@2024 Afarand., IRAN
ISSN: 2008-2630 Iranian Journal of War & Public Health 2016;8(2):95-103
ISSN: 2008-2630 Iranian Journal of War & Public Health 2016;8(2):95-103
Effectiveness of Physical Activity on Quality of Life and Pain Self-Efficacy in Veterans and Non-Veterans with Amputations of Lower Limbs
ARTICLE INFO
Article Type
Original ResearchAuthors
Mohamadtaghi B. (*)Shamsipour Dehkordi P. (1)
Hejazi Dinan P. (1)
(*) Physical Education Department, Sport Sciences Faculty, Alzahra University, Tehran, Iran
(1) Physical Education Department, Sport Sciences Faculty, Alzahra University, Tehran, Iran
Correspondence
Address: Sport Sciences Faculty, Alzahra University, Vanak Village, Tehran, IranPhone: +982332573821
Fax: +982188041468
batol.mohamadtaghi@yahoo.com
Article History
Received: February 4, 2016Accepted: June 6, 2016
ePublished: June 18, 2016
ABSTRACT
Aims
Nowadays, any increase in the quality of life of different social classes is considered as important. The pain self-efficiency can affect the level of quality of life. The aim of this study was to investigate the effectiveness of physical activities on the quality of life and pain self-efficiency in persons with lower limb amputations.
Instrument & Methods In the descriptive cross-sectional study, 110 lower-limb amputees, including 25 veterans and 85 non-veterans, referring to Tehran Red Crescent Office were studied in 2015. The subjects were selected via purposive sampling method. Data was collected using physical activity level, quality of life, and pain self-efficiency questionnaires. Data was analyzed by SPSS 19 software using Pearson correlation coefficient, multi variable ANOVA, and Bonferroni post-hoc tests.
Findings There were significant correlations between all components of quality of life and pain self-efficiency in lower-limb veteran and non-veteran amputees groups and independent, relatively dependent, and completely dependent physical activity levels (p=0.001). There were significantly higher total mean scores of physical functioning, mental functioning, quality of life, and pain self-efficiency in independent lower-limb veteran amputees than relatively dependent and dependent veteran and non-veteran groups (p<0.05). There were positive and significant correlations between the scores of instrumental and non-instrumental daily activities and physical functioning, mental functioning, quality of life, and pain self-efficiency variables (p=0.001).
Conclusion There are higher levels of physical functioning, mental functioning, quality of life, and pain self-efficiency in the lower-limb amputees with independent physical activities than with relatively dependent and dependent physical activities.
Instrument & Methods In the descriptive cross-sectional study, 110 lower-limb amputees, including 25 veterans and 85 non-veterans, referring to Tehran Red Crescent Office were studied in 2015. The subjects were selected via purposive sampling method. Data was collected using physical activity level, quality of life, and pain self-efficiency questionnaires. Data was analyzed by SPSS 19 software using Pearson correlation coefficient, multi variable ANOVA, and Bonferroni post-hoc tests.
Findings There were significant correlations between all components of quality of life and pain self-efficiency in lower-limb veteran and non-veteran amputees groups and independent, relatively dependent, and completely dependent physical activity levels (p=0.001). There were significantly higher total mean scores of physical functioning, mental functioning, quality of life, and pain self-efficiency in independent lower-limb veteran amputees than relatively dependent and dependent veteran and non-veteran groups (p<0.05). There were positive and significant correlations between the scores of instrumental and non-instrumental daily activities and physical functioning, mental functioning, quality of life, and pain self-efficiency variables (p=0.001).
Conclusion There are higher levels of physical functioning, mental functioning, quality of life, and pain self-efficiency in the lower-limb amputees with independent physical activities than with relatively dependent and dependent physical activities.
CITATION LINKS
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[14]Asano M, Rushton P, Miller WC, Deathe BA. Predictors of quality of life among individuals who have a lower limb amputation. Prosthet Orthot Int. 2008;32(2):231-43.
[15]Meulenbelt HE, Geertzen JH, Jonkman MF, Dijkstra PU. Skin problems of the stump in lower limb amputees: 1. A clinical study. Acta Derm Venereol. 2011;91(2):173-7.
