Laboratory Study of Movement, Instituto de Ortopedia e Traumatologia Do Hospital Das Clínicas (HC) da Faculdade de Medicina da Universidade de São Paulo (FMUSP), SP, Brazil.
Laboratory Study of Movement, Instituto de Ortopedia e Traumatologia Do Hospital Das Clínicas (HC) da Faculdade de Medicina da Universidade de São Paulo (FMUSP), SP, Brazil; Graduate Program in Aging Sciences from the University São Judas Tadeu (USJT), SP, Brazil.
J Bodyw Mov Ther. 2023 Jan;33:164-170. doi: 10.1016/j.jbmt.2022.09.027. Epub 2022 Oct 3.
The main causes of amputation include vascular diseases, trauma, cancer, and congenital limb abnormalities. The person with transtibial amputation (TA) is affected by a greater cardiorespiratory, metabolic, and muscular load to walk and perform daily activities. The sedentary lifestyle contributes to the process of chronic non-communicable diseases. The purpose of the study was to compare the effects of eight-week concurrent training (CT) for dependent variables as muscle strength, cardiorespiratory fitness, agility, and postural balance in persons with unilateral TA.
A eight-week, randomized, controlled trial. Thirty-one people using prostheses for three or more months were selected. They were randomly divided into two groups: Experimental Group (EG; n = 17) - concurrent training and Control group (CG; n = 14) - no training. All patients were evaluated at the baseline and after eight weeks by the functional performance, isokinetic knee evaluation, static and dynamic posturography and cardiopulmonary test.
The patients showed improvements in all measures after training (size effect >0.80).
The main limitations are the sample size, related to the socioeconomic status and availability training and no comparison to other types of training. Eight weeks of CT was effective and favorably modified the dependent variables in TA patients. Therefore, CT is a good option to improve functional performance after the regular rehabilitation program discharge and decreases the metabolic and functional deficits of these patients.
截肢的主要原因包括血管疾病、创伤、癌症和先天性肢体畸形。接受胫骨截肢（TA）的人在行走和进行日常活动时，会承受更大的心肺、代谢和肌肉负荷。久坐的生活方式会导致慢性非传染性疾病的发生。本研究的目的是比较 8 周的同步训练（CT）对单侧 TA 患者肌肉力量、心肺功能、敏捷性和姿势平衡等因变量的影响。
这是一项为期 8 周的随机对照试验。我们选择了 31 名使用假肢超过 3 个月的患者。他们被随机分为两组：实验组（EG；n=17）-同步训练和对照组（CG；n=14）-无训练。所有患者在基线和 8 周后均通过功能表现、等速膝关节评估、静态和动态姿势描记术以及心肺测试进行评估。
患者在训练后所有指标均有改善（效应量>0.80）。
主要的局限性在于样本量，与社会经济状况和训练的可用性有关，且未与其他类型的训练进行比较。8 周的 CT 对 TA 患者的因变量有效且有利地进行了修正。因此，CT 是一种很好的选择，可以在常规康复计划出院后改善功能表现，并降低这些患者的代谢和功能缺陷。
