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Cleveland T. Barnett, PhD; Natalie Vanicek, PhD; Remco C. J. Polman, PhD

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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Cleveland T. Barnett, PhD; Natalie Vanicek, PhD; Remco C. J. Polman, PhD

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  1. 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

  2. Aim • 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.

  3. Method • 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.

  4. Results • 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).

  5. Conclusion • 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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