[16]Deans SA, Mcfadyen AK, Rowe PJ. Physical activity and quality of life: A study of a lower-limb amputee population. Prosthet Orthot Int. 2008;32(2):186-200.
[17]Chong DK. Measurement of instrumental activities of daily living in stroke. Stroke. 1995;26(6):1119-22.
[18]da Silva R, Rizzo JG, Gutierres Filho PJ, Ramos V, Deans S. Physical activity and quality of life of amputees in southern Brazil. prosthet Orthot Int. 2011;35(4):432-8.
[19]Mohammed SA, Shebl AM. Quality of life among egyptian patients with upper and lower limb amputation: Sex differences. Adv Med. 2014;2014:1-8.
[20]Haghighat F, Zadnosh S, Rasolzade Tabatabaee SK, Etamadifar M. The relationship between pain self-efficacy and pain intensity in multiple sclerosis patients. Int J Behav Sci. 2011;5(1):47-54. [Persian]
[21]Knittle KP, De Gucht V, Hurkmans EJ, Vlieland TP, Peeters AJ, Ronday HK, et al. Effect of self-efficacy and physical activity goal achievement on arthritis pain and quality of life in patients with rheumatoid arthritis. Arthritis Care Res (Hoboken). 2011 Nov;63(11):1613-9.
[22]Buckelew SP, Murray SE, Hewett JE, Johnson J, Huyser B. Self-efficacy, pain, and physical activity among fibromyalgia subjects. Arthritis Care Res. 1995;8(1):43-50.
[23]Garman KS, Cohen HJ. Functional Status and the elderly cancer patient. Crit Rev Oncol Hematol. 2002;43(3):191-208.
[24]Graf C. The Lawton instrumental activities of daily living scale. Am J Nurs. 2008;108(4):53-63.
[25]Lawton MP, Brody EM. Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9(3):179-86.
[26]Habibi Sola A, Nikpour S, Seyedoshohadaee M, Haghani H. Quality of life and status of physical functioning among elderly people in west region of Tehran: A cace-sectional survey. Iran J Nurs. 2008;21(53):29-39. [Persian]
[27]Bagheri H, Shahabi Z, Ebrahimi H, Alaeenejad F. The association between quality of sleep and health-related quality of life in nurses. Hayat .2006;12(4):13-20. [Persian]
[28]Singh A, Gnanalingham K, Casey A, Crockard A. Quality of life assessment using the Short Form-12 (SF-12) questionnaire in patients with cervical spondylotic myelopathy: comparison with SF-36. Spine. 2006;31(6):639-43.
[29]Montazeri A, Vahdaninia M, Mousavi SJ, Omidvari S. The Iranian version of 12-item short form health survey (SF-12): Factor structure, internal consistency and construct validity. BMC Public Health. 2009;9(1):341-50.
[30]Asghari A, Nicholas MK. An investigation of pain self-efficacy beliefs in Iranian chronic pain patients: a preliminary validation of a translated English-language scale. Pain Med. 2009;10(4):619-32.
[31]Knežević A, Salamon T, Milankov M, Ninković S, Jeremić Knežević M, Tomašević Todorović S. Assessment of quality of life in patients after lower limb amputation. Med Pregl. 2015;3(4):103-8.
[32]Gallagher P, O'Donovan MA, Doyle A, Desmond D. Environmental barriers, activity limitations and participation restrictions experienced by people with major limb amputation. Prosthet Orthot Int. 2011;35(3):278-84.
[33]Greive AC, Lankhorst GJ. Functional outcome of lower-limb amputees: a prospective descriptive study in a general hospital. Prosthet Orthot Int. 1996;20(2):79-87.
[34]Geertzen JH, Martina JD, Rietman HS. Lower limb amputation. Part 2: Rehabilitation--a 10 year literature review. Prosthet Orthot Int. 2001;25(1):14-20.
[35]Cella DF, Tulsky DS. Quality of life in cancer: Definition, purpose, and method of measurement. Cancer Investig. 1993;11(3):327-36.
[36]Pell JP, Donnan PT, Fowkes FG, Ruckley CV. Quality of life following lower limb amputation for peripheral arterial disease. Eur J Vasc Surg. 1993;7(4):448-51.
