Quality of life, body image and self-esteem in patients with unilateral transtibial amputations

Abstract

Amputation represents a drastic impact on the patient’s body and perception. This cross-sectional study aims to analyse the aesthetic concern represented by body image, self-esteem and quality of life in patients with unilateral transtibial amputations of lower limbs compared to control group. People living with amputations present lower average levels than controls in all subscales of the SF-36 (Short Form 36 Health Survey) quality of life questionnaire, and in both the physical component summary and the mental component summary, although the difference is not statistically significant in the latter. These patients present a significantly lower mean score (p = 0.002) in the MBSRQ (Body-Self Relations Questionnaire) body image questionnaire: 2.64 ± 0.49 opposed to 3.16 ± 0.55 in controls. People living with amputations had a lower mean score on the Rosenberg Self-Esteem scale than controls (34.44 ± 4.61 v 36.04 ± 3.63). The results also show that amputation has a significant influence on the BI (Body image) of patients with unilateral transtibial amputations. SE (Self-Esteem) seems to be an aspect that is not significantly affected by lower limb amputation, although these patients scored a lower mean on the RSE scale compared to the control group. We consider it is highly relevant to assess QoL (Quality of life), BI and SE in patients after a lower limb amputation process.

Body Image and Its Association With Self-esteem Among Amputation Cases at Prosthetics Center in Hilla City, Iraq

“…It is recognized that the amputation process is permanent so that the amputated part does not return to the body again, i.e., the absence of certainty in the appropriateness of compensation for the amputated part creates a feeling of inferiority in amputees [12]. The findings come to the amputation of the case before the individual is affected by the realization of the individual to self-acceptance and acceptance, and helped this opinion resulting from amputation to perpetuate self-image, so the individual in the case of monitoring and evaluation of the same, which is known as the contemplation of the state of the individual that deepens low self-concept of the individual, on the case anxiety has led to the amputation of the restructuring and the drafting of the self.…”

Assessment of Quality of Life in Patients with Lower Limb Amputation after Work Accidents

“…Quality of life is a major predictor of rehabilitation and has mainly been used to evaluate the effectiveness of the programmes and also to compare people with amputations with deseased or normal population (Sarroca, et al, 2021).…”

The body image and its relation to self-esteem among amputation patients at Artificial Limbs Hospital at Kut City, Iraq

“…Given that amputation is a permanent procedure that prevents the amputated portion from growing back, amputees may feel inferior because there is no assurance that the compensation for the amputated part is sufficient. (15).…”

“…mputation in and of itself, from the scientific and life aspect, is considered a disability, and amputation is considered a war injury and a disability in which the affected individual goes through multiple stages that change the system of feeling security and peace for the amputee (1). Amputation rates vary by country, ranging from 1.2 to 4.4 per 10,000 inhabitants (2) (3), The bulk (up to 90%) of cases affect the lower limbs.…”