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dc.contributor.authorMellema, Mirjam
dc.contributor.authorRisnes, Martha
dc.contributor.authorMirtaheri, Peyman
dc.contributor.authorGjøvaag, Terje
dc.description.abstractBackground: This study investigated the impact of COVID-19 restrictions on ambulatory activity and health-related quality of life (HR-QoL) in people with a lower limb amputation (LLA) in Norway. We hypothesized that the restrictions would negatively affect HR-QoL and decrease prosthetic wear time and ambulatory activity in participants with already limited mobility. Methods: Twenty individuals with LLA (age and time since amputation 56.2 ± 11.9 and 22.3 ± 20.1 years, respectively) participated. Ambulatory activity (stepwatch: prosthetic wear time; steps per day; minutes of low-intensity (1–15 steps min-1), moderate-intensity (16–40 steps min-1), and high-intensity ambulation (>40 steps min-1)) and HR-QoL (EQ-5D-5L) data were collected prepandemic and 8–12 months later during pandemic restrictions. Semistructured interviews identified personal experiences of coping with restrictions. Results: Prosthetic wear time decreased significantly (−1.0 ± 1.5 hours day-1, p < 0.05). Steps per day (440 ± 1481), moderate-intensity and high-intensity ambulation (3.7 ± 23.4, and 4.8 ± 13.9 minutes day-1, respectively), and EQ-5D-5L index (.02 ± .10) increased, whereas low-intensity ambulation decreased (−1.5 ± 16.1 minutes day-1), all nonsignificant changes. Qualitative analysis identified three themes related to coping with restrictions: (1) personal situation, (2) a prosthetic user’s perspective, and (3) mindset. Conclusions: Increased time spent at home might explain the decreased prosthetic wear time. Contrary to the hypothesis, participants did not decrease their physical activity, and the declined low-intensity ambulation was offset by increased moderate-intensity and high-intensity ambulation. A positive mindset, intrinsic motivation, and health awareness may be important factors for maintaining ambulatory activity and HR-QoL in people with LLA.en_US
dc.description.sponsorshipThe authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was financially supported by the Research Council of Norway and Oslo Metropolitan University/Faculty of Technology, Art, and Design/Faculty of Health Sciences. The funded Project is “Patient-Centric Engineering in Rehabilitation (PACER)” and project No. is 273599en_US
dc.publisherLippincott, Williams & Wilkinsen_US
dc.relation.ispartofseriesProsthetics and orthotics international;
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internasjonal*
dc.subjectSocial distancingen_US
dc.subjectLimb lossesen_US
dc.subjectFitness trackersen_US
dc.subjectProsthetic useen_US
dc.titleImpact of the COVID-19 restrictions on physical activity and quality of life in adults with lower limb amputationen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.rights.holder© 2021 The Authorsen_US
dc.source.journalProsthetics and orthotics internationalen_US
dc.relation.projectNorges forskningsråd: 273599en_US

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Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal
Med mindre annet er angitt, så er denne innførselen lisensiert som Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal