Health Sciences Journal 2024;13(1):1-9

Association between prosthesis use to the physical functioning and quality of life among adult unilateral lower limb amputees: An analytical cross-sectional study

Gian Searle S. Alkuino 1 ; Marvin N. Catoy 1 ; Shieka Delanne G. Alo 1 ; Chloie Ysabel B. Allanigue 1 ; Sheen Queenae C. Catamin 1 ; Sam Francesca P. Cirilo 1 ; Walled T. Ali 1 ; Francine Gaile D. Co 1 ; Josephine R. Bundoc 2 ; Ramon Jason M. Javier 3

Affiliations

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Keywords

Prostheses and Implants; Functional capacity

Country

Philippines

Language

English

Abstract

Introduction:A prosthesis is an artificial assistive device designed to replace a missing body part (e.g., limb), secondary to a disease, injury or congenital deformities. Prostheses are often used to restore functional capacity while improving the quality of life (QoL).

Methods:An analytical cross-sectional study was conducted among adults aged 19 to 64 years who were permanent residents in Luzon who had undergone unilateral lower leg amputation. This epidemiologic study employed the Modified Barthel Index for activities of daily living (ADLs), the Frenchay Activities Index for instrumental activities of daily living (IADLs), and the WHOQOL-BREF for QoL. Descriptive and analytical statistics of the responses of the Lower Limb Amputees (LLA) were done. Prevalence odds ratio (POR) was calculated, and statistical significance was determined.

Results:Among 165 LLA respondents, only 47.88% used prostheses. Unilateral LLA who exhibited greater independence in ADLs (POR=19.22), more actively performed IADLs (POR=5.51), and had good QoL (POR=3.83) were more likely to have been using prosthesis. All these findings were statistically significant.

Conclusion:This study revealed a statistically significant association between prosthesis use to the physical functioning and QoL among adult unilateral LLAs. It showed that prosthetic use was likely linked with improved performance in ADLs and IADLs, and better QoL compared to those without.