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Physical activity barriers and enablers in older Veterans with lower-limb amputation

Physical activity barriers and enablers in older Veterans with lower-limb amputation. Alyson J. Littman, PhD; Edward J. Boyko, MD; Mary Lou Thompson, PhD; Jodie K. Haselkorn, MD; Bruce J. Sangeorzan, MD; David E. Arterburn, MD. Aim

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Physical activity barriers and enablers in older Veterans with lower-limb amputation

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  1. Physical activity barriers and enablers in older Veterans with lower-limb amputation Alyson J. Littman, PhD; Edward J. Boyko, MD; Mary Lou Thompson, PhD; Jodie K. Haselkorn, MD; Bruce J. Sangeorzan, MD; David E. Arterburn, MD

  2. Aim • For older Veterans with lower-limb amputation (LLA), describe: • Types of physical activity most commonly performed. • Correlates of physical activity. • Factors preventing vs promoting physical activity. • Relevance • Little is known about types of physical activities that older individuals with LLA perform.

  3. Method • Exploratory study in 158 older Veterans from Pacific Northwest with LLA: • Partial foot (35%). • Below-knee (39%). • Above-knee (26%). • Demographics: • 98% of survey respondents were male. • Average 65 yr old. • Average 15 yr postamputation. • 36% of amputations were trauma-related.

  4. Results • Most commonly reported physical activities: • Walking/wheeling (65%), muscle strengthening (42%), exercise prescribed by therapist (32%), gardening (31%). • 43% classified as physically active. • Positive correlates: • Vigorous preamputation physical activity. • Negative correlates: • Low wealth and watching 5+ h/d of TV/videos. • Barriers: • Knowledge and interest/motivation. • Facilitators: • Family support and financial assistance.

  5. Conclusion • To increase physical activity in older amputee population, interventions should: • Address motivational issues. • Address knowledge gaps. • Address TV watching. • Reduce financial barriers to exercising. • Consider involving family members.

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