Developing an exercise intervention to minimise hip bone mineral density loss following traumatic lower limb amputation: a Delphi study
2024

Exercise Intervention to Improve Bone Density After Amputation

Sample size: 13 publication Evidence: moderate

Author Information

Author(s): Behan Fearghal P, Bull Anthony M J, Beck Belinda R, Brooke-Wavell Katherine, Müller Ralph, Vico Laurence, Isaksson Hanna, Harvey Nicholas C, Buis Arjan, Sherman Kate, Jefferson Gemma, Cleather Daniel J, McGregor Alison, Bennett Alexander N

Primary Institution: Imperial College London

Hypothesis

What are the specific exercise intervention parameters to minimize hip bone mineral density loss following traumatic lower limb amputation?

Conclusion

Experts reached consensus on nine recommendations for exercise interventions to minimize hip bone mineral density loss after lower limb amputation.

Supporting Evidence

  • Exercise interventions can improve bone density in other populations.
  • Traumatic lower limb amputations lead to reduced bone mineral density.
  • Expert consensus can guide future exercise interventions.

Takeaway

Doctors and scientists agreed on how amputees can exercise to keep their bones strong. They suggest exercising at least two days a week for six months.

Methodology

The Delphi method was used to gather expert opinions through three rounds of consensus-building.

Potential Biases

Potential bias due to the selection of experts and the subjective nature of consensus.

Limitations

The expert panel lacked representation from low-to-middle income countries and may have a ceiling effect in recommendations.

Participant Demographics

The expert panel included 13 individuals from six countries, with a gender balance of seven females and six males.

Digital Object Identifier (DOI)

10.1136/bjsports-2024-108721

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