Surgery for Lower-Extremity Sarcoma

19530 Background: Currently between 80–90% of patients with lower extremity sarcoma undergo limb salvage procedures. A few trials show that the functional quality of life is significantly higher for limb salvage surgery compared to patients with amputation. While taking quality of life and psychological consequences into account it would seem that limb salvage would be the procedure of preference; however, this difference has yet to be demonstrated in previous studies. Methods: Eighty-two long-term survivors of lower extremity sarcoma were studied to make a comparison of the overall quality of life in limb salvage and amputation patients. Forty-eight patients with limb salvage (age 14–49 years) and thirty-four patients with amputations (age 15–49 years) were studied who were at least one-year post- surgical procedure. Sensitive psychometric measures such as self-report questionnaires and visual analog scales were used to assess psychological consequences and quality of life. Results: The overall quality of life of patients with the limb salvage was significantly higher than patients with amputation (p-value < 0.01). For the quality of life questionnaire, the limb salvage patients had a higher mean value in every domain except parent-child relations. The domains that showed a significant difference between patients with limb salvage and patients with amputations are material well being, occupational relations, creative-aesthetic behavior, and sports activity. Conclusions: For patients with lower extremity sarcoma, the psychological quality of life is better for those who received the limb salvage procedure. The significance of this study is that it one of the first to show that there is a direct benefit to limb salvage surgery as compared to amputation in regards to several psychological factors and total quality of life. No significant financial relationships to disclose.

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Effects of including core strengthening exercise as part of a comprehensive rehabilitation programmes on people with lower-limb amputation: a pilot study

International Journal of Therapy and Rehabilitation ◽

10.12968/ijtr.2019.0141 ◽

2021 ◽

Vol 28 (3) ◽

pp. 1-10

Author(s):

Sofía Mosteiro-Losada ◽

Silvia Varela ◽

Oscar García-García ◽

Iván Martínez-Lemos ◽

Carlos Ayán

Keyword(s):

Quality Of Life ◽

Pilot Study ◽

Range Of Motion ◽

Lower Limb ◽

Walking Speed ◽

Exercise Programme ◽

Functional Mobility ◽

Lower Limb Amputation ◽

Limb Amputation

Background/aims Exercise can be a useful rehabilitation approach for people with lower-limb amputation. However, there is a lack of research in this regard. The aim of this study was to analyse functional mobility, walking speed, range of motion and quality of life changes experienced by people with lower-limb amputation after taking part in a comprehensive exercise programme that included core strengthening exercises. Methods This was a pilot study including six individuals who carried out a comprehensive exercise programme, which was performed once a week for 5 months. During the first 2 weeks, the participants attended 1-hour sessions that focused on the execution of diaphragmatic breathing and body scheme exercises. From the fourth week until the end of the intervention, the sessions were much longer, and included a warm-up phase, two circuit training workouts for core strength and balance, and a final stretching routine. Results Significant improvements were found in the participants' functional mobility (P=0.007) and walking speed (P=0.001). The exercise intervention did not have a significant impact on the participants' range of motion and quality of life. Conclusions In a group of people with lower-limb amputation, the performance of a comprehensive exercise programme that included core strengthening, was found to be beneficial for functional mobility and walking speed, although no significant effect was observed for range of motion and quality of life measures.

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Trunk Range of Motion Is Related to Axial Rigidity, Functional Mobility and Quality of Life in Parkinson’s Disease: An Exploratory Study

Sensors ◽

10.3390/s20092482 ◽

2020 ◽

Vol 20 (9) ◽

pp. 2482

Author(s):

Roberto Cano-de-la-Cuerda ◽

Lydia Vela-Desojo ◽

Marcos Moreno-Verdú ◽

María del Rosario Ferreira-Sánchez ◽

Yolanda Macías-Macías ◽

...

Keyword(s):

Quality Of Life ◽

Parkinson’S Disease ◽

Parkinson's Disease ◽

Range Of Motion ◽

Exploratory Study ◽

Functional Mobility ◽

Trunk Flexion ◽

Flexion Extension ◽

Flexion And Extension

Background: People with Parkinson’s disease (PD) present deficits of the active range of motion (ROM), prominently in their trunk. However, if these deficits are associated with axial rigidity, the functional mobility or health related quality of life (HRQoL), remains unknown. The aim of this paper is to study the relationship between axial ROM and axial rigidity, the functional mobility and HRQoL in patients with mild to moderate PD. Methods: An exploratory study was conducted. Non-probabilistic sampling of consecutive cases was used. Active trunk ROM was assessed by a universal goniometer. A Biodex System isokinetic dynamometer was used to measure the rigidity of the trunk. Functional mobility was determined by the Get Up and Go (GUG) test, and HRQoL was assessed with the PDQ-39 and EuroQol-5D questionnaires. Results: Thirty-six mild to moderate patients with PD were evaluated. Significant correlations were observed between trunk extensors rigidity and trunk flexion and extension ROM. Significant correlations were observed between trunk flexion, extension and rotation ROM and GUG. Moreover, significant correlations were observed between trunk ROM for flexion, extension and rotations (both sides) and PDQ-39 total score. However, these correlations were considered poor. Conclusions: Trunk ROM for flexion and extension movements, measured by a universal goniometer, were correlated with axial extensors rigidity, evaluated by a technological device at 30°/s and 45°/s, and functional mobility. Moreover, trunk ROM for trunk flexion, extension and rotations were correlated with HRQoL in patients with mild to moderate PD.

