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Assessing prosthetic functionality and satisfaction in Malaysian lower limb amputees: A cross-sectional study
Mohd Tajularif Ibrahim1, Nur Afiqah Hashim1, Nasrul Anuar Abd Razak1,2
1Department of Biomedical Engineering, University of Malaya, Kuala Lumpur, Malaysia.
Prosthetics and Orthotics International
|October 20, 2025
Summary
Malaysian lower limb amputees report varied prosthetic satisfaction, with comorbidities significantly impacting physical abilities and experiences. Improvements in prosthetic design, fitting, and rehabilitation are crucial for enhancing user outcomes.
Area of Science:
- Rehabilitation Medicine
- Prosthetics and Orthotics
- Biomedical Engineering
Background:
- Lower limb amputation presents significant challenges to physical function and quality of life.
- Prosthetic utilization is key for restoring mobility and independence in amputees.
- Understanding user experiences is vital for optimizing prosthetic interventions.
Purpose of the Study:
- To investigate physical abilities, satisfaction, and experiences of Malaysian lower limb amputees.
- To identify determinants influencing these factors, focusing on prosthetic use.
- To inform targeted interventions for Malaysian amputees.
Main Methods:
- Cross-sectional study involving 70 lower limb amputees (34 transfemoral, 36 transtibial).
- Comprehensive survey covering demographics, amputation details, prosthetic use, physical capabilities, satisfaction, and challenges.
- Data analysis using SPSS with descriptive and inferential statistics.
Main Results:
- Participants used prostheses daily (>10 hours), but faced limitations in activities like sports and stair climbing.
- Satisfaction was high for walking on level/uneven surfaces, but lower for stair negotiation.
- Common issues included perspiration, skin irritation, and piston problems; comorbidities significantly influenced outcomes.
Conclusions:
- This study highlights the prosthetic satisfaction and experiences of Malaysian lower limb amputees.
- Key factors in prosthetic design, fitting, and rehabilitation require attention for improvement.
- Targeted interventions and further research are necessary for the Malaysian population.

