Relationship between body image and physical functioning following rehabilitation for lower-limb amputation
Jessica Desrochers1, Courtney Frengopoulos1, Michael W C Payne2
1Faculty of Health and Rehabilitation Sciences.
Summary
Body image perception did not significantly change after lower-limb amputation rehabilitation. Mobility improved, but it was not associated with body image at discharge, suggesting further research is needed.
Area of Science:
- Rehabilitation Medicine
- Prosthetics
- Amputee Care
Background:
- Lower-limb amputation significantly impacts physical function and body image.
- Prosthetic rehabilitation aims to restore mobility and improve quality of life.
- Understanding the interplay between body image and functional outcomes is crucial.
Purpose of the Study:
- To assess changes in body image among older adults post-lower-limb amputation.
- To investigate the association between body image at discharge and mobility at 4 months post-rehabilitation.
- To evaluate mobility improvements following inpatient prosthetic rehabilitation.
Main Methods:
- Prospective cohort study of adults (≥50 years) undergoing first major lower-limb amputation.
- Assessed Amputee Body Image Scale (ABIS), gait velocity, and L-test at discharge (T1) and 4 months (T2).
- Used paired t-tests and multivariable linear regression to analyze changes and associations.
Main Results:
- Body image scores showed a non-significant trend towards improvement from T1 to T2 (P=0.063).
- Mobility, measured by gait velocity and L-test, significantly improved at T2 compared to T1.
- Amputee Body Image Scale scores at T1 were not significantly associated with mobility outcomes at T2.
Conclusions:
- While mobility significantly improves after lower-limb amputation rehabilitation, body image perception at discharge does not predict subsequent functional gains.
- Further research is warranted to explore the complex relationship between body image and patient outcomes in amputee rehabilitation.
- Interventions targeting body image may be necessary to fully optimize recovery and quality of life in this population.
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