[37]Almeida LF, Camargos GV, Corrêa CL. Mudanças reorganizacionais nos córtices somatossensorial e motor em amputados: revisão da literatura. Rev Neurocienc. 2009;17(2):146-55.
[38]Meulenbelt HE, Geertzen JH, Jonkman MF, Dijkstra PU. Skin problems of the stump in lower-limb amputees: 2. Influence on functioning in daily life. Acta Derm Venereol. 2011;91(2):178–82.
[39]Almassi F, Emadi N, Mousavi B, Masumi M, Souroush MR. Dermatosis contributing factors in bilateral lower limb war-amputees. Pak J Biol Sci. 2010;13(2):78-82.
[40]Weiss GN, Gorton TA, Read RC, Neal LA. Outcomes of lower extremity amputations. J Am Geriatr Soc. 1990;38(8):877-83.
[41]Fusetti C, Senechaud C, Merlini M. Quality of life of vascular disease patients following amputation. Ann Chir. 2001;126(5):434-9.
[42]Mandani B, Hosseini SA, Saadat Abadi M, Farahbod M. Effect of group exercise program on quality of life in post-traumatic stress disorder war veterans. Iran J War Public Health. 2015;7(2):91-8. [Persian]
[43]Pucci GC, Rech CR, Fermino RC, Reis RS. Association between physical activity and quality of life in adults. Rev Saude Publica. 2012;46(1):166-79.
[44]Spirduso WW, Cronin DL. Exercise does-dependent effects on quality of life and independent living in older adults. Med Sci Sports Exerc. 2001;33(Suppl 6):S598-608.
[45]Sahlin KB, Lexell J. Impact of organized sports on activity, participation, and quality of life in people with neurologic disabilities. Am Acad Phys Med Rehabil. 2015;7(10):1081-8.
[46]de Assis MAd, de Mello MF, Scorza FA, Cadrobbi MP, Schooedl AF, Gomes da Silva S, et al. Evaluation of physical activity habits in patients with posttraumatic stress disorder. Clinics. 2008;63(4):473-8.
[47]Dunn AL, Trivedi MH, O'Neal HA. Physical activity dose–response effects on outcomes of depression and anxiety. Med Sci Sports Exerc. 2001;33(Suppl 6):S587-97.
[48]Callaghan P. Exercise: A neglected intervention in mental health care?. J Psychiatr Ment Health Nurs. 2004;11(4):476-83.
[49]Chogahara MO, Brien Cousins S, Wankel LM. Editorial social influences on physical activity in older adults: A review. J Aging Phys Act. 1998;6(1):1-17.
[2]Asghari Moghaddam MA. The prevalence rate of chronic pain and some of its associations among the employees of a big industrial company in Tehran. Clin Psychol Personal. 2004;1(4):1-14. [Persian]
[3]Asghari Moghaddam MA, Karami B, Rezaee S. Prevalence of pain in life time, chronic continued pain and some of its associated characteristics. J Psychol. 2002;6(1):30-51. [Persian]
[4]Turner JA, Jensen MP, Romano JM. Do beliefs, coping, and catastrophizing independently predict functioning in patients with chronic pain?. Pain. 2000;85(1-2):115-25.
[5]Patterson SL, Rodgers MM, Macko RF, Forrester LW. Effect of treadmill exercise training on spatial and temporal gait parameters in subjects with chronic stork: A preliminary report. J Rehabil Res Dev. 2008;45(2):221-8.
[6]Avenell A, Broom J, Brown TJ, Poobalan A, Aucott L, Stearns SC, et al. Systematic review of the long-term effects and economic consequences of treatments for obesity and implications for health improvement. Health Technol Assess. 2004 May;8(2):161-82.
[7]Bakhshande M. The relationship between physical activity and quality of life in middle age [Dissertation]. Shomal University; 2012.
[8]Both JE, Badke MR, Daandels N, Hep DR, Santos AM. Acompanhamento de paciente com amputação de membro superior: um estudo de caso. Rev Contexto Saúde. 2011;11(20):611-6.
