Effects of a physical conditioning program on the multidisciplinary rehabilitation process of na obese amputee: a case study
DOI:
https://doi.org/10.11606/issn.2317-0190.v31i4a222794Keywords:
Exercise, Amputees, Rehabilitation, Artificial Limbs, Body WeightAbstract
Objective: To assess the effects of a physical conditioning program (PCP) on muscular strength (MS), functional capacity, body weight (BW), and body mass index (BMI) in na obese individual with a lower limb amputation undergoing a multidisciplinary physical rehabilitation process for prosthetic fitting. Methods: This study is a case study of a Young obese male who underwent an intensive PCP program, 5-6 times per week, for 10 weeks. The MS, functional capacity, BW, and BMI were quantified using the 7-10 repetition maximum test, the 30-second sit-to-stand test, and an anthropometric scale with na attached stadiometer, respectively. Results: Following the intervention, there was na increase in MS and an improvement in functional capacity. Furthermore, there was a reduction in BW and BMI after the intervention. Conclusion: Our findings suggest that na intensive PCP program was effective in increasing MS, improving functional capacity, and reducing BW and BMI in an individual with a lower limb amputation and obesity during the multidisciplinary physical rehabilitation process for prosthetic fitting. Additionally, our study suggests that the implementation of an intensive PCP program during the multidisciplinary physical rehabilitation process appears to be an essential strategy to assist in BW management and enable prosthetic fitting in individuals with obesity.
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Biagioni RB, Louzada ACS, Biagioni LC, Silva MFA, Teivelis MP, Wolosker N. Cross-sectional analysis of 180,595 lower limb amputations in the state of Sao Paulo over 12 years. World J Surg. 2022;46(10):2498-2506. Doi: https://doi.org/10.1007/s00268-022-06631-9
Kulkarni J, Hannett DP, Purcell S. Bariatric amputee: a growing problem? Prosthet Orthot Int. 2015;39(3):226-31. Doi: https://doi.org/10.1177/0309364614525186
Bouzas S, Molina AJ, Fernández-Villa T, Miller K, Sanchez-Lastra MA, Ayán C. Effects of exercise on the physical fitness and functionality of people with amputations: systematic review and meta-analysis. Disabil Health J. 2021;14(1):100976. Doi: https://doi.org/10.1016/j.dhjo.2020.100976
Guchan Z, Bayramlar K, Ergun N. Determination of the effects of playing soccer on physical fitness in individuals with transtibial amputation. J Sports Med Phys Fitness. 2017;57(6):879-886. Doi: https://doi.org/10.23736/s0022-4707.16.06336-2
Littman AJ, Haselkorn JK, Arterburn DE, Boyko EJ. Pilot randomized trial of a telephone-delivered physical activity and weight management intervention for individuals with lower extremity amputation. Disabil Health J. 2019;12(1):43-50. Doi: https://doi.org/10.1016/j.dhjo.2018.08.002
Van Helm S, Krops LA, Dekker R, Vrieling AH. Effectiveness of (active) lifestyle interventions in people with a lower limb amputation: a systematic review. Arch Rehabil Res Clin Transl. 2022;4(4):100207. Doi: https://doi.org/10.1016/j.arrct.2022.100207
Donnelly JE, Blair SN, Jakicic JM, Manore MM, Rankin JW, Smith BK, et al. American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc. 2009;41(2):459-71. Doi: https://doi.org/10.1249/mss.0b013e3181949333
Rosario MLVV, Costa PB, Silveira ALB, Florentino KRC, Casimiro-Lopes G, Pimenta RA, et al. Effects of resistance training in individuals with lower limb amputation: a systematic review. J Funct Morphol Kinesiol. 2023;8(1):23. Doi: https://doi.org/10.3390/jfmk8010023
Nolan L. A training programme to improve hip strength in persons with lower limb amputation. J Rehabil Med. 2012;44(3):241-8. Doi: https://doi.org/10.2340/16501977-0921
Raya MA, Gailey RS, Fiebert IM, Roach KE. Impairment variables predicting activity limitation in individuals with lower limb amputation. Prosthet Orthot Int. 2010;34(1):73-84. Doi: https://doi.org/10.3109/03093640903585008
Baker BS, Syed-Abdul MM, Weitzel KJ, Ball SD. Acute resistance training may have lasting benefit to middle-aged adults. Gerontol Geriatr Med. 2021;7:23337214211022592. Doi: https://doi.org/10.1177%2F23337214211022592
Mendes R, Sousa N, Themudo-Barata J, Reis V. Impact of a community-based exercise programme on physical fitness in middle-aged and older patients with type 2 diabetes. Gac Sanit. 2016;30(3):215-20. Doi: https://doi.org/10.1016/j.gaceta.2016.01.007
Gaunaurd IA, Morgan SJ, Balkman GS, Kristal A, Rosen RE, Haynes JS, et al. Modifying the five-time sit-to-stand test to allow use of the upper limbs: Assessing initial evidence of construct validity among lower limb prosthesis users. PLoS One. 2023;18(2):e0279543. Doi: https://doi.org/10.1371/journal.pone.0279543
McCarthy EK, Horvat MA, Holtsberg PA, Wisenbaker JM. Repeated chair stands as a measure of lower limb strength in sexagenarian women. J Gerontol A Biol Sci Med Sci. 2004;59(11):1207-12. Doi: https://doi.org/10.1093/gerona/59.11.1207
Ettema S, Kal E, Houdijk H. General estimates of the energy cost of walking in people with different levels and causes of lower-limb amputation: a systematic review and meta-analysis. Prosthet Orthot Int. 2021;45(5):417-427. Doi: https://doi.org/10.1097/PXR.0000000000000035
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