scholarly journals Activity, socket fit, comfort, and community participation in lower limb prosthesis-users: A Cambodian cohort study

2021 ◽  
Author(s):  
Laura Diment ◽  
RaksmeyMutta Nguon ◽  
Sovansereyrathna Seng ◽  
Vannsnavy Sit ◽  
Ply Lors ◽  
...  
Keyword(s):  
Physical Activity ◽  
Community Participation ◽  
Lower Limb ◽  
User Satisfaction ◽  
Small Sample ◽  
Activity Level ◽  
Activity Levels ◽  
Accelerometer Data ◽  
Lower Limb Prosthesis ◽  
Limb Prosthesis

Background: After amputation, many people become less active, feel lonely and lose independence. Understanding the factors associated with low physical activity levels and participation could contribute to defining key interventions which can support prosthesis-users so they can live a more active and socially inclusive lifestyle. This longitudinal observational study aims to measure correlations between physical activity, community participation, prosthetic fit, comfort, and user satisfaction using actimetry, 3D scans and questionnaires in a Cambodian cohort of established lower limb prosthesis-users.Methods: Twenty participants completed a questionnaire which included their demographics, community participation, prosthesis satisfaction and comfort at the start of the study. A repeat assessment was included between 3 and 6 months later. Their prosthetic sockets and residual limbs were 3D scanned at the start and end of the study. Accelerometers were embedded under the cosmesis on the shank of the prosthesis, to collect 10 weeks of activity data.Results: Participants averaged 4470 steps/day (743-7315 steps/day), and wore their prosthesis for most waking hours, averaging 13.4 hours/day (4.5-17.6 hours/day). Self-reported measures of activity and hours of wear correlated with these accelerometer data (Spearman’s rho rs = 0.59, and rs = 0.71, respectively). Participants who were more active wore their prosthesis for more hours/day (Pearson r = 0.73) and were more satisfied with socket fit (rs = 0.49). A longer residual limb correlated with better community participation (rs = 0.56) and comfort (rs = 0.56). Self-reported community participation did not correlate with a person’s activity level (rs = 0.13), or their prosthesis comfort (rs = 0.19), and there was only weak correlation between how important the activity was to an individual, and how often they participated in it (rs = 0.37). A simple 0-10 scale of comfort did not provide enough detail to understand the types and severity of discomfort experienced.Conclusion: Associations between perceived and measured activity levels correlated with socket satisfaction in the cohort of people with established lower limb amputations. The small sample size means these correlations should be used with caution, but they indicate variables worthy of further study to understand barriers to community engagement and physical activity for prosthesis-users in Cambodia.

scholarly journals Real Time Estimation of the Pose of a Lower Limb Prosthesis from a Single Shank Mounted IMU

Sensors ◽  
2019 ◽  
Vol 19 (13) ◽  
pp. 2865 ◽  
Author(s):  
Duraffourg ◽  
Bonnet ◽  
Dauriac ◽  
Pillet
Keyword(s):  
Real Time ◽  
Lower Limb ◽  
Time Estimation ◽  
Measurement Unit ◽  
Correct Identification ◽  
Accelerometer Data ◽  
Mode Recognition ◽  
Lower Limb Prosthesis ◽  
Real Time Estimation ◽  
Limb Prosthesis

The command of a microprocessor-controlled lower limb prosthesis classically relies on the gait mode recognition. Real time computation of the pose of the prosthesis (i.e., attitude and trajectory) is useful for the correct identification of these modes. In this paper, we present and evaluate an algorithm for the computation of the pose of a lower limb prosthesis, under the constraints of real time applications and limited computing resources. This algorithm uses a nonlinear complementary filter with a variable gain to estimate the attitude of the shank. The trajectory is then computed from the double integration of the accelerometer data corrected from the kinematics of a model of inverted pendulum rolling on a curved arc foot. The results of the proposed algorithm are evaluated against the optoelectronic measurements of walking trials of three people with transfemoral amputation. The root mean square error (RMSE) of the estimated attitude is around 3°, close to the Kalman-based algorithm results reported in similar conditions. The real time correction of the integration of the inertial measurement unit (IMU) acceleration decreases the trajectory error by a factor of 2.5 compared to its direct integration which will result in an improvement of the gait mode recognition.

