Introduction. Research into patients with lower limb amputation (LLA) puts strong emphasis on quality of life (QoL) and importance of the research in that regard as a measure for the rehabilitation outcomes. The aim of this study was to show which aspects of QoL are related to the duration of wearing a prosthesis in patients with transtibial amputation (TTA). Methods. The study sample comprised 40 patients who used prosthesis for 1 - 3 years (group A), 4 - 7 years (group B) and > 8 years (group C). All patients completed Trinity Amputation and Prosthesis Experience Scale-Revised (TAPES-R). Results. Prosthesis wearing history was significantly different between the groups: group A (2.2 ± 0.7 years), group B (5.5 ± 1.3 years) and group C (22.9 ± 13.6 years), p<0.001. Patients in group B were significantly (p < 0.05) older compared to patients in group C, displayed a significantly (p < 0.05) lower rate of employment and significantly (p < 0.05) longer duration of diabetes mellitus. Patients in group C displayed a significantly (p = 0.005) lower rate of diabetes mellitus. TAPES-R showed that social adjustment was significantly lower (p < 0.05) in patients in group C compared to patients in group A (3.14 ± 0.46 vs. 3.55 ± 0.41). Conclusion. Although patients with TTA showed good QoL, the group with a long history of wearing a prosthesis differed significantly in social adjustment compared to patients with a short period of wearing a prosthesis. The age and etiology of amputation differed significantly between the groups.
References
1.
Cox PSL, Williams SKP, Weaver. Life after lower extremity amputation in diabetics. West Indian Med J. 2011;60(5):536–40.
2.
Horgan O, MacLachlan M. Psychosocial adjustment to lower-limb amputation: A review. Disability and Rehabilitation. 2004;26(14–15):837–50.
3.
Kaur A, Guan Y. Phantom limb pain: A literature review. Chinese Journal of Traumatology. 2018;21(6):366–8.
4.
Baars EC, Schrier E, Dijkstra PU, Geertzen JHB. Prosthesis satisfaction in lower limb amputees. Medicine. 2018;97(39):e12296.
5.
Kizilkurt OK. Quality of life after lower extremity amputation due to diabetic foot ulcer: the role of prosthesis-related factors, body image, self-esteem, and coping styles. Dusunen Adam: The Journal of Psychiatry and Neurological Sciences.
6.
Quigley M, Dillon MP, Duke EJ. Comparison of quality of life in people with partial foot and transtibial amputation. Prosthetics & Orthotics International. 2016;40(4):467–74.
7.
Spasić A, Radovanović RV, Đorđević AC, Stefanović N, Cvetković T. Quality of Life in Type 2 Diabetic Patients. Acta Facultatis Medicae Naissensis. 2014;31(3):193–200.
8.
DEMET K, MARTINET N, GUILLEMIN F, PAYSANT J, ANDRÉ JM. Health related quality of life and related factors in 539 persons with amputation of upper and lower limb. Disability and Rehabilitation. 2003;25(9):480–6.
9.
Sinha R, van den Heuvel WJ, Arokiasamy P. Factors affecting quality of life in lower limb amputees. Prosthetics & Orthotics International. 2011;35(1):90–6.
10.
Nehler MR, Coll JR, Hiatt WR, Regensteiner JG, Schnickel GT, Klenke WA, et al. Functional outcome in a contemporary series of major lower extremity amputations. Journal of Vascular Surgery. 2003;38(1):7–14.
11.
Fajardo-Martos I, Roda O, Zambudio-Periago R, Bueno-Cavanillas A, Hita-Contreras F, Sánchez-Montesinos I. Predicting successful prosthetic rehabilitation in major lower-limb amputation patients: a 15-year retrospective cohort study. Brazilian Journal of Physical Therapy. 2018;22(3):205–14.
12.
Luthi F, Praz C, Léger B, Vouilloz A, Favre C, Loiret I, et al. Cross-cultural adaptation and measurement properties of the French version of the Trinity Amputation and Prosthesis Experience Scales—Revised (TAPES-R). PLOS ONE. 15(2):e0229084.
13.
Gallagher P, MacLachlan M. The Trinity amputation and prosthesis experience scales and quality of life in people with lower-limb amputation 11No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the author(s) or on any organization with which the author(s) is/are associated. Archives of Physical Medicine and Rehabilitation. 2004;85(5):730–6.
14.
Alessa M, Alkhalaf HA, Alwabari SS, Alwabari NJ, Alkhalaf H, Alwayel Z, et al. The Psychosocial Impact of Lower Limb Amputation on Patients and Caregivers. Cureus. 2022;
15.
Fortington L, Dijkstra P, Bosmans J, Post W, Geertzen J. Change in health-related quality of life in the first 18 months after lower limb amputation: A prospective, longitudinal study. Journal of Rehabilitation Medicine. 2013;45(6):587–94.
16.
Asano M, Rushton P, Miller WC, Deathe BA. Predictors of quality of life among individuals who have a lower limb amputation. Prosthetics & Orthotics International. 2008;32(2):231–43.
17.
MATOS DR, NAVES JF, ARAUJO TCCF de. Quality of life of patients with lower limb amputation with prostheses. Estudos de Psicologia (Campinas). 37.
18.
Webster JB, Hakimi KN, Williams RM, Turner AP, Norvell DC, Czerniecki JM. Prosthetic fitting, use, and satisfaction following lower-limb amputation: A prospective study. The Journal of Rehabilitation Research and Development. 2012;49(10):1493.
19.
Sinha R, Van Den Heuvel WJA. A systematic literature review of quality of life in lower limb amputees. Disability and Rehabilitation. 2011;33(11):883–99.
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