ANALYSIS OF ENERGY EXPENDITURE IN INDIVIDUALS WITHS AMPUTATION DURING PHYSICAL ACTIVITIES: SYSTEMATIC REVIEW
DOI:
https://doi.org/10.36311/2674-8681.2022.v23n1.p05-20Keywords:
Adapted Motor Activity, Energy Expenditure, Amputee, ProsthesesAbstract
The aim of this study was to analyze the energy expenditure in amputees (transtibial and transfemoral) compared to non-amputated individuals through a systematic review. This review was based on the following databases: PubMed, SPORTDiscus and Web of Science, using a combination of the following keywords: energy expenditure, handicapped, physically disability, amputee, prostheses, sports, physical exercise. A total of 916 papers was identified in the databases. After the exclusion of duplicates and articles that did not meet the eligibility criteria, after reading the titles, abstracts and complete articles, 15 articles were selected for inclusion in the systematic review. The papers were grouped into two different categories: 1) papers that analyzed energy expenditure in amputees compared to non-amputated individuals and 2) papers that analyzed energy expenditure in amputated individuals using different prostheses and in different activities. The present systematic review indicates that amputees present greater energetic expenditure during walking than individuals who are not amputated. In addition, it may be added that: 1) transfemoral amputation generates a higher energy expenditure than transtibial amputation; 2) the greater the velocity and the slope of the walking surface the greater the energy expenditure for amputated individuals, 3) amputees using crutches to walk have a higher energy expenditure compared to amputees using prostheses.
Received on: 2021/12/15
Reformulated on: 2022/03/15
Accepted: 2022/04/01
References
BILODEAU, S.; HÉBERT, R.; DESROSIERS, J. Lower limb prosthesis utilization by elderly amputees. Prosthetics and Orthotics International, v. 24, n. 2, p. 126-32, 2000.
BOONSTRA, A.M.; SCHRAMA, J.; FIDLER, V.; EISMA, W.H. Energy cost during ambulation in transfemoral amputees: a knee joint with a mechanical swing phase control vs a knee joint with a pneumatic swing phase control. Scandinavian Journal of Rehabilitation Medicine, v. 27, n. 2, p. 77-81,1995
BRASIL. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Diretrizes de atenção à pessoa amputada / Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Ações Programáticas Estratégicas. 1. ed. Brasília: Ministério da Saúde, 2013.
BUCKLEY, J.G.; JONES, S.F.; BIRCH, K.M. Oxygen consumption during ambulation: comparison of using a prosthesis fitted with and without a tele-torsion device. Archives of Physical Medicine and Rehabilitation, v. 83, n. 4, p. 576-80, 2002.
BUSSMANN, J.B.; GROOTSCHLTEN, E.A.; STAM, H.J. Daily physical activity and heart rate response in people with a unilateral transtibial amputation for vascular disease. Archives of Physical Medicine and Rehabilitation, v. 85, n. 2, p. 240-244, 2004.
BUSSMANN, J.B.; SCHRAUWEN, H.J.; STAM, H.J. Daily physical activity and heart rate response in people with a unilateral traumatic transtibial amputation. Archives of Physical Medicine and Rehabilitation, v. 89, n. 3, p. 430-34, 2008.
CARVALHO JA. Amputações de membros inferiores: em busca de plena reabilitação. São Paulo: Manole, 2003.
CHIN, T.; SAWAMURA, S.; SHIBA, R.; OYABU, H.; NAGAKURA, Y.; TAKASE, I.; et al. Effect of an inteligente prosthesis (IP) on the walking ability of young transfemoral amputees: comparison of IP users with able-bodied people. American Journal of Physical Medicine and Rehabilitation, v. 82, n. 6, p. 447-51, 2003.
CZERNIECKI, J.M.; GITTER, A.; WEAVER, K. Effect of alterations in prosthetic shank mass on the metabolic costs of ambulation in above-knee amputees. American Journal of Physical Medicine and Rehabilitation, v. 73, n. 5, p. 348-52, 1994.
CZERNIECKI, J.M. Rehabilitation in limb deficiency. 1. Gait and motion analysis. Archives of Physical Medicine and Rehabilitation, v. 77, n. 3 suppl, p. S3-8, 1996.
CZERNIECKI, J.M.; MORGENROTH, D.C. Metabolic energy expenditure of ambulation in lower extremity amputees: what have we learned and what are the next steps? Disability and Rehabilitation, v. 39, n. 2, p. 143-51, 2017.
DARTER, B.J.; WILKEN, J.M. Energetic consequences of using a prosthesis with adaptive ankle motion during slope walking in persons with a transtibial amputation. Prosthetics and Orthotics International, v. 38, n. 1, p. 5-11, 2014.
DILLINGHAM, T.R.; PEZZIN, L.E.; SHORE, A.D. Reamputation, mortality, and health care costs among persons with dysvascular lower-limb amputations. Archives of Physical Medicine and Rehabilitation, v. 86, n. 3. p. 480-86, 2005.
