Iranian Journal of War and Public Health

eISSN (English): 2980-969X
eISSN (Persian): 2008-2630
pISSN (Persian): 2008-2622
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Volume 15, Issue 1 (2023)                   Iran J War Public Health 2023, 15(1): 17-26 | Back to browse issues page

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Seddighmokhtari N, Gheitasi M, Miri H, Bayattork M. Effect of an 8-Weeks of Comprehensive Corrective Protocol on Postural control, low Back Pain, Gait Speed and Quality of Life on Unilateral Transtibial Amputees. Iran J War Public Health 2023; 15 (1) :17-26
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1- Department of Sports Injury, Faculty of Physical Education and Sport Sciences, Raja University, Qazvin, Iran
2- Department of Health and Rehabilitation in Sport, Faculty of Sport Science and Health, University of Shahid Beheshti, Tehran, Iran
3- Department of Physical Education and Sports Sciences, Amirkabir University of Technology, Tehran, Iran
4- Sport Sciences and Physical Education Department, Faculty of Humanities Science, University of Hormozgan, Bandar Abbas, Iran
* Corresponding Author Address: Department of Sports Injury, Faculty of Physical Education and Sport Sciences, Raja University, Norouzian Street, Qazvin, Iran. Postal Code: 34148-95833 (n.seddighmokhtari@gmail.com)
Abstract   (790 Views)
Aims: Amputation makes a person susceptible to postural deviation and compensatory movements and causes reduced performance, biocompatibility, pain, and dissatisfaction. This study aimed to investigate the effect of eight weeks of a comprehensive rehabilitation protocol on indicators of postural control, back pain, quality of life, and gait speed in adults with unilateral lower limb amputation.
Materials & Methods: This Quasi-experimental study was carried out on 23 subjects with transtibial amputations at K2 level and above who could walk with the help of a prosthesis. The subjects were selected by purposive sampling and were assigned into training and control groups. The training group received proper posture, correcting daily life activities, teaching the correct use of prosthesis, and mirror therapy for eight weeks. However, the control group followed their routine daily life activities. A dynamic computer posturography machine was used to evaluate the postural control indicators. Low back pain was measured by a visual analog scale. The quality of life was evaluated using TAPES and CLASS questionnaires. And the gait speed was checked by a 2-minute gait test.
Findings: Eight weeks of the comprehensive corrective protocol had a significant effect on the indicators of postural control, low back pain, quality of life, and gait speed, in the training group (p≤0.05).
Conclusion: Implementing a comprehensive program of correctional protocol leads to improvement of balance and postural control indicators, quality of life and gait speed, and reduction of low back pain intensity in unilateral lower limb amputees.
 
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References
1. Moradi Y, Behpoor N, Ghaeeni S, Shamsakohan P. Effects of 8 weeks aquatic exercise on static balance in veterans with unilateral lower limb amputation. Iran J War Public Health. 2014;6(2) :27-34. [Link]
2. Devan H, Carman A, Hendrick P, Hale L, Ribeiro DC. Spinal, pelvic, and hip movement asymmetries in people with lower-limb amputation: Systematic review. J Rehabil Res Dev. 2015;52(1):1-19. [Link] [DOI:10.1682/JRRD.2014.05.0135]
3. Esquenazi A, DiGiacomo R. Rehabilitation after amputation. J Am Podiatr Med Assoc. 2001;91(1):13-22. [Link] [DOI:10.7547/87507315-91-1-13]
