Abstract
Objectives: The objective of the study was to explore the levels of mobility and its association with quality of life in lower limb amputees. Methodology: A cross-sectional correlational study was conducted at Chal foundation, Fauji Foundation Hospital and PIPOS on the sample of 230 patients for time duration of six months from January–July 2019. The lower limb amputees aged between 18-57 years, and using prosthesis from more than four months were included in the study. The level of mobility was measured through Self-reporting Prosthetic Limb User Survey of Mobility (SF-PLUS-M) questionnaire, while Prosthetic Evaluation Questionnaire (PEQ) was used to determine the Quality of Life (QOL) among prosthesis users. This data was analyzed by SPSS version 21. Results: The mean age of study participants was 43±14.89 years. The mean PLUS-M score was 39.48±14.33. The results showed a positive significant association between level of mobility and quality of life in lower limb amputees (p<0.001). Conclusion: The study concluded that in Pakistan lower limb amputees has high level of mobility that contributes in improved quality of life.
Highlights
Lower Limb amputation is a noteworthy health event which has dangerous impact on the health of an individual.[1, 2] Amputation has been done since very old times and as the time passes by, the trends, techniques and technologies are evolving with better care and outcome both pre and postoperatively.[3]
The prevalence of lower limb amputation in Pakistan is ranging from 21% to 48%, 5 in the United States, approximately
The main cause of amputation in Pakistan is terrorism and earthquake added a burden of amputees on economy of Pakistan[3]
Summary
Lower Limb amputation is a noteworthy health event which has dangerous impact on the health of an individual.[1, 2] Amputation has been done since very old times and as the time passes by, the trends, techniques and technologies are evolving with better care and outcome both pre and postoperatively.[3]. The 85% of the amputation effects the lower limb.[4] The prevalence of lower limb amputation in Pakistan is ranging from 21% to 48%, 5 in the United States, approximately. 150000 people went through lower limb amputation each year.[6]. The other causes of amputation are infection, malignancies,[7] diabetes mellitus, peripheral artery diseases, traffics accidents, electric shock, firearms, and agricultural machinery.[4] In developing countries, trauma is the leading cause of amputation, while in developed countries diabetes and vascular diseases are responsible for amputations.[4] A research done in Karachi concluded that vascular diseases were found out to be major cause of amputation which was 63%, trauma was 23.28%, and 13.69% people are effected due to tumors in a civilians[8]. A study on armed forces showed that 99% of amputations were due to trauma and only 1% was due to tumors[9]
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