Tag: amputacja

Physical fitness and physical activity of a quadriplegic amputee patient with systemic lupus erythematosus (SLE) – a case study

Bartłomiej Patryk Hes

 

Bartłomiej Patryk Hes – Physical fitness and physical activity of a quadriplegic amputee patient with systemic lupus erythematosus (SLE) – a case study –  Fizjoterapia Polska 2025; 25(1); 144-158

DOI: https://doi.org/10.56984/8ZG007DO7PL

Abstract
An active lifestyle is an important factor in the rehabilitation of individuals after limb amputation, as many patients require lifelong rehabilitation after hospital treatment. Among people with an amputation, a higher level of physical activity was associated with a better perception of quality of life.
The aim of this study is to present the case of a patient with a quadruple amputation and systemic lupus erythematosus (SLE), to describe the type of physical activity she undertook, and to determine the changes in endurance and physical fitness levels resulting from regular exercise.
Following a prolonged period of rehabilitation, a 43-year-old woman began regular training sessions that included elements of gymnastics. The training focused on weight reduction as well as improving aerobic capacity and overall physical fitness and functionality.
To monitor the patient’s progress, measurements of aerobic capacity and physical fitness were conducted (6-Minute Walk Test, Illinois Agility Test, and abdominal muscle strength testing).
The patient’s chosen form of physical activity produced positive results in improving her physical fitness and endurance. Such an approach to physical activity appears justified not only for this patient but also for other people with disabilities. A training regimen adapted to individual needs, physical capabilities, and medical recommendations may help enhance physical fitness and aerobic capacity, ultimately improving quality of life.
Key words
amputation, SLE, physical activity, gymnastics, adaptation
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Health Education Test in a survey of awareness of health issues in lower limb amputees

Piotr Tederko, Katarzyna Dmitruk, Krzysztof Wasiak, Jerzy Kiwerski

Piotr Tederko, Katarzyna Dmitruk, Krzysztof Wasiak, Jerzy Kiwerski – Health Education Test in a survey of awareness of health issues in lower limb amputees. Fizjoterapia Polska 2008; 8(2); 189-196

Abstract
Background. Education is part and parcel of comprehensive rehabilitation. With regard to limb amputees, education involves not only locomotion techniques and prosthesis application, but also includes prophylaxis and recognition of early signs of common stump problems. In this preliminary study we report the results of experimental application of a Health Education Test (HET) in an inquiry investigating the level of health education in lower limb amputees. Material and methods. 40 subjects admitted to Rehabilitation Department (6 women, 34 men), mean age 60.6 years (SD=12.8) who underwent unilateral lower limb amputation (26 above-knee and 14 below-knee amputees). 33 patients underwent amputation for vascular complications. The HET consisted of 4 open and 46 detailed questions inquiring about patients’ knowledge of the causes, prophylaxis and symptoms of popular stump problems, hygiene and health issues after lower limb amputation. Results. We noted a negative correlation between age and HET results (Pearson coefficient 0.6, p<0.01). Residents of localities above 20.000 inhabitants gave significantly better responses (Mann-Whitney test; p<0.05). HET results did not correlate with general education, reason and level of amputation. Participants reported shortage of suitable information and educational materials for lower limb amputees and difficulty obtaining expert advice outside of specialist centers. Conclusions. Health education concerning prophylaxis of stump problems should be commenced about the time of amputation, maintained during the hospital stage of rehabilitation, and continued in the outpatient setting. The programs and forms of education should be age-specific and be available regardless of the patient’s place of residence.
Key words:
amputation, rehabilitation, health education
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