4. Mohamadtaghi M, Shamsipour P, Hejazi P. Effects of manipulating visual, auditory and proprioceptive sensory in formations on the balance in healthy subjects and lower limb amputees. J Shahrekord Uuniv Med Sci. 2016;18(5):115-27. [Persian] [Link]
5. Sahay P, Prasad SK, Anwer S, Lenka PK, Kumar R. Efficacy of proprioceptive neuromuscular facilitation techniques versus traditional prosthetic training for improving ambulatory function in transtibial amputees. Hong Kong Physiother J. 2014;32(1):28-34. [Link] [DOI:10.1016/j.hkpj.2013.02.002]
6. França FR, Burke TN, Hanada ES, Marques AP. Segmental stabilization and muscular strengthening in chronic low back pain: a comparative study. Clinics. 2010;65(10):1013-7. [Link] [DOI:10.1590/S1807-59322010001000015]
7. Butowicz CM, Yoder AJ, Farrokhi S, Mazzone B. Low back pain influences trunk-lower limb joint coordination and balance control during standing in persons with lower limb loss. Clin Biomech. 2022;92:105580. [Link] [DOI:10.1016/j.clinbiomech.2022.105580]
8. Faraji A, Barati A, Sadeghi H, Fateh H, Allami M, Soroush M. Effect of 12 weeks of corrective movement exercises on lumbar multifidus muscle asymmetry and pain intensity in unilateral amputees with chronic low back pain. Iran J War Public Health. 2018;10(1):47-52. [Link] [DOI:10.29252/ijwph.10.1.47]
9. Schafer ZA, Perry JL, Vanicek N. A personalised exercise programme for individuals with lower limb amputation reduces falls and improves gait biomechanics: A block randomised controlled trial. Gait Posture. 2018;63:282-9. [Link] [DOI:10.1016/j.gaitpost.2018.04.030]
10. Shin MK, Yang HS, Yang HE, Kim DH, Ahn BR, Kwon H, et al. Effects of lumbar strengthening exercise in lower-limb amputees with chronic low back pain. Ann Rehabil Med. 2018;42(1):59-66. [Link] [DOI:10.5535/arm.2018.42.1.59]
11. Godlwana L, Stewart A, Musenge E. The effect of a home exercise intervention on persons with lower limb amputations: a randomized controlled trial. Clin Rehabil. 2020;34(1):99-110. [Link] [DOI:10.1177/0269215519880295]
12. Wasser JG, Herman DC, Horodyski M, Zaremski JL, Tripp B, Page P, et al. Exercise intervention for unilateral amputees with low back pain: study protocol for a randomised, controlled trial. Trials. 2017;18(1):630. [Link] [DOI:10.1186/s13063-017-2362-0]
13. Brooks D Parsons J, Hunter JP, Devlin M, Walker J. The 2-minute walk test as a measure of functional improvement in persons with lower limb amputation. Arch Phys Med Rehabil. 2001;82(10):1478-83. [Link] [DOI:10.1053/apmr.2001.25153]
14. Batten HR, McPhail SM, Mandrusiak AM, Varghese PN, Kuys SS. Gait speed as an indicator of prosthetic walking potential following lower limb amputation. Prosthet Orthot Int. 2019;43(2):196-203. [Link] [DOI:10.1177/0309364618792723]
15. Wong CK, Ehrlich JE, Ersing JC, Maroldi NJ, Stevenson CE, VarcaMJ. Exercise programs to improve gait performance in people with lower limb amputation: A systematic review. Prosthet Orthot Int. 2016;40(1):8-17. [Link] [DOI:10.1177/0309364614546926]
16. Barnett CT, Vanicek N, Polman R. Postural responses during volitional and perturbed dynamic balance tasks in new lower limb amputees: A longitudinal study. Gait Posture. 2013;37(3):319-25. [Link] [DOI:10.1016/j.gaitpost.2012.07.023]
17. Alghadir AH, Anwer S, Iqbal A, Iqbal ZA. Test-retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. J Pain Res. 2018;11:851-56. [Link] [DOI:10.2147/JPR.S158847]