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Clinical findings in patellofemoral osteoarthritis compared to individually-matched controls: a pilot study

BMJ Open Sport & Exercise Medicine ◽

10.1136/bmjsem-2020-000877 ◽

2020 ◽

Vol 6 (1) ◽

pp. e000877

Author(s):

Erin M Macri ◽

Kay M Crossley ◽

Harvi F Hart ◽

Agnes G d’Entremont ◽

Bruce B Forster ◽

...

Keyword(s):

Quality Of Life ◽

Lower Extremity ◽

Range Of Motion ◽

Functional Performance ◽

Clinical Findings ◽

Patellofemoral Osteoarthritis ◽

Lower Extremity Strength ◽

Patient Reported ◽

Patellofemoral Alignment

ObjectiveTo explore clinical characteristics in individuals with patellofemoral osteoarthritis (PFOA) compared to individually-matched asymptomatic controls. We also explored associations between functional performance and patient-reported symptoms with patellofemoral alignment.MethodsWe assessed 15 individuals with PFOA and 15 individually-matched asymptomatic controls. In addition to physical examination and patient-reported questionnaires, we evaluated functional performance, lower extremity strength and range of motion, and patellar alignment (using MRI). We analysed group differences with Wilcoxon’s matched-pairs signed rank tests, and within-group associations with Spearman’s rank correlations.ResultsWe included 24 (80%) women with median (IQR) age of 56 (9) years and BMI of 22.8 (5.9) kg/m2. Individuals with PFOA reported lower quality of life (8/100 points lower EQ-5D-5L, p=0.02), and performed worse on two functional tests: repeated one-leg rises (median 16 fewer rises, p=0.04) and timed stair climb (1.2 s slower, p=0.03). There were no differences in strength tests performed or range of motion. Patellar proximal translation correlated with worse functional performance and worse patient-reported pain, function and self-efficacy, while lateral translation and lateral tilt correlated with worse knee-related quality of life (Spearman’s r ranging from 0.5 to 0.7).ConclusionFunctional performance was worse in individuals with PFOA, despite those individuals having no significant differences on lower extremity strength testing. Patellofemoral alignment was associated with worse functional performance as well as worse patient-reported outcomes, and it may represent one mechanism underpinning PFOA-related symptoms.

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Supplemental Material for Physical Activity and Health-Related Quality of Life in Children and Adolescents: A Systematic Review and Meta-Analysis

Health Psychology ◽

10.1037/hea0000653.supp ◽

2018 ◽

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Systematic Review ◽

Children And Adolescents ◽

Meta Analysis ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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The Pediatric Quality of Life Inventory 4.0: A Study on Normal Children and Adolescents in India−A Cross-Sectional Study

Critical Reviews in Physical and Rehabilitation Medicine ◽

10.1615/critrevphysrehabilmed.v22.i1-4.50 ◽

2010 ◽

Vol 22 (1-4) ◽

pp. 61-69

Author(s):

Prayash Rath ◽

Sailakshmi Ganesan ◽

Amitesh Narayan

Keyword(s):

Quality Of Life ◽

Children And Adolescents ◽

Cross Sectional Study ◽

Sectional Study ◽

Normal Children ◽

Cross Sectional ◽

Quality Of Life Inventory ◽

Life Inventory

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Particularities of tinnitus in children and adolescents

ORL ro ◽

10.26416/orl.33.4.2016.165 ◽

2016 ◽

Vol 4 (1) ◽

pp. 40-42

Author(s):

Alexandra Boloș ◽

Sebastian Cozma ◽

Andreea Silvana Szalontay

Keyword(s):

Quality Of Life ◽

Young Adults ◽

Children And Adolescents ◽

Psychological Factors ◽

Ambient Noise ◽

Psychological Consequences ◽

Therapeutic Approaches

Tinnitus is a common otologic symptom and probably the most troublesome. Tinnitus causes a number of physical and psychological consequences, that interfere with the quality of life of the patient. Many authors believe that the presence of tinnitus in children is a matter of lesser importance than in adults because it is met less frequently and would be a fleeting symptom, inoffensive for them (Graham, 1981). In addition, the prevalence of tinnitus during adolescence and even in young adults is increasing, possibly as a consequence of the increased ambient noise (Bulbul SF, Shargorodsky J). Various therapeutic approaches have generated different results, which led us to consider the role of psychological factors, hence the need to underline the particularities of this symptom in childhood.

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