Miller CA, Williams JE, Durham KL, Hom SC, Smith JL. The effect of a supervised community-based exercise program on balance, balance confidence, and gait in individuals with lower limb amputation.
Prosthet Orthot Int 2017;
41:446-454. [PMID:
28067123 DOI:
10.1177/0309364616683818]
[Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
BACKGROUND
Many individuals with lower limb loss report concern with walking ability after completing structured traditional rehabilitation.
OBJECTIVES
The purpose of this study was to explore the impact of a supervised community-based exercise program on balance, balance confidence, and gait in individuals with lower limb amputation.
STUDY DESIGN
Repeated measures.
METHODS
The supervised exercise program was offered biweekly for 6 weeks. The GAITRite System by CIR Systems, Inc., the Figure-of-8 Walk Test, and Activity-specific Balance Confidence Scale were used to measure clinical outcomes pre- and post-intervention.
RESULTS
In total, 16 participants with lower limb amputation (mean age: 50.8 years) completed the study. A multivariate, repeated measures analysis of variance indicated a statistically significant effect of training across six clinical outcome measures ( F(6, 10) = 4.514, p = .018). Moderate effect sizes were found for the Figure-of-8 Walk Test ( η2 = .586), Activity-specific Balance Confidence Scale ( η2 = .504), and gait velocity at comfortable walking speed ( η2 = .574). The average increase in gait speed was clinically meaningful at .14 m/s.
CONCLUSION
The supervised community-based exercise program implemented in this study was designed to address specific functional needs for individuals with lower limb loss. Each participant experienced clinically meaningful improvements in balance, balance confidence, and walking ability. Clinical relevance The provision of a supervised community-based exercise program, after traditional rehabilitation, provides opportunity to offer a continuum of care that may enhance prosthetic functional ability and active participation in the community for individuals with lower limb amputation.
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