Validation of the Human Activity Profile Questionnaire as a Measure of Physical Activity Levels in Older Community-Dwelling Women

2014 ◽  
Vol 22 (3) ◽  
pp. 348-356 ◽  
Author(s):  
Alessandra de Carvalho Bastone ◽  
Bruno de Souza Moreira ◽  
Renata Alvarenga Vieira ◽  
Renata Noce Kirkwood ◽  
João Marcos Domingues Dias ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Women ◽  
Human Activity ◽  
Community Dwelling ◽  
Activity Level ◽  
Activity Levels ◽  
Accelerometer Data ◽  
Activity Profile ◽  
Physical Activity Levels ◽  
Cutoff Points

The purpose of this study was to assess the validity of the Human Activity Profile (HAP) by comparing scores with accelerometer data and by objectively testing its cutoff points. This study included 120 older women (age 60–90 years). Average daily time spent in sedentary, moderate, and hard activity; counts; number of steps; and energy expenditure were measured using an accelerometer. Spearman rank order correlations were used to evaluate the correlation between the HAP scores and accelerometer variables. Significant relationships were detected (rho = .47−.75, p < .001), indicating that the HAP estimates physical activity at a group level well; however, scatterplots showed individual errors. Receiver operating characteristic curves were constructed to determine HAP cutoff points on the basis of physical activity level recommendations, and the cutoff points found were similar to the original HAP cutoff points. The HAP is a useful indicator of physical activity levels in older women.

scholarly journals Understanding Changes in Physical Activity among Lower Limb Prosthesis Users: A COVID ‐19 Case Series

PM&R ◽  
2020 ◽  
Author(s):  
Akshay S. Tolani ◽  
Shane R. Wurdeman ◽  
Bryce Billing ◽  
Erin O'Brien ◽  
Dwiesha L. England ◽  
...  
Keyword(s):  
Physical Activity ◽  
Lower Limb ◽  
Case Series ◽  
Lower Limb Prosthesis ◽  
Limb Prosthesis

scholarly journals Main determinants of physical activity levels in individuals with Parkinson’s disease

2016 ◽  
Vol 74 (2) ◽  
pp. 112-116 ◽  
Author(s):  
Raquel de Carvalho Lana ◽  
Lysandra Nogueira de Araujo ◽  
Francisco Cardoso ◽  
Fátima Rodrigues-de-Paula
Keyword(s):  
Physical Activity ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Lower Limb ◽  
Physical Activity Level ◽  
Rating Scale ◽  
Patient Characteristics ◽  
Activity Level ◽  
Activity Levels ◽  
Modifiable Factors

ABSTRACT This study analyzed the relationship between patient characteristics, factors associated with Parkinson’s disease (PD), and physical activity level of individuals affected by the disease. Forty-six volunteers with mild-to-moderate idiopathic PD were assessed using sections II/III of the Unified Parkinson’s Disease Rating Scale and their motor functions were classified according to the modified Hoehn and Yahr (HY) scale. Data such as age, disease duration, the Human Activity Profile (HAP), the Fatigue Severity Scale were collected. Lower limb bradykinesia and clinical subtypes of PD were defined. Two models that explained 76% of the variance of the HAP were used. The first comprised age, ability to perform activities of daily living (ADL), and the HY scale; the second comprised age, ability to perform ADL, and lower limb bradykinesia. Possible modifiable factors such as the ability to perform ADL and lower limb bradykinesia were identified as predictors of physical activity level of individuals with PD.

scholarly journals Analysis and construction of a prosthetic foot

2018 ◽  
Vol 14 (1) ◽  
pp. 76-82
Author(s):  
John Alexander Hernández Martin ◽  
Luis Parra Piñero ◽  
César Pinzón Pinzón ◽  
Oscar Bejarano Peña ◽  
Jairo Romero Gutiérrez ◽  
...  
Keyword(s):  
Lower Limb ◽  
Personal Characteristics ◽  
Gait Pattern ◽  
Activity Level ◽  
Lower Limbs ◽  
Rehabilitation Process ◽  
Prosthetic Foot ◽  
Lower Limb Prosthesis ◽  
Transfemoral Prosthesis ◽  
Limb Prosthesis

