Impact of the COVID-19 restrictions on physical activity and quality of life in adults with lower limb amputation.
Prosthet Orthot Int
; 46(3): 213-219, 2022 Jun 01.
Article
in English
| MEDLINE | ID: covidwho-1961255
ABSTRACT
BACKGROUND:
This study investigated the impact of COVID-19 restrictions on ambulatory activity and health-related quality of life (HR-QoL) in people with a lower limb amputation (LLA) in Norway. We hypothesized that the restrictions would negatively affect HR-QoL and decrease prosthetic wear time and ambulatory activity in participants with already limited mobility.METHODS:
Twenty individuals with LLA (age and time since amputation 56.2 ± 11.9 and 22.3 ± 20.1 years, respectively) participated. Ambulatory activity (stepwatch prosthetic wear time; steps per day; minutes of low-intensity (1-15 steps min-1), moderate-intensity (16-40 steps min-1), and high-intensity ambulation (>40 steps min-1)) and HR-QoL (EQ-5D-5L) data were collected prepandemic and 8-12 months later during pandemic restrictions. Semistructured interviews identified personal experiences of coping with restrictions.RESULTS:
Prosthetic wear time decreased significantly (-1.0 ± 1.5 hours day-1, p < 0.05). Steps per day (440 ± 1481), moderate-intensity and high-intensity ambulation (3.7 ± 23.4, and 4.8 ± 13.9 minutes day-1, respectively), and EQ-5D-5L index (.02 ± .10) increased, whereas low-intensity ambulation decreased (-1.5 ± 16.1 minutes day-1), all nonsignificant changes. Qualitative analysis identified three themes related to coping with restrictions (1) personal situation, (2) a prosthetic user's perspective, and (3) mindset.CONCLUSIONS:
Increased time spent at home might explain the decreased prosthetic wear time. Contrary to the hypothesis, participants did not decrease their physical activity, and the declined low-intensity ambulation was offset by increased moderate-intensity and high-intensity ambulation. A positive mindset, intrinsic motivation, and health awareness may be important factors for maintaining ambulatory activity and HR-QoL in people with LLA.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Artificial Limbs
/
COVID-19
Type of study:
Experimental Studies
/
Qualitative research
Limits:
Adult
/
Humans
Language:
English
Journal:
Prosthet Orthot Int
Year:
2022
Document Type:
Article
Affiliation country:
PXR.0000000000000078
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