Investigating Factors Affecting Prosthetic Use and Adjustment in Lower Limb Amputee Rehabilitation

Successful rehabilitation following lower limb amputation relies on effective prosthetic use and adjustment, influenced by various physical, psychological, and environmental factors. Understanding these factors is essential for optimizing rehabilitation strategies and improving amputees' quality of life. Research investigates the key factors affecting prosthetic use and adjustment in lower limb amputee rehabilitation, focusing on prosthetic functionality, user characteristics, psychosocial adaptation, and rehabilitation-related influences. A total of 298 adult’s lower limb amputees participated in structured interviews. Patient demographics, amputation-related information, prosthetic use, and the Prosthetic Limb Users Survey of Mobility (PLUS-M) were all evaluated using standardized questionnaires to gather data. Key factors analyzed included physical and health, psychological, activity, functional and lifestyle, personal and social, and environmental factors. Statistical analysis methods, including descriptive statistics, correlation and regression analysis, were conducted to determine significant associations between prosthetic use and adjustment outcomes. Findings show that prosthetic satisfaction was usually positive, and participants reported functional mobility and moderate psychological adjustment. The use of prosthetics, socket fit, residual limb health, and daily prosthesis wear time were important factors affecting prosthetic use. Employment position, psychological resilience, social reintegration, and access to rehabilitation were all substantially correlated with adjustment results. Research emphasizes that to optimize prosthesis use and long-term adjustment, rehabilitation must incorporate medical, psychological, and social support measures.