The assistive devices for people with disabilities are configured as a set of mechanical, electromechanical, orthotic and prosthetic parts designed to assist in the rehabilitation process of patients who suffered amputation of their lower limbs, whether the injury generates The implementation of a transtibial or transfemoral prosthesis these elements must be performed with proper analysis of pre-amputation, amputation and post amputation in order to achieve specific objectives for each patient, achieving the best possible treatment. It is important to ensure that in the treatment of lower limb disability by amputation, the best decisions are generated for the patient, with the objective of bringing the patient closer to a normal gait pattern. Considering these characteristics it will be possible to elaborate a prosthetic element that meets the physical and personal characteristics of the patient such as activity level, age, weight ... etc. Taking into account each of these variables we have decided to analyze in depth a crucial element in the implementation of lower limb prosthesis such as the foot, which we carry from a phase of analysis, design, to implementation in carbon fiber where we currently perform tests with our patients under study.

scholarly journals Later sleep timing predicts accelerated summer weight gain among elementary school children: a prospective observational study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Jennette P. Moreno ◽  
Javad Razjouyan ◽  
Houston Lester ◽  
Hafza Dadabhoy ◽  
Mona Amirmazaheri ◽  
...  
Keyword(s):  
Physical Activity ◽  
Observational Study ◽  
Sleep Duration ◽  
Obesity Prevention ◽  
Prospective Observational Study ◽  
Light Exposure ◽  
Activity Level ◽  
Activity Levels ◽  
School Year ◽  
Children’S Sleep

Abstract Objectives and background Social demands of the school-year and summer environment may affect children’s sleep patterns and circadian rhythms during these periods. The current study examined differences in children’s sleep and circadian-related behaviors during the school-year and summer and explored the association between sleep and circadian parameters and change in body mass index (BMI) during these time periods. Methods This was a prospective observational study with 119 children ages 5 to 8 years with three sequential BMI assessments: early school-year (fall), late school-year (spring), and beginning of the following school-year in Houston, Texas, USA. Sleep midpoint, sleep duration, variability of sleep midpoint, physical activity, and light exposure were estimated using wrist-worn accelerometry during the school-year (fall) and summer. To examine the effect of sleep parameters, physical activity level, and light exposure on change in BMI, growth curve modeling was conducted controlling for age, race, sex, and chronotype. Results Children’s sleep midpoint shifted later by an average of 1.5 h during summer compared to the school-year. After controlling for covariates, later sleep midpoints predicted larger increases in BMI during summer, (γ = .0004, p = .03), but not during the school-year. Sleep duration, sleep midpoint variability, physical activity levels, and sedentary behavior were not associated with change in BMI during the school-year or summer. Females tended to increase their BMI at a faster rate during summer compared to males, γ = .06, p = .049. Greater amounts of outdoor light exposure (γ = −.01, p = .02) predicted smaller increases in school-year BMI. Conclusions Obesity prevention interventions may need to target different behaviors depending on whether children are in or out of school. Promotion of outdoor time during the school-year and earlier sleep times during the summer may be effective obesity prevention strategies during these respective times.

scholarly journals Choroidal Thickness and Volume Modifications Induced by Aerobic Exercise in Healthy Young Adults

2020 ◽  
Author(s):  
Gema Insa-Sánchez ◽  
Lorena Fuentes-Broto ◽  
Alberto Cobos ◽  
Elvira Orduna Hospital ◽  
Francisco Segura ◽  
...  
Keyword(s):  
Physical Activity ◽  
Young Adults ◽  
Physical Exercise ◽  
Choroidal Thickness ◽  
Activity Level ◽  
Enhanced Depth Imaging ◽  
Activity Levels ◽  
Imaging Protocol ◽  
Post Exercise ◽  
Physical Activity Levels

<b><i>Introduction:</i></b> Our aim was to evaluate the changes in choroidal thickness (CT) and volume (CV) following aerobic physical exercise in healthy young adults. <b><i>Methods:</i></b> This study included 72 eyes from healthy volunteers between 22 and 37 years old. Using the International Physical Activity Questionnaire, total physical activity was computed. Measurements using an autorefractometer, ocular biometry, and spectral-domain optical coherence tomography using the Enhanced Depth Imaging protocol were taken. OCT was performed as a baseline measurement and after performing 10 min of dynamic physical exercise (3 and 10 min post-exercise). The choroidal layer was manually segmented, and the CT and CV in different areas from the Early Treatment Diabetic Retinopathy Study grid were obtained. <b><i>Results:</i></b> In healthy adults, at 3 min post-exercise, CT was higher in the subfoveal, the 3-mm nasal, and the 6-mm superior areas. Between 3 and 10 min post-exercise, the CT was reduced in all areas, and in some areas, the values were even smaller than the baseline measurements. The CV values showed changes after exercise similar to those of thickness. The total CV recovery after exercise was related to sex and physical activity level. <b><i>Conclusion:</i></b> Individuals with higher physical activity habits had greater CV at rest than those with lower physical activity levels. During exercise, healthy young people adjust CT and CV. At 3 min post-exercise, CT and CV increase. Women and individuals with greater physical activity levels reduce their total CV more than others during recovery.

