Association of peripheral blood flow and functional capacity in lower limb amputees

• Autor(a) principal: Goulart, Cássia da Luz
• Data de Publicação: 2016
• Outros Autores: Peiter, Ana Paula Dattein, Eichelberger, Eduardo Bugs, Silva, Rafael Kniphoff da, Silva, Angela Cristina Ferreira da, Silva, Andréa Lúcia Gonçalves da
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista de Epidemiologia e Controle de Infecção
• Texto Completo: https://online.unisc.br/seer/index.php/epidemiologia/article/view/8041

Background and Aim: The change of peripheral blood flow (PBF) is a risk factor for decreased physical activity and amputation of lower limb (LL). Objectives: To evaluate the association between PBF and functional capacity of the LL amputees for traumatic and non-traumatic reason. Methods: Cross-sectional study with 15 amputees of the Physical Rehabilitation Service. Patients were assessed by Ankle Brachial Index (ABI) at rest in the supine position using a sphygmomanometer in the upper limbs and LL preserved for measurement of systolic blood pressure with Doppler vascular portable and to calculate the ABI. The Duke Activity Status Index (DASI) was used for evaluates daily life activities. Patients were allocated in two groups: non traumatic amputation (GNTa=6) and traumatic amputation (GTa = 9). The analysis was performed by Student's t test and Spearman correlation to verify the association between variables. Results: In GNTa there was predominance of left amputation (n= 3), women (n=4), mean age 59.0±17.4 years, Body Mass Index -BMI 35.5±7.3kg/m², DASI: 20.7±10.5 and classification of ABI in normal (n=4) and DAP (n= 2). In G2 there was a predominance of left amputation (n=7), men (n=9), age 50.4±17.4 years, BMI: 24.8±5.1kg/m², DASI: 24.2±8.1 and lassification of ABI in normal (n=8) and ABI borderline (n=1). The general ABI was difference between GNTa and GTa [0.93±0.17 vs 1.11±0.12, p=0.03] and positive correlation was found between ABI and DASI in GNTa (r =0.85; p=0.03). Conclusion: GNTa have reduced levels of ABI and worse peripheral blood flow, and this affects your functional capacity. KEYWORDS: Peripheral Arterial Disease. Lower Extremity. Motor Activit