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Title: Cycling of people with a lower limb amputation in Thailand
Authors: Jutamanee Poonsiri
Rienk Dekker
Pieter U. Dijkstra
Yasmin Nutchamlong
Chanapak Dismanopnarong
Chiraphan Puttipaisan
Samai Suakonburi
Pensupa Pimchan
Juha M. Hijmans
Jan H.B. Geertzen
Lerdsin Hospital
King Chulalongkorn Memorial Hospital, Faculty of Medicine Chulalongkorn University
Faculty of Medicine, Siriraj Hospital, Mahidol University
Phramongkutklao College of Medicine
University of Groningen, University Medical Center Groningen
Veterans General Hospital
Keywords: Agricultural and Biological Sciences;Biochemistry, Genetics and Molecular Biology
Issue Date: 1-Jan-2019
Citation: PLoS ONE. Vol.14, No.8 (2019)
Abstract: © 2019 Poonsiri et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Aim To investigate cycling participation and barriers, and facilitators in adults with a lower limb amputation in Thailand. Method Questionnaires were given to 424 adults with uni/bilateral lower limb amputation from midfoot to hip disarticulation level at five public hospitals in Bangkok and prosthetic mobile units in Thailand. Participant characteristics were summarized using descriptive statistics. Variables associated with cycling (p<0.1) were entered in a logistic regression model. Results Participants who cycled (46.7%, N = 197), mostly used their walking prostheses (91.9%, n = 188). Of cyclists, 92.4% had cycled before the amputation. Cyclists started cycling after the amputation by themselves (86.7%) mostly in order to increase/maintain health (67.0%). Most cyclists cycled on quiet roads. The most frequent destination was shops/market (64.1%). More facilitators were reported than barriers. Most reported barriers were related to health problems and negative attitudes toward cycling. Most reported facilitators were related to perceived health benefits and positive attitude toward cycling. The likelihood of cycling after the amputation increased in people who cycled before the amputation, were amputated lower than the knee, used a prosthetic foot with axis/axes, were amputated due to trauma, had income higher than 415 euro/month, and who reported a higher numbers of facilitators. Conclusion After a lower limb amputation, nearly half of people cycled. People with a below knee amputation due to trauma with prior cycling experience and higher income tended to cycle after the amputation. People who perceived more facilitators were more likely to cycle. Although cyclists could use a walking prosthesis to cycle, a prosthetic foot with a greater range of motion than the SACH increased the cycling likelihood.
ISSN: 19326203
Appears in Collections:Scopus 2019

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