Quality of life of patients with transtibial amputation and different periods of wearing prostheses
Different periods of wearing transtibial prosthesis and quality of life
Abstract
Introduction. Research into patients with lower limb amputation (LLA) reflects the growing emphasis on quality of life (QoL) and its increasing use as an outcome measure. 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 1-3year (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 significant differently between 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 significantly (p<0.05) lower rate of employment and significantly (p<0.05) longer duration of diabetes mellitus. Patients in group C displayed 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 a 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 groups.
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