Physical behaviours in adults with lower limb absence : motivations and barriers; the role of healthcare professionals; measurement; and free-living patterns

Student thesis: Doctoral Thesis

Abstract

Strong evidence exists to support participation in physical activity to maintain and improve health in general and clinical populations. However, little is known about the physical behaviours of adults with lower limb absence.This thesis makes four original contributions to knowledge. The first contribution is a systematic review conducted to explore the motivations and barriers to participation in physical activity, exercise and sports in people with lower limb absence. Findings show that adults with lower limb absence are not participating in physical activity conducive to health benefits. Post-amputation levels of participation are lower than pre-amputation levels, and more barriers than motivations exist to participation.The second contribution is the exploration of healthcare professionals' awareness and understanding of physical activity guidelines and how physical activity is promoted in clinical settings. Results from an online survey designed for United Kingdom healthcare professionals show that this group has awareness and knowledge of physical activity guidelines. With appropriate support and resources prosthetic healthcare professionals can be encouraged to incorporate physical activity promotion into routine clinical practice.The third contribution is the examination of reliability and validity of an accelerometer when worn by adults with lower limb absence. The activPAL accelerometer is a reliable and valid measurement tool in adults with lower limb absence when used in a laboratory setting, and placement of the monitor on the sound side limb is recommended for testing.The fourth contribution is the findings from a free-living study of physical behaviour in adults with lower limb absence who are shown to be physically active daily but could be encouraged to be more active and less sedentary. Data were also matched on gender, age and employment status to that of a non-clinical control group where it was shown those with limb absence are less active than healthy individuals.
Date of Award1 Jun 2014
LanguageEnglish
Awarding Institution
  • University Of Strathclyde
SupervisorAlison Kirk (Supervisor) & Anthony McGarry (Supervisor)

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