Lower Limb Amputation
Conditions
Keywords
amputees, quality of life, funcionality, muscle strength, movility, endurance training
Brief summary
This study is a clinical trial that evaluates the best treatment option using a strength training protocol and an endurance training protocol in patients with lower limb amputations who use prostheses. The protocol consists of 6 weeks of strength training and 6 weeks of endurance training, with a 1-month washout period between the two.
Detailed description
The assessments in this study focus primarily on strength, using a dynamometer and the 5 RM, functionality, using the AMP scale, mobility, using the TugTest, quality of life, using the WHOQOL-BREF, and perception of change, using the GROC.
Interventions
Strength training lasts six weeks, during which submaximal strength percentages ranging from 75% to 90% are worked on. It is performed three times a week and follows a protocol consisting of progressive exercises for the large functional muscle groups relevant to the population being trained.
Resistance training will be carried out for 6 weeks, 3 times a week, with exercises prescribed by a protocol with training characteristics defined by bibliography found in the ACSM.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with unilateral lower limb amputation * Transtibial and/or transfemoral amputation * Prosthetized * Aged 18 to 75 years * Who sign the informed consent form
Exclusion criteria
* That they are unable to complete the initial assessment * That they undergo further secondary training
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Funcionality | day 1, day 18 (last day of week 6), day 1 (after the wash out) and day 24. | It is assessed using the TUG test, which requires patients to get up from a chair, walk 3 meters, turn around, walk back to the chair, and sit down again. Patients will receive the following instructions: Get up on the word 'go,' walk to the tape, turn around, walk back to the chair, and sit down. |
| Changes in quality of life | day 1, day 18 (last day of week 6), day 1 (after the wash out) and day 24. | It is assessed using a self-administered questionnaire called WHOQOL-BREF, which provides a profile of the person's perceived quality of life. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Maximum isometric muscle strength | day 1, day 18 (last day of week 6), day 1 (after the wash out) and day 24. | It is evaluated using a dynamometer, in which three measurements are taken for each designated movement and the average of the maximum force and peak force is calculated. |
| Changes on Movility | day 1, day 18 (last day of week 6), day 1 (after the wash out) and day 24. | It is assessed using the AMP functional rating scale (amputee mobility predictor). |
| Change in Global percepcion of change | assessments were performed at the end each protocol. day 18 and day 24 | It is an assessment carried out using the Groc scale, which evaluates changes in perception. |