Session Information
Date: Friday, November 15, 2019
Session Title: Musculoskeletal and Sports Medicine Case Report
Session Time: 12:30pm-2:00pm
Location: Research Hub - Kiosk 3
Disclosures: Mark E. Sederberg, DO: Nothing to disclose
Objective: This study evaluates exercise participation in a population of patients with amputation using a standardized exercise vital sign (EVS) and correlates exercising with demographic information and co-morbid disease burden as documented in their electronic health record.
Design: Cross-sectional observational study.
Setting: Outpatient amputation rehabilitation clinic at a level 1 trauma center.
Participants: 207 unique patients with amputation.
Interventions: N/A
Main Outcome Measures: EVS (measured as how many days per week each patient performed moderate to vigorous intensity exercise and, on those days, how many minutes they exercised at that level), disease burden using the Charlson Comorbidity Index (CCI), possession of a prosthetic limb, amputation level, time from amputation, BMI, gender, race, and age.
Results: Among all patients, 32% reported exercising at or above the recommended 150 minutes per week. Thirty percent of people with transfemoral amputations, 29% of people with transtibial amputations, and 23% of people with upper extremity amputations reported at least 150 minutes of exercise per week. Those with a prosthesis exercised 1.39 hours per week more than those without a prosthesis (95% CI 0.42,2.36, P=.005). Each 60 minutes of exercise per week correlated with a lower disease burden as measured by a -0.112 change in CCI (95% CI -0.006,-0.219, P=.039). There was no statistically significant correlation between EVS and amputation level (P=.810), gender (P= .134), race (P=.457), BMI (P=.223), time from amputation (P=.472) or age (P=.58).
Conclusions: Less than one third of patients with an amputation meet the recommended weekly exercise amount regardless of amputation level. Having a prosthesis is the strongest predictor of exercise in this population. Higher EVS correlates with a lower disease burden. We found no correlation between EVS and amputation level, gender, race, BMI, time from amputation, or age.
Level of Evidence: Level IV
To cite this abstract in AMA style:
Sederberg ME, Tarkhan A, Friedly JL, Ray LS, Lee ES, Lin C. Exercise as a Vital Sign to Assess Physical Activity and Correlated Disease Burden in Adults with Amputation [abstract]. PM R. 2019; 11(S2)(suppl 2). https://pmrjabstracts.org/abstract/exercise-as-a-vital-sign-to-assess-physical-activity-and-correlated-disease-burden-in-adults-with-amputation/. Accessed May 22, 2025.« Back to AAPM&R Annual Assembly 2019
PM&R Meeting Abstracts - https://pmrjabstracts.org/abstract/exercise-as-a-vital-sign-to-assess-physical-activity-and-correlated-disease-burden-in-adults-with-amputation/