Abstract
BackgroundLimb amputation is often an inevitable procedure in the advanced condition of various diseases and poses a dramatic impact on a patient's life. The aim of the present study is to analyze the impact of lower-limb amputations on aesthetic factors such as body image and self-esteem as well as quality of life (QoL).Methods298 patients (149 uni- or bilateral lower-limb amputees and 149 controls) were included in this cross-sectional study in three centers. Demographic data was collected and patients received a 118-item questionnaire including the Multidimensional Body-Self Relations Questionnaire (MBSRQ), the Rosenberg Self-esteem (RSE) scale and the SF-36 Health Survey (QoL). ANOVA and student's t-test were used for statistical analysis.ResultsUnilateral lower-limb amputees showed a significant lower MBSRQ score of 3.07±0.54 compared with 3.41±0.34 in controls (p<0.001) and a lower score in the RSE compared to controls (21.63±4.72 vs. 21.46±5.86). However, differences were not statistically significant (p = 0.36). Patients with phantom pain sensation had a significantly reduced RSE (p = 0.01). The SF-36 health survey was significantly lower in patients with lower-limb amputation compared to controls (42.17±14.47 vs. 64.05±12.39) (p<0.001).ConclusionThis study showed that lower-limb amputations significantly influence patients' body image and QoL. Self-esteem seems to be an independent aspect, which is not affected by lower-limb amputation. However, self-esteem is influenced significantly by phantom pain sensation.
Highlights
Limb amputation is often an inevitable procedure in the advanced condition of various diseases such as diabetes mellitus (DM), peripheral arterial occlusive disease, oncological disorders, trauma or infection and poses a dramatic impact on a patient’s life
The incidence of amputations ranges from 1.2 to 4.4 per 10.000 inhabitants in different countries [1,2] and the majority is performed on the lower-limb [2]
The aim of this study was to analyze the impact of lower-limb amputation on these two major components of aesthetic perception using evaluated and rated self-administered questionnaires including the Multidimensional Body-Self Relations Questionnaire (MBSRQ) and the Rosenberg Self-Esteem Scale (RSE) and quality of life (QoL)
Summary
Limb amputation is often an inevitable procedure in the advanced condition of various diseases such as diabetes mellitus (DM), peripheral arterial occlusive disease (pAOD), oncological disorders, trauma or infection and poses a dramatic impact on a patient’s life. An amputation induces several limitations in performing professional, leisure and social activities [4,5]. It disturbs the integrity of the human body and lowers the quality of life (QoL) due to reduced mobility, pain and physical integrity. Limb amputation is often an inevitable procedure in the advanced condition of various diseases and poses a dramatic impact on a patient’s life. The aim of the present study is to analyze the impact of lower-limb amputations on aesthetic factors such as body image and self-esteem as well as quality of life (QoL)
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