Developing an exercise intervention to improve bone mineral density in traumatic amputees: protocol for a Delphi study.
Developing an exercise intervention to improve bone mineral density in traumatic amputees: protocol for a Delphi study.
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DOI：
10.1136/bmjopen-2023-073062
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发表时间：
2023-10-16
期刊：
影响因子：
2.9
通讯作者：
Bennett, Alexander
中科院分区：
文献类型：
--
作者：
Behan, Fearghal P.;Bull, Anthony M. J.;Bennett, Alexander
关键词：
下肢截肢导致截肢侧骨矿物质密度（BMD）降低。运动干预已被证明能有效改善BMD。然而，这种干预措施尚未尝试在截肢人群。为四肢完整的人设计的锻炼可能不适合截肢者，因为关节丧失以及锻炼设备和股骨颈之间的机械界面通过插座介导。因此，在实施干预措施之前，谨慎的做法是利用生物力学知识和临床专业知识，以及相关领域的科学证据，以协助制定干预措施。本研究的目的是征求专家意见并达成共识，以确定特定的运动处方参数，以最大限度地减少/恢复截肢者的BMD损失。将使用德尔菲技术在国际专家之间达成共识;这将作为电子德尔菲程序远程进行。将通过已发表的研究或临床专业知识确定来自≥2大洲和≥5个国家的10-15名专家。第1轮将包括要求参与者使用5分Likert量表对他们与运动处方相关的声明的一致性水平进行评分，以改善截肢者的BMD。一致性将被视为在李克特量表上≥3。第一轮将允许公开反馈，任何少于50%的专家同意的陈述将被排除。第2轮将重复剩余的陈述，并添加第1轮反馈的任何输入。第3轮将允许参与者反思他们的第2轮回答，考虑群体意见的统计代表性，以及他们是否希望相应地改变他们的任何回答。专家之间达成70%或以上一致率的声明将被视为达成共识，并将在未来的运动干预试验中实施。从帝国理工学院研究伦理委员会获得伦理批准（参考编号：6463766）。将要求德尔菲参与者提供数字知情同意书。调查结果将通过同行审查的出版物传播。
Lower limb amputation results in reduced bone mineral density (BMD) on the amputated side. Exercise interventions have proven effective in improving BMD. However, such interventions have not been attempted in an amputee population. Exercises designed for people with intact limbs may not be suitable for amputees, due to joint loss and the mechanical interface between the exercise equipment and the femoral neck being mediated through a socket. Therefore, prior to intervention implementation, it would be prudent to leverage biomechanical knowledge and clinical expertise, alongside scientific evidence in related fields, to assist in intervention development. The objective of this study is to elicit expert opinion and gain consensus to define specific exercise prescription parameters to minimise/recover BMD loss in amputees. The Delphi technique will be used to obtain consensus among international experts; this will be conducted remotely as an e-Delphi process. 10–15 experts from ≥2 continents and ≥5 countries will be identified through published research or clinical expertise. Round 1 will consist of participants being asked to rate their level of agreement with statements related to exercise prescription to improve amputee BMD using a 5-point Likert Scale. Agreement will be deemed as ≥3 on the Likert Scale. Open feedback will be allowed in round 1 and any statement which less than 50% of the experts agree with will be excluded. Round 2 will repeat the remaining statements with the addition of any input from round 1 feedback. Round 3 will allow participants to reflect on their round 2 responses considering statistical representation of group opinion and whether they wish to alter any of their responses accordingly. Statements reaching agreement rates of 70% or above among the experts will be deemed to reach a consensus and will be implemented in a future exercise interventional trial. Ethical approval was received from Imperial College Research Ethics Committee (reference: 6463766). Delphi participants will be asked to provide digital informed consent. The findings will be disseminated through peer-reviewed publications.
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影响因子：
5.6
作者：
Billinger SA;Boyne P;Coughenour E;Dunning K;Mattlage A
通讯作者：
Mattlage A
影响因子：
2.8
作者：
Massini, Danilo A.;Nedog, Flavio H.;de Oliveira, Thiago P.;Almeida, Tiago A. F.;Santana, Caroline A. A.;Neiva, Cassiano M.;Macedo, Anderson G.;Castro, Eliane A.;Espada, Mario C.;Santos, Fernando J.;Pessoa Filho, Dalton M.
通讯作者：
Pessoa Filho, Dalton M.
影响因子：
3.8
作者：
Keeney, S;Hasson, F;McKenna, H
通讯作者：
McKenna, H
影响因子：
3.8
作者：
Hasson, F;Keeney, S;McKenna, H
通讯作者：
McKenna, H
DOI：
10.1016/0003-9993(94)90084-1
发表时间：
1994-10-01
影响因子：
4.3
作者：
LEMAIRE, ED;FISHER, FR
通讯作者：
FISHER, FR