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Published on: May 8, 2014
Associations between physical activity, psychosocial adjustment and prosthesis satisfaction in people with lower limb
Lisiane Piazza Luza1, Diego Rodrigues Pimentel da Silva2, Elizandra Gonçalves Ferreira3
1Federal University of Pelotas, Pelotas, Brazil.
Introduction:
Amputation is one of the leading causes of permanent physical disability. Adjustment to amputation and prosthesis use involves complex physical and psychosocial challenges.
Objective:
To investigate the associations between physical activity, psychosocial adjustment, and prosthesis satisfaction in people with lower limb amputation.
Methods:
Ninety-three people with lower limb amputation were initially recruited; however, 64 remained in the final sample, with a mean age of 50.29 ± 14.29 years. Physical activity was assessed using the Physical Activity Scale for Individuals with Physical Disabilities; psychosocial adjustment, restriction to activities, and prosthesis satisfaction were assessed using the Trinity Amputation and Prosthesis Experience Scale - Revised.
Results:
Associations were identified between physical activity and social adjustment, restriction to physical activity, and aesthetic satisfaction with the prosthesis. Age and use of walking aid devices were also significant predictors, with these variables collectively accounting for 34% of the variance in physical activity (R2 = 0.34; F = 5.46; p < .001).
Conclusion:
Greater social adjustment and higher aesthetic prosthesis satisfaction were associated with higher physical activity levels among people with lower limb amputations. Moreover, ambulation without assistive devices was associated with higher physical activity; conversely, as age advances, physical activity in this population tends to decline.
