Self-Reported Functional Mobility, Balance Confidence, and Prosthetic Use Are Associated With Daily Step Counts Among Individuals With a Unilateral Transtibial Amputation

Journal of Physical Activity & Health
Jaclyn M SionsJohn Robert Horne

Abstract

Adults postamputation are not meeting physical activity recommendations. Physical activity is an important consideration in prosthetic prescription. The objective of this study was to determine if functional mobility, balance confidence, and prosthetic use are associated with physical activity among adults with a lower-limb amputation. This study recruited patients aged 18-85 years with unilateral transtibial amputations. The Cumulative Illness Rating Scale was used to determine comorbidity burden. Participants completed the Prosthetic Evaluation Questionnaire-Mobility Section, Activities-specific Balance Confidence Scale, and Houghton Scale of Prosthetic Use and wore a StepWatch monitor for 7 days to obtain daily step counts. Linear regression was used to evaluate relationships between each self-report measure and step counts after controlling for covariates, that is, sex, age, time since initial amputation, and comorbidity burden. Forty-seven participants had ≥5 days of step data and were included in this analysis. The Prosthetic Evaluation Questionnaire-Mobility Section [mean (SD): 35.0 (9.6) points] and Activities-specific Balance Confidence Scale [79.2% (15.9%)] each explained 13% of the variance in step count [5491 (4043)...Continue Reading

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Citations

Feb 8, 2019·PM & R : the Journal of Injury, Function, and Rehabilitation·Matthew J MillerCory L Christiansen
Sep 17, 2020·PM & R : the Journal of Injury, Function, and Rehabilitation·Matthew J MillerCory L Christiansen
Sep 15, 2020·PM & R : the Journal of Injury, Function, and Rehabilitation·Matthew J MillerCory L Christiansen
Apr 6, 2020·PM & R : the Journal of Injury, Function, and Rehabilitation·Cory L ChristiansenJennifer E Stevens-Lapsley
Jul 16, 2020·Journal of Neuroengineering and Rehabilitation·Alix ChadwellPeter Worsley
Dec 19, 2020·Physical Therapy·Matthew J MillerCory L Christiansen
Jan 5, 2021·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·Helena BurgerFranco Franchignoni
Apr 29, 2021·Physical Therapy·Christopher K WongKameron N Jones
Aug 27, 2021·Journal of Physical Activity & Health·Lisiane Piazza LuzaRudney da Silva
Dec 17, 2021·American Journal of Physical Medicine & Rehabilitation·Mayank SethJaclyn Megan Sions

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