ACTA FAC MED NAISS 2024;41(2):206-213

 

Original article

UDC: 617.58‑089.873:615.477.2
DOI:
10.5937/afmnai41-46106

 

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
2University of Montenegro, Faculty of Medicine, Podgorica, Montenegro

 

 SUMMARY

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.

 

Keywords: quality of life, transtibial amputation, prosthesis wearing

 

 

Corresponding author:

Vesna Bokan

e-mail: vesnabokanmir@gmail.me