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Assessing Lower-Limb Prosthetic Users with the Trinity Amputation and Prosthesis Experience Scale-Revised: A

Huthaifa Atallah1, Amneh Alshawabka1, Mahmoud Alfatafta1

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|February 13, 2026
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Summary

This study found that lower-limb prosthetic users in Jordan generally have positive psychosocial adjustment and moderate prosthesis satisfaction. However, functional limitations persist, especially with limb pain, highlighting the need for targeted rehabilitation.

Keywords:
TAPES-Ractivity restrictionlower-limb amputationprosthesis satisfactionpsychosocial adjustmentrehabilitation

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Area of Science:

  • Rehabilitation Medicine
  • Prosthetics and Orthotics
  • Psychology

Background:

  • Lower limb amputation significantly impacts physical function, mental health, and body image.
  • Rehabilitation success hinges on psychological adjustment and functional performance, including mobility and prosthesis satisfaction.
  • Assessing these outcomes in diverse populations is crucial for effective interventions.

Purpose of the Study:

  • To evaluate psychological adjustment, activity restriction, and prosthesis satisfaction in Jordanian lower-limb prosthetic users.
  • To validate the Arabic version of the TAPES-R (Tamil Assessment of Prosthetic Experience Scale-Revised) in this population.
  • To identify factors influencing rehabilitation outcomes in prosthetic users.

Main Methods:

  • A cross-sectional study involving 74 unilateral lower-limb prosthetic users in Jordan.
  • Data collection included sociodemographic information and the Arabic TAPES-R.
  • Statistical analyses comprised descriptive statistics, Cronbach's alpha, t-tests, and Pearson correlations.

Main Results:

  • Participants reported positive psychosocial adjustment (Psychosocial Total = 3.08 ± 0.52) and moderate prosthesis satisfaction (Total Satisfaction = 2.23 ± 0.47).
  • Functional Satisfaction was higher in transfemoral amputees compared to transtibial amputees (p = 0.041).
  • Residual limb pain correlated with higher activity restriction (p = 0.022), and phantom limb pain with lower prosthetic satisfaction (p = 0.031).

Conclusions:

  • The Arabic TAPES-R is an effective tool for assessing psychological adjustment, activity restriction, and prosthesis satisfaction in Jordanian lower-limb prosthetic users.
  • While psychosocial adjustment is generally positive, functional limitations and pain require attention in rehabilitation.
  • Findings support the TAPES-R's use in clinical practice and research for guiding tailored interventions.