[9]Sinha R, van den Heuvel WJ, Arokiasamy P. Factors affecting quality of life in lower limb amputees. Prosthet Orthot Int. 2011;35(1):90-6.
[10]Üstün TB, Chatterji S, Bickenbach J, Kostanjsek N, Schneider M. The International Classification of Functioning, Disability and Health: A new tool understanding disability and health. Disabil Rehabil. 2003;25(11):565-71.
[11]Chen X, Sekine M, Hamanishi S, Yamagami T, Kagamimori S. Associations of lifestyle factors with quality of life (QOL) in Japanese children: a 3-year follow-up of the Toyama Birth Cohort Study. Child Care Health Dev. 2005 Jul;31(4):433-9.
[12]Akarsu S, Tekin L, Safaz I, Göktepe AS, Yazicioğlu K. Quality of life and functionality after lower limb amputa-tions: Comparison between uni- vs. bilateral amputee patients. Prosthet Orthot Int. 2013;37(1):9–13.
[13]Zidarov D, Swaine B, Gauthier-Gagnon C. Quality of life of persons with lower-limb amputation during rehabilita-tion and at 3-month follow-up. Arch Phys Med Rehabil. 2009;90(4):634-45.
[14]Asano M, Rushton P, Miller WC, Deathe BA. Predictors of quality of life among individuals who have a lower limb amputation. Prosthet Orthot Int. 2008;32(2):231-43.
[15]Meulenbelt HE, Geertzen JH, Jonkman MF, Dijkstra PU. Skin problems of the stump in lower limb amputees: 1. A clinical study. Acta Derm Venereol. 2011;91(2):173-7.
[16]Deans SA, Mcfadyen AK, Rowe PJ. Physical activity and quality of life: A study of a lower-limb amputee population. Prosthet Orthot Int. 2008;32(2):186-200.
[17]Chong DK. Measurement of instrumental activities of daily living in stroke. Stroke. 1995;26(6):1119-22.
[18]da Silva R, Rizzo JG, Gutierres Filho PJ, Ramos V, Deans S. Physical activity and quality of life of amputees in southern Brazil. prosthet Orthot Int. 2011;35(4):432-8.
[19]Mohammed SA, Shebl AM. Quality of life among egyptian patients with upper and lower limb amputation: Sex differences. Adv Med. 2014;2014:1-8.
[20]Haghighat F, Zadnosh S, Rasolzade Tabatabaee SK, Etamadifar M. The relationship between pain self-efficacy and pain intensity in multiple sclerosis patients. Int J Behav Sci. 2011;5(1):47-54. [Persian]
[21]Knittle KP, De Gucht V, Hurkmans EJ, Vlieland TP, Peeters AJ, Ronday HK, et al. Effect of self-efficacy and physical activity goal achievement on arthritis pain and quality of life in patients with rheumatoid arthritis. Arthritis Care Res (Hoboken). 2011 Nov;63(11):1613-9.
[22]Buckelew SP, Murray SE, Hewett JE, Johnson J, Huyser B. Self-efficacy, pain, and physical activity among fibromyalgia subjects. Arthritis Care Res. 1995;8(1):43-50.
[23]Garman KS, Cohen HJ. Functional Status and the elderly cancer patient. Crit Rev Oncol Hematol. 2002;43(3):191-208.
[24]Graf C. The Lawton instrumental activities of daily living scale. Am J Nurs. 2008;108(4):53-63.
[25]Lawton MP, Brody EM. Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9(3):179-86.
[26]Habibi Sola A, Nikpour S, Seyedoshohadaee M, Haghani H. Quality of life and status of physical functioning among elderly people in west region of Tehran: A cace-sectional survey. Iran J Nurs. 2008;21(53):29-39. [Persian]
[27]Bagheri H, Shahabi Z, Ebrahimi H, Alaeenejad F. The association between quality of sleep and health-related quality of life in nurses. Hayat .2006;12(4):13-20. [Persian]
[28]Singh A, Gnanalingham K, Casey A, Crockard A. Quality of life assessment using the Short Form-12 (SF-12) questionnaire in patients with cervical spondylotic myelopathy: comparison with SF-36. Spine. 2006;31(6):639-43.
