4.4 Article

Factors influencing physical activity among individuals with lower limb amputations: a qualitative study

Journal

DISABILITY AND REHABILITATION
Volume 45, Issue 9, Pages 1461-1470

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.1080/09638288.2022.2065539

Keywords

Lower limb amputation; dysvascular etiology; physical activity; qualitative research; barriers; facilitators

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This study aimed to explore the barriers and facilitators to physical activity for individuals with lower limb amputation (LLA) from the perspectives of both individuals with LLA and health professionals. Through qualitative interviews and thematic analysis, six themes were identified, including support systems, availability of community resources, and the fit and function of prostheses. These findings provide a foundation for developing patient-centered interventions and physical activity programs to overcome the barriers to physical activity for individuals with LLA.
Purpose The purpose of this study was to explore the barriers and facilitators to physical activity from multiple stakeholder perspectives including individuals with LLA and health professionals. Materials and methods A qualitative descriptive study situated within an interpretive research paradigm was conducted. Semi-structured interviews were held with individuals with LLA recruited from rehabilitation hospitals in a metropolitan city in Canada. Health professionals with experience in amputation care were recruited from across Canada. Data were analysed using codebook thematic analysis. Results Thirty-three individuals with LLA and eighteen health professionals participated. Six themes were generated which represent the perceived barriers and facilitators to physical activity. Themes including Informal and Formal Supports, Availability of and Access to Community Resources, and Fit and Function of the Prosthesis were perceived by many individuals as facilitators, while acting as a barrier for others depending on an individual's circumstances. Conclusions These findings provide us with a basis of understanding from which we can begin addressing barriers to physical activity for individuals with LLA, in support of developing patient-centred interventions and physical activity programs for this population.

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