title: Activity levels among lower-limb amputees: self-report versus step activity monitor.
abstract: OBJECTIVE
  To determine the accuracy of self-reported activity by community-dwelling, lower-limb amputees.
  
  
  METHODS
  Descriptive study.
  
  
  METHODS
  A regional prosthetics outpatient service.
  
  
  METHODS
  Seventy-seven unilateral lower-limb amputees at least 6 months after prosthetic rehabilitation.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  Measured activity counts (in steps/min) and self-reported activity (rest, low, medium, high) in 15-minute intervals over 1 week were recorded for each participant.
  
  
  RESULTS
  Participants averaged 3063+/-1893 steps per day. Strong agreement (gamma> or =0.7) between self-reported and measured activity was found for only 34% of participants between the hours of 9:00 am to 9:00 pm. The measured and self-reported proportion of time spent in various states of activity also showed poor agreement (rest, r=.41; low level activity, r=.39; medium level, r=.26; high level, r=.40). There was no bias toward either over- or under-reporting.
  
  
  CONCLUSIONS
  The majority of participants were unable to accurately self-report their activity levels (sleep excluded) as compared with measured activity levels. This may have important implications for prescribing appropriate prosthetics and for clinicians who provide patients with advice on promoting health.
authors.affiliation: Department of Rehabilitation and Aged Care, Flinders University, Daw Park, SA, Australia.
authors.forename: Jacqueline M
authors.initials: JM
authors.lastname: Stepien
authors.forename: Sally
authors.initials: S
authors.lastname: Cavenett
authors.forename: Leigh
authors.initials: L
authors.lastname: Taylor
authors.forename: Maria
authors.initials: M
authors.lastname: Crotty
mesh_terms: D000674:Amputees / Q000534:rehabilitation*; D001186:Artificial Limbs; D005260:Female; D006801:Humans; D007866:Leg; D008297:Male; D008875:Middle Aged; D018670:Monitoring, Ambulatory / Q000295:instrumentation*; D009043:Motor Activity