ACTA FAC MED NAISS 2024;41(2):206-213 |
Original article
UDC:
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Running title: Different Periods of Wearing Transtibial Prosthesis and Quality of Life
Quality of Life of Patients with Transtibial Amputation and Different Periods of Wearing Prostheses
Vesna Bokan1,2
1Center
for Physical Medicine and Rehabilitation, Clinical Centre of Montenegro,
Podgorica, Montenegro
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.
Corresponding author:
Vesna Bokan
e-mail: vesnabokanmir@gmail.me