18. Rouhani N, Esfandiari E, Babaee T, Khosravi M, Moradi V. The comprehensive lower limb amputee socket survey: reliability and validity of the Persian version. Prosthet Orthot Int. 2021;45(2):131-7. [Link] [DOI:10.1177/0309364620958526]
19. Mazaheri M, Fardipour S, Salavati M, Hadadi M, Negahban H, Bahramizadeh M, et al. The Persian version of Trinity Amputation and Prosthetics Experience Scale: translation, factor structure, reliability and validity. Disabil Rehabil. 2011;33(19-20):1737-45. [Link] [DOI:10.3109/09638288.2010.544838]
20. Stahlhut M, Downs J, Leonard H, Bisgaard AM, Nordmark E. Building the repertoire of measures of walking in Rett syndrome. Disabil Rehabil. 2017;39(19): 1926-31. [Link] [DOI:10.1080/09638288.2016.1212280]
21. Schafer ZA, Vanicek N. A block randomised controlled trial investigating changes in postural control following a personalised 12-week exercise programme for individuals with lower limb amputation. Gait Posture. 2021;84:198-204. [Link] [DOI:10.1016/j.gaitpost.2020.12.001]
22. Mohammadtaghi B, Hejazi Dinan P, Shamsipour Dehkordi P. The effects of 12 sessions of mirror therapy on postural control kinetic variables of amputation below the knee in terms of the manipulation of afferent information. Armaghan-e-Danesh. 2016;21(2):160-73. [Persian] [Link]
23. Mohamadtaghi B, Hejazi Dinan P, Shamsipour Dehkordi P. Effect of the selected balance program on postural control of amputees under manipulation of visual, vestibular and proprioceptive systems. Iran J War Public Health. 2016;8(1):1-8. [Link] [DOI:10.18869/acadpub/IJWPH.2016.01]
24. Damayanti Sethy M, Kujur ES, Sau K. Effect of balance exercise on balance control in unilateral lower limb amputees. Indian J Occup Ther. 2009;41(3):63-8. [Link]
25. 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(5):446-54. [Link] [DOI:10.1177/0309364616683818]
26. Fatone S, Stine R, Gottipati P, Dillon M. Pelvic and spinal motion during walking in persons with transfemoral amputation with and without low back pain. Am J Phys Med Rehabil. 2016;95(6):438-47. [Link] [DOI:10.1097/PHM.0000000000000405]
27. Actis JA, Nolasco LA, Gates DH, Silverman AK. Lumbar loads and trunk kinematics in people with a transtibial amputation during sit-to-stand. J Biomech. 2018;69:1-9. [Link] [DOI:10.1016/j.jbiomech.2017.12.030]
28. Seay JF, Van Emmerik REA, Hamill J. Influence of low back pain status on pelvis-trunk coordination during walking and running. Spine. 2011;36(16):E1070-9. [Link] [DOI:10.1097/BRS.0b013e3182015f7c]
29. Morgenroth DC, Orendurff MS, Shakir A, Segal A, Shofer J, Czerniecki JM. The relationship between lumbar spine kinematics during gait and low-back pain in transfemoral amputees. Am J Phys Med Rehabil. 2010;89(8):635-43. [Link] [DOI:10.1097/PHM.0b013e3181e71d90]
30. 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. [Link] [DOI:10.1016/j.dhjo.2020.100976]
31. Parker K, Kirby RL, Adderson J, Thompson K. Ambulation of people with lower-limb amputations: relationship between capacity and performance measures. Arch Phys Med Rehabil. 2010;91(4):543-9. [Link] [DOI:10.1016/j.apmr.2009.12.009]
32. MacKenzie EJ, Bosse MJ, Castillo RC, Smith DG, Webb LX, Kellam JF, et al. Functional outcomes following trauma-related lower-extremity amputation. J Bone Joint Surg Am. 2004;86(8):1636-45. [Link] [DOI:10.2106/00004623-200408000-00006]
33. Abou L, Fliflet A, Zhao L, Du Y, Rice L. The effectiveness of exercise interventions to improve gait and balance in individuals with lower limb amputations: a systematic review and meta-analysis. Clin Rehabil. 2022;36(7):857-72. [Link] [DOI:10.1177/02692155221086204]

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