Developing an exercise intervention to minimise hip bone mineral density loss following traumatic lower limb amputation: a Delphi study.

IF 11.6 1区 医学 Q1 SPORT SCIENCES
Fearghal P Behan, Anthony M J Bull, Belinda R Beck, Katherine Brooke-Wavell, Ralph Müller, Laurence Vico, Hanna Isaksson, Nicholas C Harvey, Arjan Buis, Kate Sherman, Gemma Jefferson, Daniel J Cleather, Alison McGregor, Alexander N Bennett
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引用次数: 0

Abstract

Objective: To elicit expert opinion and gain consensus on specific exercise intervention parameters to minimise hip bone mineral density (BMD) loss following traumatic lower limb amputation.

Methods: In three Delphi rounds, statements were presented to a panel of 13 experts from six countries. Experts were identified through publications or clinical expertise. Round 1 involved participants rating their agreement with 22 exercise prescription statements regarding BMD loss post amputation using a 5-point Likert scale. Agreement was deemed as 3-4 on the scale (agree/strongly agree). Statements of <50% agreement were excluded. Round 2 repeated remaining statements alongside round 1 feedback. Round 3 allowed reflection on round 2 responses considering group findings and the chance to change or maintain the resp onse. Round 3 statements reaching ≥70% agreement were defined as consensus.

Results: All 13 experts completed rounds 1, 2 and 3 (100% completion). Round 1 excluded 12 statements and added 1 statement (11 statements for rounds 2-3). Round 3 reached consensus on nine statements to guide future exercise interventions. Experts agreed that exercise interventions should be performed at least 2 days per week for a minimum of 6 months, including at least three different resistance exercises at an intensity of 8-12 repetitions. Interventions should include weight-bearing and multiplanar exercises, involve high-impact activities and be supervised initially.

Conclusion: This expert Delphi process achieved consensus on nine items related to exercise prescription to minimise hip BMD loss following traumatic lower limb amputation. These recommendations should be tested in future interventional trials.

制定运动干预措施,最大限度地减少外伤性下肢截肢后髋部骨矿物质密度的损失:德尔菲研究。
目的征求专家意见并就具体的运动干预参数达成共识,以最大限度地减少创伤性下肢截肢后髋部骨矿密度(BMD)的损失:方法:在三轮德尔菲讨论中,来自六个国家的 13 位专家组成的小组提交了声明。专家是通过出版物或临床专业知识确定的。第一轮由参与者使用 5 点李克特量表对有关截肢后 BMD 损失的 22 项运动处方声明的同意程度进行评分。同意度为 3-4 分(同意/非常同意)。结果陈述:所有 13 位专家都完成了第一、第二和第三轮(100% 完成)。第 1 轮排除了 12 项陈述,增加了 1 项陈述(第 2-3 轮为 11 项陈述)。第三轮就 9 项声明达成共识,以指导未来的运动干预措施。专家们一致认为,运动干预应每周至少进行 2 天,持续至少 6 个月,包括至少 3 种不同的阻力运动,强度为 8-12 次重复。干预措施应包括负重和多平面运动,涉及高冲击力活动,并在最初阶段接受监督:本次德尔菲专家会议就运动处方的九个相关项目达成了共识,以最大限度地减少创伤性下肢截肢后髋部 BMD 的损失。这些建议应在未来的干预试验中进行检验。
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来源期刊
CiteScore
27.10
自引率
4.90%
发文量
217
审稿时长
3-8 weeks
期刊介绍: The British Journal of Sports Medicine (BJSM) is a dynamic platform that presents groundbreaking research, thought-provoking reviews, and meaningful discussions on sport and exercise medicine. Our focus encompasses various clinically-relevant aspects such as physiotherapy, physical therapy, and rehabilitation. With an aim to foster innovation, education, and knowledge translation, we strive to bridge the gap between research and practical implementation in the field. Our multi-media approach, including web, print, video, and audio resources, along with our active presence on social media, connects a global community of healthcare professionals dedicated to treating active individuals.
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