EPHRAIM, P.L.; DILLINGHAM, T.R.; SECTOR, M.; PEZZIN, L.E.; MACKENZIE, E.J. Epidemiology of limb loss and congenital limb deficiency: a review of the literature. Archives of Physical Medicine and Rehabilitation, v. 84, n. 5, p. 747-61, 2003.
ESPOSITO, E.R.; RÁBAGO, C.A.; WILKEN, J. The influence of traumatic transfemoral amputation on metabolic cost across walking speeds. Prosthetics and Orthotics International, v. 42, n. 2, p. 214-222, 2017.
FITZGERALD, S.G.; KELLEHER, A.; TEODORSKI, E.; COLLINS, D.M.; BONINGER, M.; COOPER, R.A. The development of a nationwide registry of wheelchair users. Disability and Rehabilitation: Assistive Technology, v. 2, n. 6, p. 358-65, 2007.
GAILEY, R.S.; LAWRENCE, D.; BURDITT, C.; SPYROPOULOS, P.; NEWELL, C.; NASH, M.S. The CAT-CAM socket and quadrilateral socket: a comparison of energy cost during ambulation. Prosthetics and Orthotics International, v. 17, n. 2, p. 95-100, 1993.
GAILEY RS, WENGER MA, RAYA M, KIRK N, ERBS K, SPYROPOULOS P, et al. Energy expenditure of trans-tibial amputees during ambulation at self-selected pace. Prosthetics and Orthotics International, v. 18, n. 2, p. 84-91, 1994.
GAILEY, R.S.; NASH, M.S.; ATCHLEY, T.A.; ZILMER, R.M.; MOLINE-LITTLE, G.R.; MORRIS-CRESSWELL, N.; et al. The effects of prosthesis mass on metabolic cost of ambulation in non-vascular trans-tibial amputees. Prosthetics and Orthotics International, v. 21, n. 1, p. 9-16, 1997.
GAILEY, R.S.; ALLEN, K.; CASTLES, J.; KUCHARIK, J.; ROEDER, M. Review of secondary physical conditions associated with lower-limb amputation and long-term prosthesis use. Journal of Rehabilitation Research & Development, v. 45, n. 1, p. 15-29, 2008.
GJOVAAG, T.; STARHOLM, I.M.; MIRTAHERI, P.; HEGGE, F.W.; SKJETNE, K. Assessment of aerobic capacity and walking economy of unilateral transfemoral amputees. Prosthetics and Orthotics International, v. 38, n. 2, p. 140-47, 2014,
GOMES, I.S.; SANTOS, P.V.; MAINENTI, M.R.; FIGUEIREDO, M.F.; RIBEIRO, B.G.; ABREU, E.S. Basal and resting metabolic rates of physically disabled adult subjects: a systematic review of controlled cross-sectional studies. Annals of Nutrition and Metabolism, v. 65, n. 4, p. 243-52, 2014.
GENIN, J.J.; BASTIEN, G.J.; FRANCK, B.; DETREMBLEUR, C.; WILLEMS, P.A. Effect of speed on the energy cost of walking in unilateral traumatic lower limb amputees. European Journal of Applied Physiology, v. 103, n. 6, p. 655-63, 2008.
GOTTSCHALK, F. Transfemoral amputation. Biomechanics and surgery. Clinical Orthopaedics and Related Research, v. 361, p. 15-22.,1999.
HOUDIJK, H.; POLLMANN, E.; GROENEWOLD, M.; WIGGERTS, H.; POLOMSKI, W. The energy cost for the step-to-step transition in amputee walking. Gait Posture, v. 30, n. 1, p. 35-40, 2009.
Instituto Brasileiro De Geografia E Estatística. Censo 2010 [Internet]. Disponível em: http://www.ibge.gov.br/home/estatistica/populacao/censo2010/resultados_preliminares_amostra/default_resultados_preliminares_amostra.shtm
LIN, S.; BOSE, N.H. Six-minute walk test in persons with transtibial amputation. Archives of Physical Medicine and Rehabilitation, v. 89, n. 12, p. 2354-2359, 2008.
LIN-CHAN, S.J.; NIELSEN, D.H.; YACK, H.J.; HSU, M.J.; SHURR, D.G. The effects of added prosthetic mass on physiologic responses and stride frequency during multiple speeds of walking in persons with transtibial amputation. Archives of Physical Medicine and Rehabilitation, v. 84, n. 12, p. 1865-71, 2003.
MARTINS, D.L.; RABELO, R.J. Influência da atividade física adaptada na Qualidade de Vida de deficientes físicos. Movimentum, v. 3, p. 43-8, 2000.
MICHAUD, S.B.; GARD, S.A.; CHILDRESS, D.S. A preliminar investigation of pelvic obliquity patterns during gait in persons with transtibial and transfemoral amputation. Journal of Rehabilitation Research & Development, v. 37, n. 1, p. 1-10, 2000.