scholarly journals Reduced level of physical activity during COVID-19 pandemic is associated with depression and anxiety levels: an internet-based survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Paulo José Puccinelli ◽  
Taline Santos da Costa ◽  
Aldo Seffrin ◽  
Claudio Andre Barbosa de Lira ◽  
Rodrigo Luiz Vancini ◽  
...  
Keyword(s):  
Physical Activity ◽  
Mood Disorders ◽  
Physical Activity Level ◽  
Negative Impact ◽  
Mood State ◽  
Activity Level ◽  
Activity Levels ◽  
Depression And Anxiety ◽  
Social Distancing ◽  
Physical Activity Levels

Abstract Background The coronavirus disease 2019 (COVID-19) pandemic has resulted in a strong negative impact on economic and social life worldwide. It has also negatively influenced people’s general health and quality of life. The aim of the present study was to study the impact of social distancing on physical activity level, and the association between mood state (depression and anxiety level) or sex with actual physical activity levels, the change in physical activity caused by social distancing period, the adhesion level to social distancing, the adoption time of social distancing, family income and age. Methods A self-administered questionnaire with personal, quarantine, physical activity, and mood state disorders information’s was answered by 2140 Brazilians of both sex who were recruited through online advertising. Results The physical activity level adopted during the period of social distancing (3.5 ± 0.8) was lower than that the adopted prior to the pandemic period (2.9 ± 1.1, p < 0.001). Thirty percent of the participants presented symptoms of moderate/severe depression and 23.3% displayed moderate/severe anxiety symptoms. A greater presence of symptoms related to anxiety and depression were associated with low physical activity levels, low family monthly income, and younger age. A higher percentage of men who had no mood disorders was observed among those who were very active than among those less active. Conclusion The COVID-19 pandemic has a negative impact on physical activity. Those who reduced their level of physical activity had the highest levels of mood disorders. Therefore, physical activity programs should be encouraged, while respecting the necessary social distancing to prevent the spread of Severe Acute Respiratory Syndrome Coronavirus 2.

scholarly journals Physical activity level of adult cats with varied feeding frequency

2011 ◽  
Vol 106 (S1) ◽  
pp. S166-S169 ◽  
Author(s):  
Ping Deng ◽  
Ryan W. Grant ◽  
Kelly S. Swanson
Keyword(s):  
Physical Activity ◽  
Body Weight ◽  
Body Condition ◽  
Body Condition Score ◽  
Activity Level ◽  
Feeding Time ◽  
Activity Levels ◽  
Feeding Frequency ◽  
Condition Score ◽  
Adult Cats

The prevalence of feline obesity is influenced by numerous factors, including inactivity and overconsumption of food. The objective of the present study was to evaluate the effect of feeding frequency on physical activity in adult cats. A total of twelve healthy adult cats were used in a cross-over study consisting of 32 d. In each of the two periods, six cats were fed either two meals or four meals daily. Throughout the study, cats were fed the same diet at amounts to maintain body weight and body condition score. Cats were individually housed 4 h/d at each scheduled feeding time, while for the other 20 h, cats were group-housed to allow for voluntary physical activity in the room with a 16 h light–8 h dark cycle. Voluntary activity levels were evaluated using Actical activity collars for seven consecutive days in each period. Daily average activity level for two-meal-fed cats (20·04 (sem 2·19), activity counts/epoch (15 s)) was not different from four-meal-fed cats (20·14 (sem 2·15), activity counts/epoch (15 s); P>0·05). In conclusion, when group-housed cats are fed to maintain their body weight and body condition score, varied feeding frequency between twice and four times daily may not affect activity levels.

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