ABSTRACT
O aumento do número de sujeitos amputados protetizados torna necessário o desenvolvimento de dispositivos cada vez mais seguros e funcionais para o uso. Dentre os aspectos envolvidos no desenvolvimento protético, é importante que seja avaliada a percepção do usuário em relação ao dispositivo para detectar problemas e desconfortos que prejudicam o processo de adaptação e rein serção social após a amputação. Objetivo: analisar o nível de satisfação de atletas com amputação transfemoral em relação à suas próteses e seus impactos em sua funcionalidade e qualidade de vida. Mét o do : estudo transversal preliminar realizado com cinco atletas amputados, a coleta de dados foi realizada por meio da aplicação de um formulário de avaliação estruturado e questionário para obtenção das características estruturais e psicológicas dos participantes com amputação e do dispositivo protético utilizado, o nível de associação entre os aspectos avaliados foi medido por meio do coeficiente de correlação de sp earm an . Resultados: após a avaliação dos dados, foi observada correlação positiva forte entre o tempo de amputação e o grau de adaptação protético (p<0.05). Indivíduos mais adaptados ao dispositiv o p ossuem maior satisfação ao uso da prótese nas atividades de vida diária e maiores pontuações no questionário. Foi observada ainda e que a qualidade da prótese impacta o nível de satisfação em relação à adaptação e desenvolvimento das atividades diárias e desportivas. Conclusão: as análises evidenciam a influência do processo de protetização no desempenho esportivo e nas atividades cotidianas executadas pelos sujeit o s amputados, dados que podem contribuir para desenvolvimento tecnológico de dispositivos que interfiram positivamente no desempenho funcional diário e esportivo dessa população...(AU)
Background: the increase of amputated subjects with leg prostheses requires the development of increasingly safe and functional devices, and for this purpose it is necessary t o ev aluate the user's perception regarding his device to detect problems and discomforts that undermine t he so cial reintegration process after the amputation. Purpose: to analyze the satisfaction level o f athletes wit h transfemoral amputation about their prosthesis and its impacts in their functionality and qualit y o f life. Methods: a preliminary cross-sectional study was developed; data collection was performed through t he application of a structured evaluation form and a questionnaire to obtain structural an d p sy ch ological characteristics of five participants with amputation and the prosthetic device used. Correlation coefficients between evaluated aspects were calculated. Results: there was a strong positive correlation bet ween t he time since amputation and prosthetic adaptation (p<0.05). Subjects more adap ted t o t he dev ice h ave greater satisfaction using their prosthesis in activities of daily living and higher scores on quest io nnaire. The present study verified that the quality of the prosthesis influences the level of satisfaction related t o adaptation and development of daily and sports activities. Conclusion: this study correlations sh o ws t he real influence of prosthetization process in sports performance and daily activities executed by am p utee subjects, this data may assist the technological development of devices that contribute t o th e daily and sportive functional performance of this population...(AU)
Subject(s)
Humans , Male , Female , Adult , Young Adult , Prostheses and Implants , Quality of Life , Sports , Activities of Daily Living , Technological Development , Adaptation to Disasters , Athletes , Physical Functional Performance , Amputation, Surgical , Amputees , Personal Satisfaction , Artificial Limbs , Cross-Sectional Studies , Life , Growth and Development , Equipment and Supplies , Athletic PerformanceABSTRACT
Aim: Surface electromyography (sEMG) has been established as a safe non-invasive method to investigate neuromuscular function. However, the use of this instrument to assess lower limbs of transfemoral amputees still presents a lack of standardization in its methods of signal acquisition and processing. The aim of this study was to review the current state of sEMG utilization to assess transfemoral amputees, the procedures adopted for the acquisition and the functional findings. Methods: This is a literature review. Five electronic databases were searched to find the studies: All relevant information of each study was extracted and registered. Methodological quality was evaluated using a customized checklist. Results: Eight studies followed the inclusion criteria and were included in this paper. Four studies did not reach more than 80% of the quality checklist, few studies fully described the methodology applied. The muscles assessed were similar in all studies, electrodes placement was determined by different criteria. Conclusion: This paper demonstrates that a few studies have used this method to assess this population and the main variable aspect is concerned to the placement of the electrodes. More researches are needed to better understand the neuromuscular behavior of amputees by using sEMG and assist future researches to develop more reproducible and reliable studies.(AU)