[29]Montazeri A, Vahdaninia M, Mousavi SJ, Omidvari S. The Iranian version of 12-item short form health survey (SF-12): Factor structure, internal consistency and construct validity. BMC Public Health. 2009;9(1):341-50.
[30]Asghari A, Nicholas MK. An investigation of pain self-efficacy beliefs in Iranian chronic pain patients: a preliminary validation of a translated English-language scale. Pain Med. 2009;10(4):619-32.
[31]Knežević A, Salamon T, Milankov M, Ninković S, Jeremić Knežević M, Tomašević Todorović S. Assessment of quality of life in patients after lower limb amputation. Med Pregl. 2015;3(4):103-8.
[32]Gallagher P, O'Donovan MA, Doyle A, Desmond D. Environmental barriers, activity limitations and participation restrictions experienced by people with major limb amputation. Prosthet Orthot Int. 2011;35(3):278-84.
[33]Greive AC, Lankhorst GJ. Functional outcome of lower-limb amputees: a prospective descriptive study in a general hospital. Prosthet Orthot Int. 1996;20(2):79-87.
[34]Geertzen JH, Martina JD, Rietman HS. Lower limb amputation. Part 2: Rehabilitation--a 10 year literature review. Prosthet Orthot Int. 2001;25(1):14-20.
[35]Cella DF, Tulsky DS. Quality of life in cancer: Definition, purpose, and method of measurement. Cancer Investig. 1993;11(3):327-36.
[36]Pell JP, Donnan PT, Fowkes FG, Ruckley CV. Quality of life following lower limb amputation for peripheral arterial disease. Eur J Vasc Surg. 1993;7(4):448-51.
[37]Almeida LF, Camargos GV, Corrêa CL. Mudanças reorganizacionais nos córtices somatossensorial e motor em amputados: revisão da literatura. Rev Neurocienc. 2009;17(2):146-55.
[38]Meulenbelt HE, Geertzen JH, Jonkman MF, Dijkstra PU. Skin problems of the stump in lower-limb amputees: 2. Influence on functioning in daily life. Acta Derm Venereol. 2011;91(2):178–82.
[39]Almassi F, Emadi N, Mousavi B, Masumi M, Souroush MR. Dermatosis contributing factors in bilateral lower limb war-amputees. Pak J Biol Sci. 2010;13(2):78-82.
[40]Weiss GN, Gorton TA, Read RC, Neal LA. Outcomes of lower extremity amputations. J Am Geriatr Soc. 1990;38(8):877-83.
[41]Fusetti C, Senechaud C, Merlini M. Quality of life of vascular disease patients following amputation. Ann Chir. 2001;126(5):434-9.
[42]Mandani B, Hosseini SA, Saadat Abadi M, Farahbod M. Effect of group exercise program on quality of life in post-traumatic stress disorder war veterans. Iran J War Public Health. 2015;7(2):91-8. [Persian]
[43]Pucci GC, Rech CR, Fermino RC, Reis RS. Association between physical activity and quality of life in adults. Rev Saude Publica. 2012;46(1):166-79.
[44]Spirduso WW, Cronin DL. Exercise does-dependent effects on quality of life and independent living in older adults. Med Sci Sports Exerc. 2001;33(Suppl 6):S598-608.
[45]Sahlin KB, Lexell J. Impact of organized sports on activity, participation, and quality of life in people with neurologic disabilities. Am Acad Phys Med Rehabil. 2015;7(10):1081-8.
[46]de Assis MAd, de Mello MF, Scorza FA, Cadrobbi MP, Schooedl AF, Gomes da Silva S, et al. Evaluation of physical activity habits in patients with posttraumatic stress disorder. Clinics. 2008;63(4):473-8.
[47]Dunn AL, Trivedi MH, O'Neal HA. Physical activity dose–response effects on outcomes of depression and anxiety. Med Sci Sports Exerc. 2001;33(Suppl 6):S587-97.
[48]Callaghan P. Exercise: A neglected intervention in mental health care?. J Psychiatr Ment Health Nurs. 2004;11(4):476-83.
[49]Chogahara MO, Brien Cousins S, Wankel LM. Editorial social influences on physical activity in older adults: A review. J Aging Phys Act. 1998;6(1):1-17.