Temporal adaptations in generic and population-specific quality of life
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Temporal adaptations in generic and population-specific quality of life and falls efficacy in men with recent lower-limb amputations. Cleveland T. Barnett, PhD; Natalie Vanicek, PhD; Remco C. J. Polman, PhD. Aim

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Temporal adaptations in generic and population-specific quality of lifeand falls efficacy in men with recent lower-limb amputations

Cleveland T. Barnett, PhD;

Natalie Vanicek, PhD;

Remco C. J. Polman, PhD


  • Aim quality of life

    • Examine longitudinal changes in generic health-related quality of life (QOL), prosthesis-related QOL, falls efficacy, and walking speed in men with lower-limb amputations up to 6 mo after discharge from rehabilitation.

  • Relevance

    • Understanding changes in QOL and falls efficacy over time may have long-term implications for mobility, social reintegration, physical activity, and employment.


Method
Method quality of life

  • At 1, 3, and 6 mo postdischarge from rehabilitation, 7 unilateral transtibial amputees completed:

    • 36-Item Short Form Health Survey.

    • Prosthesis Evaluation Questionnaire.

    • Modified Falls Efficacy Scale.

  • Walking speed was also recorded to objectively assess participants’ mobility.


Results
Results quality of life

  • Health-related QOL increased.

    • Large effect sizes but not statistically significant.

  • Prosthesis-related QOL improved.

    • Support of significant others most positively scored.

  • Walking speed increased by 0.12 m/s.

    • But not significantly related to QOL or falls efficacy.

  • Falls efficacy didn’t improve significantly during study period.

    • But strongly related to QOL (p < 0.05).


Conclusion
Conclusion quality of life

  • These results provide novel insight into how QOL and falls efficacy develop in people with lower-limb amputations, alongside changes in mobility, after discharge from rehabilitation.

  • Further improvements in physical health following discharge may be required to elicit subsequent increases in overall QOL and concurrent improvements in falls efficacy.


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