Prosthetic Satisfaction and Body Image among Lower Limb Amputee: A Cross-sectional Study
Introduction: Limb amputation not only brings functional and sensory loss, but also leads to loss or change of body image. These changes have significant effect on the Quality of Life (QoL) of an individual. Amputee adaptation varies widely between individuals. For an amputee a prosthesis not on...
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Autores principales: | , , , , |
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Formato: | article |
Lenguaje: | EN |
Publicado: |
JCDR Research and Publications Private Limited
2021
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Acceso en línea: | https://doaj.org/article/6e4a53c3fd72491f82fd3acc7289e4be |
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Sumario: | Introduction: Limb amputation not only brings functional and
sensory loss, but also leads to loss or change of body image.
These changes have significant effect on the Quality of Life (QoL)
of an individual. Amputee adaptation varies widely between
individuals. For an amputee a prosthesis not only bring back near
normal physical appearance but also it significantly repair his
disturbed body image. There is a significant correlation between
body image and life satisfaction.
Aim: To investigate the correlation between body image and
prosthetic satisfaction among lower limb amputee.
Materials and Methods: This cross-sectional study was conducted
from July 2018 to January 2020 at King George’s Medical University,
Lucknow, Uttar Pradesh, India. Participants with unilateral lower limb
prosthesis using amputees of either sex from Regional Artificial Limb
Centre, Lucknow were included in the study. Each participant was
subjected offline questionnaire based assessment of satisfaction
with respect to their prosthesis related to it`s function, aesthetic
(cosmesis), weight of prosthesis and general (overall) by Revised
Trinity Amputation and Prosthesis Experience Scale (R-TAPES).
Change in body image was assessed by Amputee Body Image
Scale (ABIS). Results were analysed by computer-based software
Statistical Package for the Social Sciences (SPSS) windows version
20.0. Analysis of Variance (ANOVA) t-test was used for normally
distributed and Mann-Whitney U test was used for abnormally
distributed variables.
Results: The study enrolled 119 patients in which the most common
cause of amputation was an accident (69). Statistically significant
difference was found for satisfaction between males and females
for weight of prosthesis (p-value=0.038). Statistically significant
difference was found between male and female for amputee body
image with ABIS score (p-value=0.001). Significant correlation was
found between ABIS and functional satisfaction (p-value=0.001;
r=-0.38)) and between ABIS and weight satisfaction (p-value=0.001;
r=-0.36).
Conclusion: Amputation causes significantly deterioration of body
image among the amputee, with such deteriorated body image
prosthetic satisfaction remains a big challenge for healthcare worker
and prosthetist. |
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