McGUIRE, L.C.; STRINE, T.W.; OKORO, C.A.; AHLUWALIA, I.B.; FORD, E.S. Healthy lifestyle behaviors among older U.S. adults with and without disabilities, Behavioral Risk Factor Surveillance System, 2003. Preventing Chronic Disease, v. 4, n. 1, p. A09, 2007.
MOHANTY, R.K.; LENKA, P.; EQUEBAL, A.; KUMAR, R. Comparison of energy cost in transtibial amputees using "prosthesis" and "crutches without prosthesis" for walking activities. Annals of Physical Rehabilitation and Medicine, v. 55, n. 4, p. 252-62, 2012.
ORENDURFF, M.S.; SEGAL, A.D.; KLUTE, G.K.; McDOWELL, M.L.; PECORARO, J.A.; CZERNIECKI, J.M. Gait efficiency using the C-Leg. Journal of Rehabilitation Research & Development, v. 43, n. 2, p. 239-46, 2006.
PAYSANT, J.; BEYAERT, C.; DATIÉ, A.M.; MARTINET, N.; ANDRÉ, J.M. Influence of terrain on metabolic and temporal gait characteristics of unilateral transtibial amputees. Journal of Rehabilitation Research & Development, v. 43, n. 2, p. 153-60, 2006.
RAICHLE, K.A.; HANLEY, M.A.; MOLTON, I.; KADEL, N.J.; CAMPBELL, K.; PHELPS, E.; et al. Prosthesis use in persons with lower- and upper-limb amputation Journal of Rehabilitation Research & Development, v. 45, n. 7, p. 961-72, 2008.
ROBBINS, C.B.; VREEMAN, D.J.; SOTHMANN, M.S.; WILSON, S.L.; OLDRIDGE, N.B. A review of the long-term health outcomes associated with war-related amputation. Military Medicine, v. 174, n. 6, p. 588-92, 2009.
SANTOS, J.R.; VARGAS, M.M.; MELO, C.M. Nível de atividade física, qualidade de vida e rede de relações sociais de amputados. Revista Brasileira de Ciência e Movimento, v. 22, p. 20-6, 2014.
SCHMALZ, T.; BLUMENTRITT, S.; JARASCH, R. Energy expenditure and biomechanical characteristics of lower limb amputee gait: the influence of prosthetic alignment and different prosthetic components. Gait Posture, v. 16, n. 3, p. 255-63, 2002.
SCHNALL, B.L.; WOLF, E.J.; BELL, J.C.; GAMBEL, J.; BENSEL, C.K. Metabolic analysis of male servicemembers with transtibial amputations carrying military loads. Journal of Rehabilitation Research & Development, v. 49, n. 4, p. 535-44, 2012.
SPICHLER, D.; MIRANDA-JUNIOR, F.; SPICHLER, E.S.; FRANCO, L.J. Amputações maiores de membros inferiores por doença arterial periférica e diabetes melito no município do Rio de Janeiro. Jornal Vascular Brasileiro, v. 3, n. 2, p. 111-22, 2004.
SHAH, S.K.; BENA, J.F.; ALLEMANG, M.T.; KELSO, R.; CLAIR, D.G.; VARGAS. L.; et al Lower extremity amputations: factors associated with mortality or contralateral amputation. Vascular and Endovascular Surgery, v. 47, n. 8, p. 608-13, 2013.
SUCKOW, B.D.; GOODNEY, P.P.; NOLAN, B.W.; VEERASWAMY, R.K.; GALLAGHER, P.; CRONENWETT, J.L.; et al. Domains that Determine Quality of Life in Vascular Amputees. Annals of Vascular Surgery, v. 29, n. 4, p. 722-30, 2015.
TRABALLESI, M.; PORCACCHIA, P.; AVERNA, T.; BRUNELLI, S. Energy cost of walking measurements in subjects with lower limb amputations: a comparison study between floor and treadmill test. Gait Posture, v. 27, n. 1, p. 70-5, 2008.
TELFORD, C.W.; SAWREY, J.M. O indivíduo excepcional. Rio de Janeiro: Zahar, 1978.
WAN-NAR-WONG, M. Changing dynamics in lower-extremity amputation in China. Archives of Physical Medicine and Rehabilitation, v. 86, n. 9, p. 1778-81, 2005.
WONG, C.K.; BENOY, S.; BLACKWELL, W.; JONES, S.; RAHAL, R. A Comparison of energy expenditure in people with transfemoral amputation using microprocessor and nonmicroprocessor knee prostheses: A Systematic Review. Journal of Prosthetics and Orthotics, v. 24, n. 4, p. 202-8, 2012.
WEZENBERG, D.; VAN-DER-WOUDE, L.H.; FABER, W.X.; DE HAAN, A.; HOUDIJK, H. Relation between aerobic capacity and walking ability in older adults with a lower-limb amputation. Archives of Physical Medicine and Rehabilitation, v. 94, n. 9, p. 1714-20, 2013.
Downloads
Published
Issue
Section
License
Copyright (c) 2022 JOURNAL OF THE BRAZILIAN SOCIETY FOR ADAPTED MOTOR ACTIVITY
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
